Abstract
Patient: A 52-year-old man presented to our clinic with the chief complaint of tooth mobility and pain on occlusion. Full-mouth third-degree alveolar bone loss was found and the diagnosis was aggressive periodontitis. Extraction of all severely damaged teeth and prosthodontic replacement were indicated. With a history of discontinuation of dental treatment due to dental fear, immediate dentures were initially constructed. The remaining teeth were treated later and then the final dentures were fitted.
Discussion: Marked improvement in chewing third- and higher-category food items was observed after fitting the dentures. With improvement of the intraoral environment, the patient was able to eat and speak properly and became highly motivated.
Conclusion: When prosthodontic treatment using immediate dentures was performed in this patient with severe periodontal disease associated with psychological factors, both esthetic and functional improvements were achieved and the patient’s quality of life improved.
