Journal of Dental Rehabilitation and Applied Science  2015;31(3):253-261

doi:10.14368/jdras.2015.31.3.253

Full mouth rehabilitation with a few remaining teeth and implants for a patient with chronic periodontitis: a case report.

Eun Jung SHIN 1 ; Mong Sook VANG ; Hong So YANG ; Sang Won PARK ; Hyun Pil LIM ; Kwi Dug YUN

Affiliations

+expand

Keywords

chronic periodontitis; a few remaining teeth; dental implants; mouth rehabilitation

Country

Republic of Korea

Language

Korean

Abstract

Chronic periodontitis involves subsequent loss of teeth, and if left untreated, can lead to adjacent teeth drifting and supraeruption of the rest dentition. Careful consideration has to be given when deciding extraction of remaining teeth in treatment of periodontally compromised dentitions. For tooth-supported fixed partial dentures or removable partial dentures, periodontally compromised teeth are extracted due to possible early failure from functional overload, but for implant restoration, the teeth could be used as supports for fixed partial dentures because implants can reduce overload on teeth. The remaining natural teeth can help clinicians restoring vertical dimension and normal occlusal plane in full mouth rehabilitation because it conserves patients' proprioceptive response. This clinical report describes treatment of a patient who has a few remaining teeth and supraeruption of the rest dentition from severe chronic periodontitis. Satisfactory clinical result was achieved with full mouth rehabilitation using a few teeth and implants.