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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">A patient with meningeal melanomatosis treated for periodontal disease with a bone regeneration procedure and dental implants: clinical and behavioral management to support medical compliance</title><author><name sortKey="Tizzoni, R" sort="Tizzoni, R" uniqKey="Tizzoni R" first="R." last="Tizzoni">R. Tizzoni</name><affiliation><nlm:aff id="af1-75-81">Private practice, Milan, Italy;</nlm:aff></affiliation></author><author><name sortKey="Veneroni, L" sort="Veneroni, L" uniqKey="Veneroni L" first="L." last="Veneroni">L. Veneroni</name><affiliation><nlm:aff id="af2-75-81">Department of Pathophysiology and Transplantation - University of Milan, Milan, Italy;</nlm:aff></affiliation></author><author><name sortKey="Clerici, C A" sort="Clerici, C A" uniqKey="Clerici C" first="C. A." last="Clerici">C. A. Clerici</name><affiliation><nlm:aff id="af3-75-81">Specialist in Clinical Psychology, Department of Pathophysiology and Transplantation - University of Milan, Milan, Italy</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24772265</idno><idno type="pmc">3982304</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3982304</idno><idno type="RBID">PMC:3982304</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">000135</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000135</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">A patient with meningeal melanomatosis treated for periodontal disease with a bone regeneration procedure and dental implants: clinical and behavioral management to support medical compliance</title><author><name sortKey="Tizzoni, R" sort="Tizzoni, R" uniqKey="Tizzoni R" first="R." last="Tizzoni">R. Tizzoni</name><affiliation><nlm:aff id="af1-75-81">Private practice, Milan, Italy;</nlm:aff></affiliation></author><author><name sortKey="Veneroni, L" sort="Veneroni, L" uniqKey="Veneroni L" first="L." last="Veneroni">L. Veneroni</name><affiliation><nlm:aff id="af2-75-81">Department of Pathophysiology and Transplantation - University of Milan, Milan, Italy;</nlm:aff></affiliation></author><author><name sortKey="Clerici, C A" sort="Clerici, C A" uniqKey="Clerici C" first="C. A." last="Clerici">C. A. Clerici</name><affiliation><nlm:aff id="af3-75-81">Specialist in Clinical Psychology, Department of Pathophysiology and Transplantation - University of Milan, Milan, Italy</nlm:aff></affiliation></author></analytic><series><title level="j">Oral & Implantology</title><idno type="ISSN">1974-5648</idno><idno type="eISSN">2035-2468</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>SUMMARY</title><sec><title>Background.</title><p>During the last three decades dental implants have become increasingly used in partially edentulous periodontally compromised patients. The type of bacteria in the peri-implant sulcus is influenced by the periodontal bacteria present on the surfaces of the remaining teeth. Peri-implant sulci of partially edentulous individuals harbour more motile rods and spirochetes than those of fully edentulous individuals. If Peri-implantitis arises, it may lead to implant failure. This complication occurs more frequently in patients with poor oral hygiene. This is a site-specific bacterial infection similar to that caused by periodontal bacteria around teeth and it should be prevented.</p></sec><sec><title>Aim.</title><p>This study was conducted to radiographically evaluate hard tissue response around 6 implants, over a 2-year period, in a previously surgically treated patient affected by severe chronic periodontitis. Psychological considerations and behavioral management of the patient are described.</p></sec><sec><title>Materials and methods.</title><p>A complex implant-perio-prosthodontic case of a 54-year-old man affected by meningeal melanomatosis with a history of generalized severe chronic periodontitis was recruited. A comprehensive periodontal examination around teeth was accomplished before periodontal and implant treatment. After diagnostic work-up, compromised teeth from 1.3 to 2.3 and from 3.2 to 4.2 were extracted. Tooth 1.7 was also extracted. Afterwards fixed provisional restoration rehabilitated all the natural dentition and the missing teeth. Endodonthic therapies were conducted on all the teeth due to high dentinal sensitivity and pre-prosthodontic crown reconstructions performed. Periodontal surgery with modified Widman flaps were then accomplished on all the teeth. Three months later four maxillary implants in position 1.3,1.1,2.1,2.3 and two mandibular implants in position 4.2,3.2 were inserted. During mandibular implants positioning, the mental mussels were isolated and detached to achieve proper guided bone regeneration.</p><p>During implant surgery, due to systemic conditions concern, the patient underwent intravenous sedation. Five months later the implants and the teeth were rehabilitated with fixed metal-ceramic bridges. Regarding the upper prosthetic rehabilitation, the incisors marginal edges were kept vertical to the nasal spine, due to lack of previous reference points. According to the reference points previously determined, the difference in bone level between radiographs taken at implants insertion and at the maintenance appointments was calculated.</p></sec><sec><title>Results.</title><p>The health of the periodontally treated teeth resulted greatly enhanced. The mean alveolar bore loss was 0,30 mm after a 2-year observation period.</p></sec><sec><title>Conclusions.</title><p>The control of the periodontal disease before implant insertion in patients with severe chronic periodontitis is of paramount importance, as well as a regular maintenance program is essential for the health of the periodontal and peri-implant tissues. The management of patients with complex needs requires a multidisciplinary team designed to meet all the patient’s needs on various levels.</p></sec></div></front></TEI><pmc article-type="case-report"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Oral Implantol (Rome)</journal-id><journal-id journal-id-type="iso-abbrev">Oral Implantol (Rome)</journal-id><journal-id journal-id-type="publisher-id">OAI</journal-id><journal-title-group><journal-title>Oral & Implantology</journal-title></journal-title-group><issn pub-type="ppub">1974-5648</issn><issn pub-type="epub">2035-2468</issn><publisher><publisher-name>CIC Edizioni Internationali</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">24772265</article-id><article-id pub-id-type="pmc">3982304</article-id><article-id pub-id-type="publisher-id">75-81</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>A patient with meningeal melanomatosis treated for periodontal disease with a bone regeneration procedure and dental implants: clinical and behavioral management to support medical compliance</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>TIZZONI</surname><given-names>R.</given-names></name><xref ref-type="aff" rid="af1-75-81"><sup>1</sup></xref><xref ref-type="corresp" rid="c1-75-81"></xref></contrib><contrib contrib-type="author"><name><surname>VENERONI</surname><given-names>L.</given-names></name><xref ref-type="aff" rid="af2-75-81"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>CLERICI</surname><given-names>C.A.</given-names></name><xref ref-type="aff" rid="af3-75-81"><sup>3</sup></xref></contrib></contrib-group><aff id="af1-75-81"><label>1</label>Private practice, Milan, Italy;</aff><aff id="af2-75-81"><label>2</label>Department of Pathophysiology and Transplantation - University of Milan, Milan, Italy;</aff><aff id="af3-75-81"><label>3</label>Specialist in Clinical Psychology, Department of Pathophysiology and Transplantation - University of Milan, Milan, Italy</aff><author-notes><corresp id="c1-75-81">Correspondence to: Dott. Riccardo Tizzoni, E-mail: <email>tizzoni.med@libero.it</email></corresp></author-notes><pub-date pub-type="collection"><month>3</month><year>2013</year></pub-date><pub-date pub-type="epub"><day>04</day><month>4</month><year>2014</year></pub-date><volume>6</volume><issue>3</issue><fpage>75</fpage><lpage>81</lpage><permissions><copyright-statement>©2013 CIC Edizioni Internazionali, Rome, Italy</copyright-statement><copyright-year>2013</copyright-year></permissions><abstract><title>SUMMARY</title><sec><title>Background.</title><p>During the last three decades dental implants have become increasingly used in partially edentulous periodontally compromised patients. The type of bacteria in the peri-implant sulcus is influenced by the periodontal bacteria present on the surfaces of the remaining teeth. Peri-implant sulci of partially edentulous individuals harbour more motile rods and spirochetes than those of fully edentulous individuals. If Peri-implantitis arises, it may lead to implant failure. This complication occurs more frequently in patients with poor oral hygiene. This is a site-specific bacterial infection similar to that caused by periodontal bacteria around teeth and it should be prevented.</p></sec><sec><title>Aim.</title><p>This study was conducted to radiographically evaluate hard tissue response around 6 implants, over a 2-year period, in a previously surgically treated patient affected by severe chronic periodontitis. Psychological considerations and behavioral management of the patient are described.</p></sec><sec><title>Materials and methods.</title><p>A complex implant-perio-prosthodontic case of a 54-year-old man affected by meningeal melanomatosis with a history of generalized severe chronic periodontitis was recruited. A comprehensive periodontal examination around teeth was accomplished before periodontal and implant treatment. After diagnostic work-up, compromised teeth from 1.3 to 2.3 and from 3.2 to 4.2 were extracted. Tooth 1.7 was also extracted. Afterwards fixed provisional restoration rehabilitated all the natural dentition and the missing teeth. Endodonthic therapies were conducted on all the teeth due to high dentinal sensitivity and pre-prosthodontic crown reconstructions performed. Periodontal surgery with modified Widman flaps were then accomplished on all the teeth. Three months later four maxillary implants in position 1.3,1.1,2.1,2.3 and two mandibular implants in position 4.2,3.2 were inserted. During mandibular implants positioning, the mental mussels were isolated and detached to achieve proper guided bone regeneration.</p><p>During implant surgery, due to systemic conditions concern, the patient underwent intravenous sedation. Five months later the implants and the teeth were rehabilitated with fixed metal-ceramic bridges. Regarding the upper prosthetic rehabilitation, the incisors marginal edges were kept vertical to the nasal spine, due to lack of previous reference points. According to the reference points previously determined, the difference in bone level between radiographs taken at implants insertion and at the maintenance appointments was calculated.</p></sec><sec><title>Results.</title><p>The health of the periodontally treated teeth resulted greatly enhanced. The mean alveolar bore loss was 0,30 mm after a 2-year observation period.</p></sec><sec><title>Conclusions.</title><p>The control of the periodontal disease before implant insertion in patients with severe chronic periodontitis is of paramount importance, as well as a regular maintenance program is essential for the health of the periodontal and peri-implant tissues. The management of patients with complex needs requires a multidisciplinary team designed to meet all the patient’s needs on various levels.</p></sec></abstract><kwd-group><kwd>dental implants</kwd><kwd>bacterial colonization</kwd><kwd>bone loss</kwd><kwd>periodontally compromised patients</kwd><kwd>patient compliance</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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