A 3-year follow-up of the rehabilitation of Papillon-Lefèvre syndrome by dental implants.

PURPOSE: Papillon-Lefèvre syndrome is a rare autosomal recessive genetic disorder characterized by palmar-plantar hyperkeratosis, with rapidly progressive periodontitis and premature loss of both deciduous and permanent teeth. This article presents the prosthetic rehabilitation of a patient with Papillon-Lefèvre syndrome with dental implants. MATERIALS AND METHODS: Twelve titanium implants were installed in the mandible and maxilla in an 18-year-old male patient with Papillon-Lefèvre syndrome. RESULTS: At 3 years follow-up, all implants were clinically stable and no pain or infection was found. The patient continues to be seen at regular follow-up visits. CONCLUSION: Twelve-implant installation in Papillon-Lefèvre syndrome with 3 years' follow-up has not claimed before. We not only successfully treated our patient functionally and esthetically with dental implant rehabilitation, but also provided psychological benefits to the patient.

Rehabilitation of an extracted anterior tooth space using fiber-reinforced composite and the natural tooth.

Conservative solutions for the restoration of a single edentulous space in the anterior maxilla present an esthetic challenge to the clinician. A 45-year-old male patient whose right upper central tooth was planned to be extracted was referred to our clinic for a conservative, rapid, and economic treatment. After radiographic and clinical examinations, it was decided that the tooth which was to be extracted should be used for the restoration of its own extracted area. The extracted tooth was splinted to adjacent teeth with the aid of the grooves and fiber-reinforced composite (everStick, StickTech Ltd., Turku, Finland). Following an early and unexpected failure of the restoration, the fiber layer was thickened twice with a flowable composite resin (Stick Flow, Stick Tech Ltd.) which fit better to the grooves. The restoration satisfied the patient with a good mechanical behavior, esthetics, and long-term durability after 12 months while. Restoring the missing tooth area with the patient's own tooth is advantageous when combined with modern adhesive techniques. The clinician must pay attention to the mechanical adaptation of the restoration and the technique sensitivity of the applied adhesive system.