Periodontitis Research Today is a free monthly online journal that collates and summarizes the latest research about Periodontitis, including details on treatment, causes, gingivitis, symptoms.

Implant-supported reconstruction in a patient with generalized aggressive periodontitis.

Wu AY, Chee W

Department of Advanced Prosthodontics and Implant Dentistry, School of Dentistry, University of Southern California, Los Angeles, CA 90089-0641, USA.

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.

Published 2 April 2007 in J Periodontol, 78(4): 777-82.
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