

Orthopedic rehabilitation of a patient with severe chronic generalized periodontitis using dental implantation and a digital protocol: a clinical case
https://doi.org/10.33667/2078-5631-2025-10-79-84
Abstract
The long-term prognosis of dental implantation in patients who have lost teeth due to chronic periodontitis is controversial in the professional dental community. This study presents a clinical case of total orthopedic rehabilitation of a patient suffering from severe generalized periodontitis. The treatment plan included professional supra- and subgingival instrumentation, removal of failed teeth, followed by the immediate installation of 12 dental implants in both jaws and the manufacture of metal-ceramic bridges with artificial gums. Computer modeling technologies were used at all stages of treatment: starting with the manufacture of a surgical template for implantation, ending with the modeling of a prosthesis. The clinical case includes the results of clinical and X-ray examinations, periotestometry, and real-time PCR analysis of the microbiota of periodontal pockets and gingival sulcus around implants.
About the Authors
A. E. VerdievRussian Federation
A.E. Verdiev – Assistant of the Department of Dentistry,
Tver
K. G. Savvidi
Russian Federation
K.G. Savvidi – MD, Associate Professor, Head of the Department of Dentistry,
Tver
A. V. Blinova
Russian Federation
A.V. Blinova – Candidate of Medical Sciences, Teaching Assistant of the Department
of Periodontology,
Tver
M. A. El-Aydi
Russian Federation
M.A. El-Aydi – Teaching Assistant at the Department of Pediatric Dentistry and Orthodontics,
Tver
B. A. Davydov
Russian Federation
B.A. Davydov – Postgraduate student of the Department of Surgical Dentistry and
Maxillofacial Surgery,
Tver
References
1. Otoh E.C., Taiwo O.O., Majekodunmi O.J., et al. Periodontal Diseases in Adult and Elderly Nigerians: A National Survey. West Afr J Med. 2024.(41):322–332.
2. Suzuki S., Sugihara N., Kamijo H., et al. Reasons for Tooth Extractions in Japan: The Second Nationwide Survey. Int Dent J. 2022.(72):366–372. https://doi.org/10.1016/j.identj.2021.05.008.
3. Parize H, Dias Corpa Tardelli J, Bohner L, et al. Digital versus conventional workflow for the fabrication of physical casts for fixed prosthodontics: A systematic review of accuracy. J Prosthet Dent. 2022(128):25–32. https://doi.org/10.1016/j.prosdent.2020.12.008.
4. Revilla-León M, Lanis A, Yilmaz B, Kois JC, Gallucci GO. Intraoral digital implant scans: Parameters to improve accuracy. J Prosthodont. 2023.(32):150–164. https://doi.org/10.1111/jopr.13749.
5. Djurovic Koprivica D, Puskar T, Budak I, Sokac M, Jeremic Knezevic M, Maletin A, Milekic B, Vukelic D. Influence of Implant Impression Methods, Polymer Materials, and Implant Angulation on the Accuracy of Dental Models. Polymers (Basel). 2022.(14):2821. https://doi.org/10.3390/polym14142821.
6. Basak S.S., Guler Ayyıldız B., Eken S., et al. Radiographic evaluation of the distance between the restoration margin and the alveolar bone crest in dental implant patients: A retrospective study. J Dent. 2024.(144):104935. https://doi.org/10.1016/j.jdent.2024.104935.
7. Wang Y., Cao X., Shen Y., et al. Initial Development of an Immediate Implantation Model in Rats and Assessing the Prognostic Impact of Periodontitis on Immediate Implantation. Bioengineering (Basel). 2023.(10):896. https://doi.org/10.3390/bioengineering10080896.
8. Zhong L., He C.F., Wei M.G., et al. Comparison of two-year stability between immediate implant action and delayed implantation for anterior teeth with periodontal disease. Shanghai Kou Qiang Yi Xue. 2022.(31):309–312.
9. Ayele S., Sharo N., Chrcanovic B.R. Marginal bone loss around dental implants: comparison between diabetic and non-diabetic patients-a retrospective clinical study. Clin Oral Investig. 2023.(27):2833–2841. https://doi.org/10.1007/s00784-023-04872-z.
10. Ito T., Oda Y., Yasuoka H., et al. Implant Treatment in Patient with Periodontitis: A Case Report with 13-year Follow-up. Bull Tokyo Dent Coll. 2022. (63): 23–30. https://doi.org/10.2209/tdcpublication.2021-0027.
11. Yamashita K., Seshima F., Kigure T., et al. Treatment of Chronic Periodontitis with Smoking Cessation Care and Periodontal Surgery in an Elderly Patient: A Case Report Including a 4-year Follow-up. Bull Tokyo Dent Coll. 2022.(63):31–40. https://doi.org/10.2209/tdcpublication.2021-0033.
12. Berberi A., Zoghbi A.E., Aad G., et al. Immediate Loading Using the Digitalized Customized Restoration of Single-tooth Implants Placed in Fresh Extraction Sockets in the Aesthetic Anterior Maxilla: A 10-Year Prospective Study of Marginal Bone Level. J Contemp Dent Pract. 2024.(25):213–220. https://doi.org/10.5005/ jp-journals-10024-3659.
13. Guljé F.L., Raghoebar G.M., Gareb B., et al. Single crown restorations supported by 6-mm implants in the resorbed posterior mandible: A 10-year prospective case series. Clin Implant Dent Relat Res. 2024.(26):642–650. https://doi.org/10.1111/cid.13326.
Review
For citations:
Verdiev A.E., Savvidi K.G., Blinova A.V., El-Aydi M.A., Davydov B.A. Orthopedic rehabilitation of a patient with severe chronic generalized periodontitis using dental implantation and a digital protocol: a clinical case. Medical alphabet. 2025;(10):79-84. (In Russ.) https://doi.org/10.33667/2078-5631-2025-10-79-84