Implant-supported reconstruction in a patient with generalized aggressive periodontitis

J Periodontol. 2007 Apr;78(4):777-82. doi: 10.1902/jop.2007.060281.

Abstract

Background: A 31-year-old female was diagnosed with generalized aggressive periodontitis based on clinical and radiographic findings. Dental implants were used to restore her dentition. The long-term success of osseointegrated implants in periodontally healthy patients has been documented well in the literature. However, only a few cases of full-mouth rehabilitation, using dental implants, have been reported in periodontally compromised patients, especially those who exhibited generalized aggressive periodontitis.

Methods: Following extraction of all teeth except #6 through #11 in the maxilla, oral rehabilitation was accomplished with the use of implant-supported restorations; detailed treatment planning and sequence are presented.

Results: Eight implants were loaded immediately in the mandible. Six implants were placed in the posterior maxilla with a conventional two-stage approach. The maxillary implants were loaded after a 4-month healing period. The patient was followed for 18 months postloading in the maxilla and 24 months postloading in the mandible.

Conclusion: Successful oral rehabilitation was accomplished using osseointegrated implants in a patient with generalized aggressive periodontitis.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Dental Implantation, Endosseous / methods*
  • Dental Prosthesis, Implant-Supported / methods*
  • Female
  • Humans
  • Periodontitis / diagnostic imaging
  • Periodontitis / therapy*
  • Radiography
  • Time Factors
  • Tooth Mobility / surgery*
  • Weight-Bearing