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Comprehensive rehabilitation using dental implants in generalized aggressive periodontitis
Asha Ramesh1, Sheethalan Ravi1, Gurumoorthy Kaarthikeyan1
1Department of Periodontics, Saveetha Dental College and Hospital, Chennai, Tamil Nadu, India.
Journal of Indian Society of Periodontology
|February 6, 2018
Summary
Generalized aggressive periodontitis (GAP) can be effectively managed with dental implants and rigorous oral hygiene. This case report highlights successful long-term stability and function following comprehensive periodontal treatment and implant rehabilitation.
Area of Science:
- Dentistry
- Periodontology
- Implantology
Background:
- Generalized aggressive periodontitis (GAP) severely impacts oral aesthetics and function.
- Dental implants offer a restorative solution for patients with advanced periodontal disease.
Observation:
- A comprehensive treatment plan was developed for a GAP patient.
- This included scaling and root planing (SRP), guided tissue regeneration, bone grafting, and bacterial analysis.
- Immediate dental implant placement in the anterior maxilla and mandible was performed.
Findings:
- The periodontal treatment regimen effectively reduced anaerobic microorganisms.
- A rigorous maintenance protocol ensured periodontal stability post-treatment.
- A fixed metal-ceramic prosthesis was successfully fabricated and maintained over a 3-year follow-up.
Implications:
- This case demonstrates the long-term viability of dental implants in rehabilitated GAP patients.
- Excellent patient cooperation and adherence to maintenance are crucial for successful outcomes.
- Comprehensive periodontal care is essential before proceeding with implant-supported restorations.
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