Implant treatment for a patient with aggressive periodontitis associated to diabetes mellitus. Clinical case report. Surgical phase

Resumen

Diabetes mellitus is a chronic degenerative disease characterized by a set of metabolic disorders and presence of hyperglycemia. When analyzing the effect of diabetes on implants, bone remodeling process alteration and defi cient mineralization have been observed: these factors result in poorer bone integration. The aim of the present
study was to describe surgical and implant treatment conducted in order to re-establish function and esthetics of a patient’s periodontal and general circumstances. Resulting ridge (fl ange) preservation as well as elevation of the maxillary sinus achieved a suitable flange to place implants, by means of a tomographic surgical guide in preparation for further rehabilitation of implant-supported prostheses. As a conclusion we might propose that late diagnosis of aggressive periodontitis can lead to edentulism in young patients, which could be solved with endo-osseous implants.