Full mouth rehabilitation of a patient with severe periodontitis using immediate loading after computer aided flapless implant surgery
10.14368/jdras.2018.34.1.46
- Author:
Seong hun KANG
1
;
Yeon jo CHOI
;
Jae jun RYU
Author Information
1. Division of Prosthodontics, Department of Dentistry, Anam Hospital, Korea University Medical Center, Seoul, Republic of Korea. koprosth@unitel.co.kr
- Publication Type:Case Report
- Keywords:
full mouth rehabilitation;
severe periodontitis;
implant supported fixed restoration
- MeSH:
Bone Resorption;
Bone Transplantation;
Cone-Beam Computed Tomography;
Female;
Humans;
Inflammation;
Methods;
Mouth Rehabilitation;
Mouth;
Periodontitis;
Printing, Three-Dimensional;
Prostheses and Implants;
Rehabilitation;
Tooth
- From:Journal of Dental Rehabilitation and Applied Science
2018;34(1):46-55
- CountryRepublic of Korea
- Language:Korean
-
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.
