Resumen de Implant-Supported Reconstruction in a Patient With Generalized Aggressive Periodontitis
- español
Aggressive periodontitis, dental implants, endosseous implants, juvenile, patient care, periodontitis
- English
Implant-Supported Reconstruction in a Patient With Generalized Aggressive Periodontitis Aaron Yu-Jen Wu*† and Winston Chee* *Department of Advanced Prosthodontics and Implant Dentistry, School of Dentistry, University of Southern California, Los Angeles, CA.
†Department of Dentistry, Chang Gung Memorial Hospital, Chiayi, Taiwan.
Correspondence: Dr. Winston Chee, Department of Advanced Prosthodontics and Implant Dentistry, School of Dentistry, University of Southern California, Room 4374, 925 W. 34th St., Los Angeles, CA 90089-0641. Fax: 213/740-1750; e-mail: wchee@usc.edu.
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.
