Abstract
Patients: A 53-year-old female with the chief complaints of pain of the upper right molar region and pathologic teeth mobility was diagnosed as severe generalized chronic periodontitis with masticatory disorder. Cause-related periodontal therapy and well-established supra-gingival self-performed plaque control by the patient resulted in improvement in periodontal condition. Then, orthodontic treatment and single-implant therapy were performed. The implant was installed along the anterior wall of the maxillary sinus in a tilted manner. Masticatory function and esthetics were recovered by a combined tooth-implant-supported fixed dental prosthesis.
Discussion: The perio-implant-prosthesis based on the shortened dental arch concept led to high satisfaction of this patient with severe generalized chronic periodontitis.
Conclusion: The perio-implant-prosthesis is acceptable under meticulous plaque control by both the patient and dental professional.