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Full Mouth Rehabilitation with Implant-Supported Prostheses for Severe Periodontitis: A Case Report

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. Th...

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Detalles Bibliográficos
Autores principales: Bencharit, Sompop, Schardt-Sacco, Debra, Border, Michael B, Barbaro, Colin P
Formato: Texto
Lenguaje:English
Publicado: Bentham Open 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3041016/
https://www.ncbi.nlm.nih.gov/pubmed/21339901
http://dx.doi.org/10.2174/1874210601004010165
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author Bencharit, Sompop
Schardt-Sacco, Debra
Border, Michael B
Barbaro, Colin P
author_facet Bencharit, Sompop
Schardt-Sacco, Debra
Border, Michael B
Barbaro, Colin P
author_sort Bencharit, Sompop
collection PubMed
description 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.
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spelling pubmed-30410162011-02-18 Full Mouth Rehabilitation with Implant-Supported Prostheses for Severe Periodontitis: A Case Report Bencharit, Sompop Schardt-Sacco, Debra Border, Michael B Barbaro, Colin P Open Dent J Article 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. Bentham Open 2010-08-13 /pmc/articles/PMC3041016/ /pubmed/21339901 http://dx.doi.org/10.2174/1874210601004010165 Text en © Bencharit et al.; Licensee Bentham Open. http://creativecommons.org/licenses/by-nc/3.0/ 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.
spellingShingle Article
Bencharit, Sompop
Schardt-Sacco, Debra
Border, Michael B
Barbaro, Colin P
Full Mouth Rehabilitation with Implant-Supported Prostheses for Severe Periodontitis: A Case Report
title Full Mouth Rehabilitation with Implant-Supported Prostheses for Severe Periodontitis: A Case Report
title_full Full Mouth Rehabilitation with Implant-Supported Prostheses for Severe Periodontitis: A Case Report
title_fullStr Full Mouth Rehabilitation with Implant-Supported Prostheses for Severe Periodontitis: A Case Report
title_full_unstemmed Full Mouth Rehabilitation with Implant-Supported Prostheses for Severe Periodontitis: A Case Report
title_short Full Mouth Rehabilitation with Implant-Supported Prostheses for Severe Periodontitis: A Case Report
title_sort full mouth rehabilitation with implant-supported prostheses for severe periodontitis: a case report
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3041016/
https://www.ncbi.nlm.nih.gov/pubmed/21339901
http://dx.doi.org/10.2174/1874210601004010165
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