Full Mouth Rehabilitation with Implant-Supported Prostheses for Severe Periodontitis: A Case Report
Sompop Bencharit1, *, Debra Schardt-Sacco 2, Michael B Border3, Colin P Barbaro4
Identifiers and Pagination:Year: 2010
First Page: 165
Last Page: 171
Publisher ID: TODENTJ-4-165
Article History:Received Date: 4/2/2009
Revision Received Date: 26/5/2010
Acceptance Date: 28/5/2010
Electronic publication date: 13/8/2010
Collection year: 2010
open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
Oral rehabilitation for a patient with severe loss of alveolar bone and soft tissue resulting from severe periodontitis presents a challenge to clinicians. Replacing loosening natural teeth with fixed prostheses supported by dental implants often requires either gingival surgery or bone grafting. The outcome of the bone grafting is sometimes unpredictable and requires longer healing time and/ or multiple surgeries. The presence of periodontal inflammation and periapical lesions often delay the placement of bone grafts as well as dental implants. Here we present a clinical case of a patient undergone full mouth reconstruction with implant-supported fixed prostheses. We demonstrated that early placement of implants (three weeks after extractions) with minimal bone grafting may be an alternative to conventional bone grafting followed by implant placement. We believe that primary stability during implant placement may contribute to our success. In addition, composite resin gingival material may be indicated in cases of large fixed implant prostheses as an alternative to pink porcelain.