Editorial Type:
Article Category: Case Report
 | 
Online Publication Date: 07 Jan 2020

Full-Mouth Rehabilitation With Implant-Prosthesis in Marfan Syndrome Patient: Clinical Report and Literature Review

DDS, MS,
BDS, PhD,
DDS, MS, MSc, and
DDS, MS
Page Range: 115 – 121
DOI: 10.1563/aaid-joi-D-19-00151
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The purpose of this case report is to present implant-retained maxillary and mandibular complete overdentures in a patient with Marfan syndrome. The patient initially presented with generalized periodontitis (stage IV, grade C). Due to the progressive nature of periodontal disease, the patient elected to have implant-retained maxillary and mandibular complete dentures. Bilateral maxillary sinus augmentation was performed 6 months before full-mouth extraction, alveoloplasty, and immediate implant placement. Maxillary and mandibular immediate overdentures were delivered. After 4 months of healing, the final overdenture was fabricated. The patient was seen regularly throughout the healing process for peri-implant maintenance. Soft-tissue grafts were completed to increase the thickness of the mucosa around the implants. The patient has been followed for 2 years and is functioning well without major complications. For patients with Marfan syndrome, implant-retained prostheses are a viable treatment option in the presence of a failing dentition.

Figures 1 and 2.
Figures 1 and 2.

Figure 1. (a) Preoperative panoramic x-ray. (b) Maxillary arch occlusal view. (c) Mandibular arch frontal view. Figure 2. (a) Lateral window sinus augmentation on right side. (b) Lateral window sinus augmentation on left side. (c) Postoperative panoramic x-ray.


Figures 3 and 4.
Figures 3 and 4.

Figure 3. (a) Histology slide from right sinus. (b) Histology slide from left sinus. (c) Histology slide at higher magnification confirms new vital bone formation. Figure 4. (a) Implant placement in maxillary arch. (b) Implant placement in mandibular arch.


Figure 5.
Figure 5.

(a) Locator abutments placed to retain open palate maxillary complete overdenture. (b) Locator abutments placed to retain mandibular complete overdenture. (c) Maxillary complete overdenture with attachments. (d) Mandibular complete overdenture with attachments. (e) Maxillomandibular prostheses in place. (f) Patient's postoperative smile view.


Contributor Notes

Corresponding author, e-mail: ahmad.kutkut@uky.edu
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