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Case Reports
. 2014 Jan;18(1):107-11.
doi: 10.4103/0972-124X.128262.

Full mouth rehabilitation with zygomatic implants in patients with generalized aggressive periodontitis: 2 year follow-up of two cases

Gunaseelan Rajan  1 , Gowri Natarajarathinam  1 , Saravana Kumar  2 , Harinath Parthasarathy  2
Affiliations
Case Reports

Full mouth rehabilitation with zygomatic implants in patients with generalized aggressive periodontitis: 2 year follow-up of two cases

Gunaseelan Rajan et al. J Indian Soc Periodontol. 2014 Jan.

Abstract

Rehabilitation of severely atrophied maxillae is often a challenge and patients with generalized aggressive periodontitis (GAP) make it even more complicated. This clinical report describes rehabilitation of GAP patients with zygomatic implants and followed-up for 2 years. Two patients of age 33 and 44 reported to a private dental practice and were diagnosed with GAP. Various treatment options were considered after which it was decided to do a full mouth implant supported fixed rehabilitation, with a combination of conventional and zygomatic implants. Two zygomatic and four conventional implants were placed and immediately loaded with a provisional prosthesis. After 6 months, definitive prosthesis was delivered. Implants and prostheses were followed-up for 2 years. No implant failures occurred, but a few biological complications were observed. The most common clinical observation in these patients during recall visits was peri-implant soft-tissue inflammation, which is a biological complication. This was with no trouble, controlled by using proper oral hygiene aids and maintenance. Within the limitations of this study, we can state that it can definitely be considered as a viable treatment option treating patients with GAP. However, studies with more follow-up time and controlled clinical trials should be performed in order to document the longevity of this treatment modality.

Keywords: Atrophic maxillae; generalized aggressive periodontitis; zygomatic implants.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Pre-operative orthopantomogram
Figure 2
Figure 2
Zygomatic implant (Branemark)
Figure 3
Figure 3
Surgical placement of conventional and zygomatic implants
Figure 4
Figure 4
Post-operative orthopantomogram case 1
Figure 5
Figure 5
Post-operative orthopantomogram case 2
Figure 6
Figure 6
Definitive prosthesis delivered 6 months after surgery
Figure 7
Figure 7
Radiographic evaluation after 2 years of function case 1
Figure 8
Figure 8
Radiographic evaluation after 2 years of function case 2
See this image and copyright information in PMC

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