Surgical-prosthetic rehabilitation of patients with aggressive periodontitis and immediately loaded implants: a report of two cases


Submitted: 27 October 2018
Accepted: 1 March 2019
Published: 14 June 2019
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Authors

  • J. R. Collins Department of Periodontology, School of Dentistry. Pontificia Universidad Católica Madre Maestra, Dominican Republic.
  • R. H. Lalane Department of Prosthodontics, School of Dentistry, Pontifical Catholic University Mother and Teacher (PUCMM), CSTA, Santo Domingo, Dominican Republic, Dominican Republic.
  • G. Ogando Department of Periodontics, School of Dentistry, Pontifical Catholic University Mother and Teacher (PUCMM), Campus Santo Tomas de Aquino (CSTA). Santo Domingo, Dominican Republic, Dominican Republic.
  • M. Nasser Department of Prosthodontics, School of Dentistry, Pontifical Catholic University Mother and Teacher (PUCMM), CSTA, Santo Domingo, Dominican Republic, Dominican Republic.
  • G. E. Romanos Department of Periodontology, Stony Brook University, School of Dental Medicine, NY, USA, United States.

Background Treatment with dental implants is demonstrated to be a predictable procedure to replace lost or defective teeth in patients with a history of chronic and aggressive periodontitis. Although the dental implants are less successful in compromised patients compared to uncompromised patients.

Case report In this report, two  cases are described of Generalized Aggressive Periodontitis (GAgP) treated with multidisciplinary management and a two-year follow-up. The two patients received periodontal and prosthetic treatment with immediately loaded implants using a supported surgical computer-planned guide. Dental implants were inserted by means of a flapless procedure, and immediate provisionalizations were put into place. The survival of the implants was evaluated by clinical and radiographic means after two years. Minimal pain and edema on the surgical site were observed.

Conclusion The 2 case reports support the benefits of immediate loading with provisional implant-retained fixed prostheses in patients with GAgP.


Collins, J. R., Lalane, R. H., Ogando, G., Nasser, M., & Romanos, G. E. (2019). Surgical-prosthetic rehabilitation of patients with aggressive periodontitis and immediately loaded implants: a report of two cases. Journal of Osseointegration, 11(2), 113–121. https://doi.org/10.23805/JO.2019.11.02.06

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