J Dent Rehabil Appl Sci.  2018 Mar;34(1):46-55. 10.14368/jdras.2018.34.1.46.

Full mouth rehabilitation of a patient with severe periodontitis using immediate loading after computer aided flapless implant surgery

Affiliations
  • 1Division of Prosthodontics, Department of Dentistry, Anam Hospital, Korea University Medical Center, Seoul, Republic of Korea. koprosth@unitel.co.kr

Abstract

Oral rehabilitation of a patient having severe periodontitis with alveolar bone resorption and periodontal inflammation presents a challenge to clinicians. However, if appropriate implant placement according to the bone shape is selected, unnecessary bone grafting or soft tissue surgery can be minimized. In recent years, using cone beam CT and software, it has become possible to operate the planned position with the surgical guide made with 3D printing technology. This case was a 70 years old female patient who required total extraction of teeth due to severe periodontitis and performed a full-mouth rehabilitation with an implant-supported fixed prosthesis. During the surgery, the implant was placed in a flapless manner through a surgical guide. Immediate loading of the temporary prosthesis made by CAD/CAM method before surgery was done. Since then, we have produced customized abutments and zirconia prostheses, and have reported satisfactory aesthetic and functional recovery.

Keyword

full mouth rehabilitation; severe periodontitis; implant supported fixed restoration

MeSH Terms

Bone Resorption
Bone Transplantation
Cone-Beam Computed Tomography
Female
Humans
Inflammation
Methods
Mouth Rehabilitation*
Mouth*
Periodontitis*
Printing, Three-Dimensional
Prostheses and Implants
Rehabilitation
Tooth
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