TODENTJ-25-03-2019_TODENTJ-4-165 1553505190 Bentham Open doi@benthamopen.net Bentham Open The Open Dentistry Journal TODENTJ 1874-2106 8 13 2010 4 1 Sompop Bencharit Debra Schardt-Sacco Michael B Border Colin P Barbaro 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. 8 13 2010 165 171 TODENTJ-4-165 1 10.2174/crossmark_policy opendentistryjournal.com benthamopen.com true Peer Reviewed Single blind Checked with iThenticate 2009-2-4 2010-5-26 2010-5-28 2010-8-13 http://creativecommons.org/licenses/by-nc/3.0/ 10.2174/1874210601004010165 1553505190 https://opendentistryjournal.com/VOLUME/4/PAGE/165/ https://opendentistryjournal.com/contents/volumes/V4/TODENTJ-4-165/TODENTJ-4-165.pdf https://opendentistryjournal.com/contents/volumes/V4/TODENTJ-4-165/TODENTJ-4-165.pdf https://opendentistryjournal.com/contents/volumes/V4/TODENTJ-4-165/TODENTJ-4-165.pdf https://opendentistryjournal.com/contents/volumes/V4/TODENTJ-4-165/TODENTJ-4-165.pdf https://opendentistryjournal.com/contents/volumes/V4/TODENTJ-4-165/TODENTJ-4-165.pdf https://opendentistryjournal.com/contents/volumes/V4/TODENTJ-4-165/TODENTJ-4-165.pdf https://opendentistryjournal.com/contents/volumes/V4/TODENTJ-4-165/TODENTJ-4-165.pdf https://opendentistryjournal.com/contents/volumes/V4/TODENTJ-4-165/TODENTJ-4-165.xml J Clin Periodontol Heasman L 33 241 2006 Heasman L, Stacey F, Preshaw PM, McCracken GI, Hepburn S, Heasman PA. 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