Prosthetic Rehabilitation of a Partially Edentulous Patient with Chronic Periodontitis

Abstract

Background: One of the most common inflammation disease in the oral cavity for the past few years is the chronic form of periodontitis. Patients with chronic periodontitis, who her jobs requires to interact with people are a real challenge for the dentist and the prosthetis. The problem with the traditional method is the fact that for rehabilitation of patients who have lost their tooth/teeth, has to be waited for approximately 8 to 12 weeks before having their dentures. There are many advantages of immediate as opposed to conventional complete denture. Hence, dentists have no opportunity to observe the anterior teeth at the try in appointment; therefore, the esthetic result cannot be evaluated until the dentures are inserted. Purpose: The prosthetic rehabilitation of a partially edentulous patient with chronic periodontitis using immediate maxillary full denture and immediate mandibular partial overdenture. Case and case management: We presented a patient suffered from chronic periodontitis with major complain of her teeth mobility, mostly her anterior teeth. She had undergone periodontal treatment, but the result were bad. In maxilla, at the end of periodontal treatment, all of her teeth need to be extracted and replaced by denture. In mandible, there were some teeth that can be used as abutment for an overdenture, so we decided to place immediate partial overdenture in mandible with consideration both of her functional and esthetic aspects. Conclusion: One of the advantages of immediate denture is patients don't have to be in edentulous state for any length of time. After treatment, patient was evaluated, fortunately she had no complaints and was happy with her new smile.