Rehabilitating a patient with clasp (removable) prosthesis with periodontitis.

 

Patient A came to me complaining on partial tooth loss and mobility of remaining teeth, bleeding gums, bad breath. The examination revealed lack of the 18, 17,21,24,25,26,27,28,37,38,48 teeth. The remaining teeth were 1-3 degree of mobility with abundant dental plaque..

 

The depth of periodontal pockets ranged from 3 to 6 mm with copious purulent contents. From the history of the disease it was found out that the patient had been losing teeth during the last four years because of strong mobility. Diagnosed with chronic generalized periodontitis in acute stage. When discussing the treatment, the patient refused to implant teeth. The main desire of the patient was preservation of the remaining teeth and, restoration of missing teeth without surgery and resume chewing function..

 

 The following treatment plan was suggested:

1.Medical and antibiotics therapy. .

2.Closed curettage of periodontal pockets.

3.Teaching dental hygiene skills.

4.Making of removable denture clasp with splinting functions.

5.Regular supportive periodontal treatment.

 After patient's informative consent the scheduled treatment was held and clasp prosthesis was made.

<img alt="Bar prosthesis" data-cke-saved-src="/uploads/images/Parodontit_2.JPG" src="/uploads/images/Parodontit_2.JPG" style="width: 280px; height: 201px;" title="Bar" prosthesis"=""></p> <p> <img alt="Bar prosthesis" data-cke-saved-src="/uploads/images/Parodontit_3.JPG" src="/uploads/images/Parodontit_3.JPG" style="width: 280px; height: 119px;" title="Bar prosthesis"></p> <p> <img alt="Dentures in periodontitis" data-cke-saved-src="/uploads/images/Parodontit_4.JPG" src="/uploads/images/Parodontit_4.JPG" style="width: 280px; height: 129px;" title="Dentures in periodontitis"></p> <p> <img alt="Dentures in periodontitis" data-cke-saved-src="/uploads/images/Parodontit_5.JPG" src="/uploads/images/Parodontit_5.JPG" style="width: 280px; height: 216px;" title="Dentures in periodontitis"></p> <p>  </p> <p> Discussion: This case report shows that to date, with periodontitis, there are several options for rehabilitation of the patient. If the patient is not ready to reconstruction operations and implantation, as well as the removal of mobile teeth, there are always alternatives to treatment and prosthetics.</p> <p>  </p> <p>  In this case, in collaboration with the laboratory in Germany a clasp prosthesis has been made that perfectly mimicked the lost teeth, splinted the remaining moving teeth, restored chewing efficiency. The patient was suited with such orthopedic construction. With regular supportive periodontal therapy and thorough oral hygiene we may speak boldly about the favorable prognosis for ten years..</p> <p></p>