Ten Years Follow-up after Dental Implant Therapy in Patient with a Chronic Periodontitis: A Case Report

Abstract

Periodontal disease is characterized by progressive destruction of the periodontium, the alveolar bone and it is regarded as a leading cause of tooth loss in the adult population. These patients represent a unique group of potential candidates for dental implant therapy. A major consideration for the clinician is to determinate the influence of the disease on the placement and survival of implants, because according to the literature, patients with a history of periodontal disease, manifested significantly greater peri-implant marginal bone loss with a higher incidence of peri-implantitis and shorter longevity compared with periodontally healthy patients The objective of the present case study is to demonstrate the multidisciplinary treatment approach in a patient with a severe chronic periodontitis and the outcome of implant therapy after 10 years follow-up. The authors present a case of 53 years old women with chronic inflammatory periodontitis but stable periodontal status, due to effective anti-infective therapy. The operative phase included extraction of the hopeless teeth with immediate dental implant placement and immediate placement of provisional. The reevaluation demonstrated good control of the gingival inflammation and stable periodontal status of the remaining theeth.The subsequent implant and prosthetic treatment led to the restoration of a functional dentition without any periimplant mucositis or periimplant bone loss after 10 years follow-up. The conclusion, the long term success of the treatment of the complex cases with severe chronic periodontitis depends significantly upon the proper control of the periodontal infection and the achievement of a stable periodontal status of the residual dentition. With excellent functional and aesthetic results, without any periimplant mucositis or periimplant bone loss after 10 years follow-up.