Comprehensive rehabilitation using dental implants in generalized aggressive periodontitis

Abstract

Generalized aggressive periodontitis (GAP) is a debilitating form of the disease and it results in deteriorating effects on the esthetic and functional aspects of the oral cavity. This case report describes the comprehensive rehabilitation of GAP patient using dental implants. The treatment planning involved thorough scaling and root planning (SRP) with oral hygiene instructions. The patient was motivated to adhere to a strict oral hygiene regimen following which periodontal flap surgery employing guided tissue regeneration and bone grafts was performed. Bacterial culture for anaerobic microorganisms was done using a gas pack pre- and postperiodontal treatment to confirm the effectiveness of the periodontal treatment regimen and also to proceed with dental implant placement. The rigorous maintenance program ensured the stability of the periodontium following which immediate placement of dental implants in the maxillary and mandibular anterior region was done. The fixed metal-ceramic prosthesis was fabricated in a step-by-step process and the patient was recalled on a periodic basis over a 3-year follow-up duration. This case is a testimonial to the postperiodontal treatment long-term stability with excellent patient cooperation and strict maintenance protocol.

Prevalence Of Mandibular Third Molar Pericoronitis Among Smokers And Evaluation Of Its Treatment Outcomes - A Retrospective Study

“…The use of tobacco around the world has been a major modi iable risk factor for health. Nicotine dependence includes both mental and physical dependence (Ramesh et al, 2017(Ramesh et al, , 2016b. There are numerous unfriendly consequences for oral and dental being on smoking cigarettes (Souza and Markou, 2011).…”

“…Smoking is thought to affect the periodontal tissues mainly by the vascular and immunological response of the body as it would also induce a decreased local host response. Previously our team had conducted numerous clinical trials (Ravi et al, 2017), in-vitro studies involving periodontal disease pathogenesis (Priyanka et al, 2017;Varghese et al, 2015), comparative studies (Ramamurthy and Mg, 2018;Kavarthapu and Thamaraiselvan, 2018), Evaluation studies (Khalid et al, 2017;Thamaraiselvan et al, 2015), case reports (Panda et al, 2014;Ramesh et al, 2017Ramesh et al, , 2019, systematic reviews (Avinash et al, 2017;Mootha et al, 2016) reviews (Khalid et al, 2016;Ramesh et al, 2016b) and literature reviews (Ramesh et al, 2016b) over the past many years. Now we are focusing on epidemiological studies related to periodontal disease.…”

Analysis of Resective Osseous Surgical Procedures - A Retrospective Hospital Based Study

“…Periodontal therapy has been directed primarily at the elimination of disease and maintenance of a functional, healthy dentition and supporting tissues (Thamaraiselvan et al, 2015;Ramesh et al, 2017), More recently however it has become increasingly focused on esthetic outcomes, which extend beyond tooth replacement and tooth colour to include the soft tissues framing the dentition (Ramesh et al, 2016b;Kavarthapu and Thamaraiselvan, 2018). Periodontal disease is a chronic bacterial infection characterized by persistent in lammation, connective tissue breakdown and alveolar bone destruction (Varghese et al, 2015;Avinash et al, 2017).…”

“…Chemical antiplaque agents such as varnishes, dentifrices, and mouthwashes are used to improve oral health care (Kavarthapu and Thamaraiselvan, 2018). The use of mouthwash affects both the bacterial and plaque growth (Ramesh et al, 2016b(Ramesh et al, , 2017.…”

“…This results in the up-regulation of pro-in lammatory cytokines, leading to the release of neutrophil enzymes. Hence, prolonged exposure of connective tissue results in its degradation and the subsequent loss of ligamentous support and alveolar bone, eventually leading to tooth loss (Ramesh et al, 2017;Kavarthapu and Thamaraiselvan, 2018).…”