Full-Mouth Rehabilitation of a Generalized Periodontitis Patient Using Dental Implants

Abstract

Full-mouth rehabilitation with implant-supported prosthesis is not only the most sophisticated technique but also one of the most challenging topics in contemporary implant dentistry. Clinicians encounter challenges when providing oral rehabilitation to a patient who suffered considerable loss of alveolar bone and soft tissue as a result of severe periodontitis. A bone graft or gingival surgery is often needed when replacing loose natural teeth with a fixed prosthesis supported by dental implants. Here in this case report, a patient underwent full-mouth rehabilitation with an implant-supported fixed prosthesis. In this case, a 41-year-old male patient came with mobility in all teeth, and comprehensive periodontal treatment was performed as the first line of management; however, the patient showed no positive clinical response, indicating periodontal treatment failure. Poor oral hygiene care, smoking, alcoholism and uncontrolled diabetes mellitus worsened this case. There was persistent 3rd degree mobility, with 70% radiographic bone loss, and his HbA1c was 10%. So, based on the 2018 classification of periodontitis, the patient’s condition was in Stage IV & Grade C. Following attainment of adequate glycemic control (HbA1c 5.5%), the treatment plan included cessation of tobacco and alcohol use and extraction of all teeth in both arches with immediate fixture placement from Osstem Implant System (Osstem Implant Co., Ltd., Seoul, South Korea), (13 implants; 6 implants on maxilla and 7 on mandible) followed by allograft bone (SureOss chip, Osstem Implant Co., Ltd., Seoul, South Korea) placement and successfully carried out to restore oral function and aesthetics.

Update Dent. Coll. j: 2026; 16(1): 34-39