Total rehabilitation of a patient with severe chronic generalized periodontitis in the maxilla with dental implantation in geriatric age (a clinical case)
https://doi.org/10.36377/ET-0151
Abstract
Currently, a priority direction of healthcare is the optimization of comprehensive medical and social rehabilitation of patients. The high level of prevalence of periodontal diseases among the population determines the relevance of research aimed at the improvement of treatment and preventive measures. Considering the above, we conducted a total rehabilitation of a geriatric age patient with severe chronic generalized periodontitis in the maxilla by performing dental implantation. In the beginning, we assessed the width and length of the bone tissue of the alveolar process of the maxilla based on the results of CBCT. Next, the removal of mobile teeth was performed with the simultaneous installation of dental implants with bone grafting using the IDR technique (immediate dentoalveolar reconstruction). After which we fixed the multi-units (straight and angled 30°) on the implants and performed the taking of impressions. Then, within 48 hours, we performed the fabrication and fixation of temporary crowns from PMMA (polymethyl methacrylate) on the installed implants in the patient.
About the Authors
O. S. UnusyanRussian Federation
Onik S. Unusyan – Cand. Sci. (Med.), Associate Professor, Department of Surgical Diseases and Dentistry
58 Belinsky Str., Yakutsk 677027, Russian Federation
Competing Interests:
The authors report no conflict of interest.
I. D. Ushnitsky
Russian Federation
Innokenty D. Ushnitsky – Dr. Sci. (Med.), Professor, Head of the Department of Therapeutic, Surgical, Orthopedic and Pediatric Dentistry
58 Belinsky Str., Yakutsk 677027, Russian Federation
Competing Interests:
The authors report no conflict of interest.
A. D. Semenov
Russian Federation
Alexander D. Semenov – Cand. Sci. (Med.), Associate Professor of the Department of Therapeutic, Surgical, Orthopedic Dentistry and Pediatric Dentistry
58 Belinsky Str., Yakutsk 677027, Russian Federation
Competing Interests:
The authors report no conflict of interest.
A. V. Ivanov
Russian Federation
Andrian V. Ivanov – Cand. Sci. (Med.), Associate Professor of the Department of Surgical Diseases and Dentistry
58 Belinsky Str., Yakutsk 677027, Russian Federation
Competing Interests:
The authors report no conflict of interest.
References
1. 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
2. Isufi R., Xhajanka E., Thodhorjani A., Hysenaj N., Lela F., Bara S., Isufi R. All-on-four concept literature review. International Journal of Membrane Science and Technology. 2023;10(2):3892–3899. https://doi.org/10.15379/ijmst.v10i2.3255
3. Dashevskiy I.N., Gribov D.A., Olesova V.N. Personified biomechanics of edentulous jaw with restoration on the scheme of “all-on-4” and with parallel implants. Russian Journal of Dentistry. 2019;23(1):21–23. (In Russ.) https://doi.org/10.18821/1728-2802-2019-23-1-21-23
4. Kulakov A.A., Kasparov A.S., Porfenchuk D.A. Factors affecting osteointegration and the use of early functional load to reduce the duration of treatment in dental implantation. Stomatology. 2019;98(4):107–115. (In Russ.) https://doi.org/10.17116/stomat201998041107
5. Nikitina L.I., Gromova A.S. Dental rehabilitation of patients with complete (secondary) adentia using dental implants. Acta Medica Eurasica. 2022;(3):29–35. https://doi.org/10.47026/2413-4864-2022-3-29-35
6. Albaqawi A.H. “All-on-4” and “All-on-6” treatment concept applied using computer-guided surgery in a patient: Case report with a 2-year follow-up. Clin Case Rep. 2023;11(3):e7101. https://doi.org/10.1002/ccr3.7101
7. Glebova M.S., Glebov G.S., Sletova V.A., Gabbasova I.V., Boiko E.M., Idrisova A.M., Sletov A.A. Dental implantation after reconstruction of total and subtotal defects of the upper and lower jaws. International journal of Innovative Medicine. 2023;(2):18–20. https://doi.org/10.33667/2782-4101-2023-2-18-20
Review
For citations:
Unusyan O.S., Ushnitsky I.D., Semenov A.D., Ivanov A.V. Total rehabilitation of a patient with severe chronic generalized periodontitis in the maxilla with dental implantation in geriatric age (a clinical case). Endodontics Today. 2025;23(4):697-701. https://doi.org/10.36377/ET-0151

























