Reconstruction of a Severely Compromised Dentition: A Personalized Approach to Restoring Function, Stability, and Esthetics
Main Article Content
Abstract
This case report details the successful rehabilitation of a 53-year-old female patient presenting with a severely compromised dentition due to advanced periodontal disease, posterior bite collapse, and dental neglect. A personalized treatment plan, deviating from the classic “All-on-4” approach, was implemented. The strategy focused on patient education, bacterial load reduction, ridge augmentation, strategically placed implants, and retention of select natural teeth in the mandible and maxilla. This approach prioritized long-term stability, function, and esthetics, resulting in significant improvements in the patient’s oral health, overall well-being, and self-confidence. Five years of post-treatment, the patient remains highly satisfied with the outcome.
Article Details
The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.
References
2. Sanz M, et al. Periodontitis and peri-implant diseases and conditions: Consensus report of the 2017 World Workshop. J Clin Periodontol. 2018;45(Suppl 20):S282–S385.
3. Schimmel M, et al. Step-by-step approach for terminal dentition: Extraction, implants, or restoration? J Prosthodont Res. 2024;68(2):145–154.
4. Simonelli, A et al. Minimal invasiveness in the surgical treatment of intraosseous defects: A systematic review. Periodontol 2000 2023 Feb;91(1):20-44.
5. Maló P, Nobre A, Lopes A, Ferro A, Petrie A. "All-on-four" immediate-function concept for rehabilitation of the edentulous maxilla: a 5-year retrospective study. Clin Implant Dent Relat Res. 2011;13(4):e239-e249.
6. Tonetti MS, Greenwell H, Kornman KS. Staging and grading of periodontitis: current concepts and implications for case definitions. J Periodontol. 2018;89 Suppl 1:S2-S19.
7. Cobb CM, Scottosanti BF. The role of calculus in the etiology of periodontal disease. Periodontol 2000 2020;84(1):108-120.
8. Zhang, H et al. Assessment of soft and hard tissue characteristics of ridge preservation at molar extraction sites with severe periodontitis: a randomized controlled trial. BMC Oral Health. 2022 Nov 17;22(1):511.
9. Zaninovich, M. et al. Classification system for maxillary fixed dental prostheses. J Periodont. 2024 Dec;33(9):852-860.
10. Cortellini P, Et al. Periodontal regeneration versus extraction and dental implant or prosthetic replacement of teeth severely compromised by attachment loss to the apex: A randomized controlled clinical trial reporting 10-year outcomes, survival analysis and mean cumulative cost of recurrence. J Clin Periodontol. 2020 Jun;47(6):768-776.
11. Campanile VM, Et al. Risk factors for recurrence of periodontal disease in patients in maintenance care in private practice. J. Clin Periodontol. 2019 Sep;46(9):918-926
12. Soares PM Etal. Maintenance protocols for implant-supported dental prostheses: A scoping review. J Prosthet Dent. 2024 Jul;132(1):59-71.