Case Report
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. May 26, 2020; 8(10): 2028-2037
Published online May 26, 2020. doi: 10.12998/wjcc.v8.i10.2028
Treating severe periodontitis with staged load applied implant restoration: A case report
Shu-Hua Wang, Wang-Cheng Ni, Ren-Fei Wang
Shu-Hua Wang, Wang-Cheng Ni, Ren-Fei Wang, School of Stomatology, Zhejiang Chinese Medical University, Hangzhou 310053, Zhejiang Province, China
Ren-Fei Wang, Hangzhou Dental Hospital, Hangzhou 310002, Zhejiang Province, China
Author contributions: Wang SH wrote this manuscript and treated the patient; Wang RF and Ni WC advised the possible treatment and gave valuable comments to this manuscript.
Informed consent statement: Written informed consent was obtained from the patient and her relative for publication. The written consent is available for review.
Conflict-of-interest statement: The authors declare that there is no conflict of interest regarding the publication of this paper.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Ren-Fei Wang, DDS, Chief Doctor, Professor, School of Stomatology, Zhejiang Chinese Medical University, No. 548 Binwen Street, Hangzhou 310053, Zhejiang Province, China. hzwrf@163.com
Received: March 5, 2020
Peer-review started: March 5, 2020
First decision: April 1, 2020
Revised: April 23, 2020
Accepted: April 27, 2020
Article in press: April 27, 2020
Published online: May 26, 2020
Processing time: 81 Days and 5 Hours
Abstract
BACKGROUND

Because immediate implant surgery is not recommended for patients who have been diagnosed with periodontitis, researchers have treated these patients with a variety of methods, including combining orthodontic and periodontal surgeries as well as implantation. However, these treatments cost time and money for the patient. Although it has been reported that temporary implants released a severe gag reflex in 1 case, only a few studies have documented using temporary implants to treat patients diagnosed with severe periodontitis.

CASE SUMMARY

The patient was a 49-year-old female who was missing the majority of her teeth and had gingival atrophy and severe alveolar bone atrophy. After being diagnosed with severe periodontitis, the patient underwent staged load applied implant restoration therapy. The first load-bearing stage was carried out immediately by inserting temporary Osstem mini implants. Maxillary teeth were extracted by using the guided bone regeneration technique, and lateral maxillary sinus lifting was conducted on both sides. During the second load-bearing stage, temporary implants were removed, and permanent implants were placed. The resin bridge was segmented during the third load-bearing stage. During the fourth load-bearing stage, the permanent prosthesis was positioned in the patient’s mouth.

CONCLUSION

By conducting the load-bearing treatment in stages, the patient’s mouth contained restorations throughout the procedure, thus guaranteeing basic function and appearance.

Keywords: Severe periodontitis; Complete implant denture; Lack of bone mass; Temporary implants; Case report; Staging load

Core tip: The advantages of the staged bone load-bearing treatment via temporary implants include: (1) A guarantee of the basic function and outward appearance; (2) Bone formation can occur rapidly and properly with temporary implants; and (3) Produces enough soft tissue to be reshaped.