Full Mouth Implant Supported Rehabilitation Involving Immediate Implant Placement in Patient with History of Periodontitis: A Case Report
Published: 2020-09-21
Page: 98-106
Issue: 2020 - Volume 3 [Issue 2]
Ankur Thakral *
Department of Oral and Maxillofacial Surgery, Military Dental Centre, Delhi Cantt, Delhi – 110010, India.
Mriganka Barman Chowdhuri
Department of Periodontics, Military Dental Centre, Delhi Cantt, Delhi – 110010, India.
Prachi Gulati
Department of Prosthodontics, Including Crown and Bridge, Maxillofacial Prosthodontics and Oral Implantology, I.T.S. Centre for Dental Studies and Research, Ghaziabad – 201206, Uttar Pradesh, India.
*Author to whom correspondence should be addressed.
Abstract
Background: Oral rehabilitation of periodontally compromised patient presents a challenge to clinicians. The periodontitis might have a negative influence on osseointegration leading to increased implant failure and management usually involve placing implants in healed sites after extraction of teeth with poor periodontal prognosis. However, patients who attain and maintain excellent plaque control, the technique of immediate implant placement can be utilised for oral rehabilitation.
Case Report: This case report describes comprehensive rehabilitation in a patient with history of periodontitis who underwent immediate implant placement following teeth extraction. With proper treatment planning, patient compliance and supportive periodontal therapy, good functional and aesthetic outcomes were achieved. There was no evidence of peri-implant mucositis or peri-implant bone loss after 30 months of follow-up.
Conclusion: The technique of immediate implant placement in periodontitis susceptible patient with proper management and carefully monitored supportive periodontal therapy can be a successful treatment modality with predictable outcome.
Keywords: Dental implants, periodontitis, immediate implant placement, implant supported prosthesis.