1/7. actinobacillus actinomycetemcomitans-associated peri-implantitis in an edentulous patient. A case report.BACKGROUND: peri-implantitis is a risk factor for implant loss. Late bacterial infection of the peri-implant tissues and loss of alveolar bone in edentulous patients is caused by commensal oral anaerobic bacteria. In partially edentulous patients, porphyromonas gingivalis and occasionally actinobacillus actinomycetemcomitans are associated with peri-implantitis lesions. AIMS: To investigate the microbiology of a peri-implantitis case in an edentulous patient. methods: Anaerobic culture techniques and selective culture techniques for A. actinomycetemcomitans were used to study the peri-implant microflora at sites with and without bone loss. RESULTS: An anaerobic peri-implant microflora with several putative periodontal pathogens was found at sites with bone loss. Furthermore, a metronidazole-resistant A. actinomycetemcomitans was isolated. The A. actinomycetemcomitans infection did not respond to systemic doxycycline therapy, despite good susceptibility in vitro. CONCLUSIONS: The present case of severe A. actinomycetemcomitans-associated peri-implantitis shows the importance of pre-operative infection control. The findings in this case show that remaining teeth affected by periodontitis can be a serious risk factor for peri-implantitis.- - - - - - - - - - ranking = 1keywords = periodontitis (Clic here for more details about this article) |
2/7. Treatment of aggressive periodontitis by osseointegrated dental implants. A case report.BACKGROUND: Generalized aggressive periodontitis is described as a clinical entity affecting both deciduous and permanent dentition with extensive alveolar bone loss, mobility, and exfoliation of all or many teeth. Controversy exists on dental implant use to restore missing dentition in younger patients. methods: This case report presents a patient diagnosed with aggressive periodontitis who has lost all but 4 of her teeth. Her personal and functional desires led us to include implant therapy in her treatment plan. The hematological data are presented with an analysis of the immunological profile. RESULTS: dental implants were placed, and following 3 months of osseointegration, an implant-supported prosthesis was completed. The patient was followed up for 36 months. CONCLUSIONS: This case report presents an alternative treatment for rehabilitating dentition in a young patient treated for aggressive periodontitis. Similar case studies may help eliminate some of the controversy that exists regarding the use of dental implants in aggressive periodontitis patients.- - - - - - - - - - ranking = 8keywords = periodontitis (Clic here for more details about this article) |
3/7. A telescopic crown concept for the restoration of partially edentulous patients with aggressive generalized periodontitis: two case reports.Osseointegrated implants have been used with outstanding success in periodontally healthy patients in recent years and have thus become an established part of prosthetic treatment. Whereas initial reports were confined to their use in edentulous patients, in particular in the mandibular area, first results on their application in the oral rehabilitation of partially edentulous patients were published in the mid-1980s. Whether the positive results reported in periodontally healthy patients are also applicable to patients with progressive periodontal disease has yet to be clarified. As only a few controlled longitudinal studies dealing with the success of implants in periodontally involved patients have been published to date, detailed case reports are of great importance.- - - - - - - - - - ranking = 4keywords = periodontitis (Clic here for more details about this article) |
4/7. Augmentation of an anterior edentulous ridge for fixed prosthodontics with combined use of orthodontics and surgery: a clinical report.Untreated periodontitis may lead to tooth and tissue loss that can result in diminished masticatory function and esthetic deformities. Combined periodontal/prosthodontic treatment for patients with advanced periodontal disease has been well documented, and treatment results can often be improved with the use of adjunctive orthodontic treatment such as forced eruption. This clinical report describes a method of preprosthetic preparation of an edentulous ridge for a fixed partial denture that incorporates the combined use of orthodontics and surgical ridge augmentation.- - - - - - - - - - ranking = 1keywords = periodontitis (Clic here for more details about this article) |
5/7. Osseo-integrated implant treatment of a patient with rapidly progressive periodontitis. A case report.The case report presented describes placement of osseointegrated fixtures in a patient with a probable history of rapidly progressive periodontitis. A 12-year history is presented. The post-operative sequelae of placing fixtures in a fully edentulous maxilla and partially edentulous mandible were the worst seen by the Implant Team at Emory University. The hypothesis presented is that patients with aggressive forms of periodontal disease should be subjected to appropriate mechanical and antimicrobial therapy to produce a healthy oral flora before any implants are placed.- - - - - - - - - - ranking = 5keywords = periodontitis (Clic here for more details about this article) |
6/7. Treatment of a patient with Papillon-Lefevre syndrome. A case report.A vital root submersion procedure was performed in a rare case of Papillon-Lefevre syndrome (PLS). Although the etiology and pathogenesis are obscure, possible host genetic defects and known or unknown periodontal pathogens may play important roles in the progression of PLS. Since this patient did not respond to conventional periodontal therapy, a submersion procedure was employed to maintain the alveolar ridge and resulted in controlling the progression of the patient's severe periodontitis. The following is a report of the treatment and the rationale for therapy.- - - - - - - - - - ranking = 1keywords = periodontitis (Clic here for more details about this article) |
7/7. Periodontal and prosthetic therapy in severely advanced periodontitis by the use of the crown sleeve coping telescope denture. A longitudinal case report.The crown and sleeve-coping (CSC) telescope denture is a removable prosthesis that is supported by both selectively retained teeth and the residual ridge or mucosa. Limited information regarding longitudinal studies of the CSC telescope denture has been reported as to the response of the abutments and their surrounding periodontal tissues to this type of design. The authors have documented a longitudinal ten-year follow-up of a case which was considered 'hopeless' for oral rehabilitation because of advanced periodontitis. The CSC telescope denture used in this case resulted in a significant improvement to the remaining dentition. The beneficial results of this form of treatment can be considered for a wide variety of clinical applications for the severely advanced periodontitis case.- - - - - - - - - - ranking = 6keywords = periodontitis (Clic here for more details about this article) |