RESUMO
Papillon-Lefevere syndrome (PLS) is a rare disorder with severe oral manifestations resulting in premature tooth loss at an early stage of life. As a result, extensive bone resorption pattern in the maxilla negates conventional implant treatment in the majority of cases. This clinical report describes a prosthetic rehabilitation revision of a 26-year-old female diagnosed with PLS using an implant supported fixed complete denture with a quad zygoma approach. A 1 year follow-up is also presented.
Assuntos
Doença de Papillon-Lefevre , Feminino , Humanos , Adulto , Doença de Papillon-Lefevre/reabilitação , Zigoma/cirurgia , Prótese Total , Maxila , SíndromeRESUMO
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.
Assuntos
Implantes Dentários , Prótese Dentária Fixada por Implante , Doença de Papillon-Lefevre/reabilitação , Perda de Dente/reabilitação , Adolescente , Implantação Dentária Endóssea/métodos , Prótese Total , Seguimentos , Humanos , Masculino , Mandíbula/cirurgia , Maxila/cirurgia , Osseointegração/fisiologia , Planejamento de Assistência ao PacienteRESUMO
A brief review of aetiological aspects, clinical features and treatment of Papillon-Lefèvre syndrome, is mentioned. A case is reported of a girl having typical features of syndrome. In part II of this article we include oral rehabilitation of these patients using osseointegrated implants.
Assuntos
Implantação Dentária Endóssea , Reabilitação Bucal/métodos , Doença de Papillon-Lefevre/etiologia , Doença de Papillon-Lefevre/reabilitação , Adulto , Criança , Feminino , Humanos , Masculino , Doença de Papillon-Lefevre/diagnósticoRESUMO
Papillon Lefevre Syndrome (PLS) is an autosomal recessive (AR) disorder affecting the skin and intra oral soft tissues resulting in palmo plantar hyperkeratosis with premature periodontal problems leading to early tooth loss and associated functional and psychological disturbances. This report presents management of a 17 years old girl suffering from PLS. She was presented with the chief complaint of loss of many permanent teeth and mobility of the remaining teeth. Most of the teeth were lost very early after their eruption due to swollen infected gums. There were no other associated problems except for the mild burning sensation of the palms and soles. A decision was made and remaining teeth were extracted in order to prevent aggressive bone loss. She was then managed using removable complete dentures with bilateral balanced occlusion. The patient is comfortable and functioning well with her new dentition.
Assuntos
Prótese Parcial Removível , Doença de Papillon-Lefevre/reabilitação , Perda de Dente/reabilitação , Adolescente , Feminino , Humanos , Doenças Periodontais/terapia , Radiografia Panorâmica , Extração Dentária , Mobilidade Dentária/etiologia , Resultado do TratamentoRESUMO
Papillon-Lefevre syndrome (PLS) is a rare autosomal recessive disorder characterized by diffuse palmoplantar keratoderma and precocious aggressively progressing periodontitis, leading to the premature loss of deciduous and permanent teeth. Full mouth rehabilitation with implant supported fixed prosthesis provides numerous advantages over the conventional denture in terms of esthetics, function, longevity of the prosthesis, and patient satisfaction. We report a case of PLS in a 19-year-old female who underwent extraction of all the teeth followed by full mouth rehabilitation with implant supported fixed prostheses. A one-year follow up of the case showed functionally and esthetically stable dental implant with no signs of infection or bone loss.
Assuntos
Implantes Dentários , Doença de Papillon-Lefevre/reabilitação , Adulto , Feminino , Humanos , Doença de Papillon-Lefevre/diagnóstico por imagem , Doença de Papillon-Lefevre/cirurgia , Radiografia Panorâmica , Adulto JovemRESUMO
Papillon-Lefevre syndrome is a rare recessive genetic disorder. The clinical manifestations include palmar-plantar hyperkeratosis with precocious rapidly progressive periodontal disease that results in premature exfoliation of primary and permanent dentitions. Patients are often edentulous at an early age. Here is the report of prosthodontic rehabilitation of a case of Papillon-Lefevre syndrome in a 6-year-old child.
Assuntos
Arcada Parcialmente Edêntula/reabilitação , Arcada Edêntula/reabilitação , Doença de Papillon-Lefevre/reabilitação , Criança , Prótese Total Superior , Prótese Parcial , Seguimentos , Humanos , Masculino , Dente Artificial , Dente DecíduoRESUMO
BACKGROUND: The Saudi female reported in this study was diagnosed with Papillon-Lefèvre syndrome. She had lost all her teeth, including third molars, at the age of 18 years. METHOD: She was wearing full dentures for 7 years, before 5 titanium implants were installed in the mandible. RESULTS: 4 1/2 years after the implant installation, the treatment was clinically and radiographically successful. Neither A. actinomycetemcomitans nor P. gingivalis were detected at any of the implants. This very encouraging result does not differ from what is generally reported in edentulous medically healthy patients. CONCLUSION: The use of implants could considerably enhance future therapeutic options for the severely dentally compromised patients with Papillon-Lefèvre syndrome.