Publication:
Comprehensive Treatment of Severe Periodontal and Periimplant Bone Destruction Caused by Iatrogenic Factors

dc.contributor.authorAbdullah, Taha
dc.contributor.authorSotiropoulos, Evangelos
dc.date.accessioned2022-02-08T07:41:02Z
dc.date.available2022-02-08T07:41:02Z
dc.date.issued2018
dc.description.abstractIntroduction: 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.other304-2018.50
dc.identifier.urihttps://repository.mbru.ac.ae/handle/1/839
dc.language.isoenen_US
dc.subjectPeriodontalen_US
dc.subjectPeriimplant Bone Destructionen_US
dc.subjectLatrogenic Factorsen_US
dc.titleComprehensive Treatment of Severe Periodontal and Periimplant Bone Destruction Caused by Iatrogenic Factorsen_US
dc.typeArticleen_US
dspace.entity.typePublicationen_US

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