Publication: Comprehensive Treatment of Severe Periodontal and Periimplant Bone Destruction Caused by Iatrogenic Factors
dc.contributor.author | Abdullah, Taha | |
dc.contributor.author | Sotiropoulos, Evangelos | |
dc.date.accessioned | 2022-02-08T07:41:02Z | |
dc.date.available | 2022-02-08T07:41:02Z | |
dc.date.issued | 2018 | |
dc.description.abstract | Introduction: 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. ,is 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. | en_US |
dc.identifier.other | 304-2018.50 | |
dc.identifier.uri | https://repository.mbru.ac.ae/handle/1/839 | |
dc.language.iso | en | en_US |
dc.subject | Periodontal | en_US |
dc.subject | Periimplant Bone Destruction | en_US |
dc.subject | Latrogenic Factors | en_US |
dc.title | Comprehensive Treatment of Severe Periodontal and Periimplant Bone Destruction Caused by Iatrogenic Factors | en_US |
dc.type | Article | en_US |
dspace.entity.type | Publication | en_US |