Comprehensive Treatment of Severe Periodontal and Periimplant Bone Destruction Caused by Iatrogenic Factors
Joint Authors
Parashis, Andreas O.
Zafiropoulos, Gregor-Georg
Abdullah, Taha
Sotiropoulos, Evangelos
John, Gordon
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-01-30
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Dental implant success requires placement after periodontal therapy, with adequate bone volume, plaque control, primary stability, control of risk factors, and use of well-designed prostheses.
This report describes the surgical and prosthetic management of a patient with severe iatrogenic periodontal/periimplant bone destruction.
Methods.
A 55-year-old female smoker with fixed partial dentures (FPDs) supported on teeth and implants presented with oral pain, swelling, bleeding, and a 10-year history of multiple implant placements and implants/prosthesis failures/replacements.
Radiographs showed severe bone loss, subgingival caries, and periapical lesions.
All implants and teeth were removed except implants #4 and #10 which served to retain an interim maxillary restoration.
Bone defects were covered with nonresorbable dPTFE membranes.
In the mandible, three new implants were placed and loaded immediately with a bar-retained temporary denture.
Results.
Seven months postoperatively, the bone defects were regenerated, and three additional mandibular implants were placed.
All mandibular implants were splinted and loaded with a removable overdenture.
Conclusions.
In this case, periimplant infection and tissue destruction resulted from the lack of periodontal treatment/maintenance and failure to use evidence-based surgical and loading protocols.
Combination therapy resolved the disease and the patient's severe discomfort while providing immediate function and an aesthetic solution.
American Psychological Association (APA)
Zafiropoulos, Gregor-Georg& Parashis, Andreas O.& Abdullah, Taha& Sotiropoulos, Evangelos& John, Gordon. 2018. Comprehensive Treatment of Severe Periodontal and Periimplant Bone Destruction Caused by Iatrogenic Factors. Case Reports in Dentistry،Vol. 2018, no. 2018, pp.1-9.
https://search.emarefa.net/detail/BIM-1142437
Modern Language Association (MLA)
Zafiropoulos, Gregor-Georg…[et al.]. Comprehensive Treatment of Severe Periodontal and Periimplant Bone Destruction Caused by Iatrogenic Factors. Case Reports in Dentistry No. 2018 (2018), pp.1-9.
https://search.emarefa.net/detail/BIM-1142437
American Medical Association (AMA)
Zafiropoulos, Gregor-Georg& Parashis, Andreas O.& Abdullah, Taha& Sotiropoulos, Evangelos& John, Gordon. Comprehensive Treatment of Severe Periodontal and Periimplant Bone Destruction Caused by Iatrogenic Factors. Case Reports in Dentistry. 2018. Vol. 2018, no. 2018, pp.1-9.
https://search.emarefa.net/detail/BIM-1142437
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1142437