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


CONCLUSIONS
Successful oral rehabilitation was accomplished using osseointegrated implants in a patient with generalized aggressive periodontitis.
Wu
Aaron Yu-Jen
AY
Department of Advanced Prosthodontics and Implant Dentistry, School of Dentistry, University of Southern California, Los Angeles, CA 90089-0641, USA.
Chee
Winston
W
D000328:Adult; D003758:Dental Implantation, Endosseous / Q000379:methods*; D019094:Dental Prosthesis, Implant-Supported / Q000379:methods*; D005260:Female; D006801:Humans; D010518:Periodontitis / Q000000981:diagnostic imaging / Q000628:therapy*; D011859:Radiography; D013997:Time Factors; D014086:Tooth Mobility / Q000601:surgery*; D016474:Weight-Bearing