Combined Periodontal and Implant Treatment of a Case of Aggressive Periodontitis
Aggressive periodontitis renders a great challenge to clinicians with regards to treatment and prosthodontic rehabilitation. A compromised remaining dentition and a tendency toward refractory disease make it difficult to establish a treatment plan that renders an adequate long-term prognosis. Although the use of implants has become a common treatment modality, limited data are available on the use of dental implants in patients with aggressive periodontitis, especially for cases necessitating the use grafting procedures preceding implant placement. In this case report the successful treatment of a patient with aggressive periodontitis by the combined use of periodontal and implant treatment necessitating preceding augmentive procedures is described.Abstract

Panoramic radiograph; initial examination.

Long-term provisional placed in the maxilla; old restoration in the mandible: Frontal view.

Final restoration: (a) frontal view; (b) lateral view, right side; (c) lateral view, left side; (d) panoramic radiograph.
Contributor Notes
Oliver Hoffmann, DDS, DMD, MSc, is an assistant professor, Department of Periodontics, Loma Linda University, Loma Linda, CA 92350. Address correspondence to Dr Hoffmann. (o_c_g_hoffmann@yahoo.com)
Christian Beaumont, DDS, DMD, is an oral surgeon and the head of the Division of Oral Surgery and Implantology at Dental Center, Blaues Haus, Duesseldorf, Germany.
Gregor-Georg Zafiropoulos, DDS, is a professor of periodontology, University of Mainz, Germany, and the head of the division of Periodontology at Dental Center, Blaues Haus, Duesseldorf, Germany.