title: Full mouth rehabilitation with zygomatic implants in patients with generalized aggressive periodontitis: 2 year follow-up of two cases.
abstract: Rehabilitation of severely atrophied maxillae is often a challenge and patients with generalized aggressive periodontitis (GAP) make it even more complicated. This clinical report describes rehabilitation of GAP patients with zygomatic implants and followed-up for 2 years. Two patients of age 33 and 44 reported to a private dental practice and were diagnosed with GAP. Various treatment options were considered after which it was decided to do a full mouth implant supported fixed rehabilitation, with a combination of conventional and zygomatic implants. Two zygomatic and four conventional implants were placed and immediately loaded with a provisional prosthesis. After 6 months, definitive prosthesis was delivered. Implants and prostheses were followed-up for 2 years. No implant failures occurred, but a few biological complications were observed. The most common clinical observation in these patients during recall visits was peri-implant soft-tissue inflammation, which is a biological complication. This was with no trouble, controlled by using proper oral hygiene aids and maintenance. Within the limitations of this study, we can state that it can definitely be considered as a viable treatment option treating patients with GAP. However, studies with more follow-up time and controlled clinical trials should be performed in order to document the longevity of this treatment modality.
authors.affiliation: Department of Oral Surgery, Chennai Dental Research Foundation, Chennai, Tamil Nadu, India.
authors.forename: Gunaseelan
authors.initials: G
authors.lastname: Rajan
authors.affiliation: Department of Oral Surgery, Chennai Dental Research Foundation, Chennai, Tamil Nadu, India.
authors.forename: Gowri
authors.initials: G
authors.lastname: Natarajarathinam
authors.affiliation: Department of Prosthodontics and Periodontics, Rajan Dental Hospital, Chennai, Tamil Nadu, India.
authors.forename: Saravana
authors.initials: S
authors.lastname: Kumar
authors.affiliation: Department of Prosthodontics and Periodontics, Rajan Dental Hospital, Chennai, Tamil Nadu, India.
authors.forename: Harinath
authors.initials: H
authors.lastname: Parthasarathy
keywords: Atrophic maxillae; generalized aggressive periodontitis; zygomatic implants
references.citation: Med Oral Patol Oral Cir Bucal. 2011 Jan 01;16(1):e42-4
references.pmid: 20526267
references.citation: J Oral Rehabil. 2008 Jan;35 Suppl 1:9-22
references.pmid: 18181930
references.citation: J Prosthet Dent. 2008 Nov;100(5):354-66
references.pmid: 18992569
references.citation: J Periodontol. 2005 Apr;76(4):534-43
references.pmid: 15857093
references.citation: Int J Oral Maxillofac Implants. 2006 Nov-Dec;21(6):937-42
references.pmid: 17190304
references.citation: J Periodontol. 2000 May;71(5 Suppl):867-9
references.pmid: 10875695
references.citation: Ann Periodontol. 1999 Dec;4(1):1-6
references.pmid: 10863370
references.citation: Periodontol 2000. 2007;43:133-59
references.pmid: 17214839
references.citation: Int J Oral Maxillofac Implants. 2010 May-Jun;25(3):613-9
references.pmid: 20556263
references.citation: J Periodontol. 2007 Dec;78(12):2229-37
references.pmid: 18052693
references.citation: Int J Oral Maxillofac Implants. 2010 Nov-Dec;25(6):1213-21
references.pmid: 21197500
references.citation: Clin Oral Implants Res. 2007 Dec;18(6):669-79
references.pmid: 17868376