Prosthetic Complications in a Patient with Papillon-Lefevre Syndrome Treated with Dental Implants: A Case Report
Journal of "Regeneration, Reconstruction & Restoration" (Triple R),
Vol. 5 (2020),
24 March 2020
Introduction: Patients with Papillon-Lefevre syndrome (PLS) lose their teeth because of periodontal disease followed by alveolar bone resorption. On the other hand, this complicate implant treatment, force the surgeon to insert implants more palatally, or to do more extensive surgical procedure.
Case report: A 24-year-old female diagnosed with PLS received an implant supported metal-acrylic prosthesis which was failed due to the dissatisfactory design and unpleasant influence on the patient function and esthetics. The prosthesis was substituted by a new designed one, fabricated by CAD/CAM technology to compensate the implants positions and fulfill patient function and esthetics.
Results: The patient followed up the day after delivery, one week, and each 6-month, without any reported prosthetic complications or bone loss after three-year follow-up appointment.
Conclusion: We presented the ability to restore esthetics and functions of a patient suffering from severe bone loss due to PLS by using the bone grafts and dental implants.
- Papillon‐Lefèvre syndrome
- dental implants
- full mouth rehabilitation
- atrophic jaw
How to Cite
Wani AA, Devkar N, Patole MS, Shouche YS. Description of two new cathepsin C gene mutations in patients with Papillon‐Lefevre syndrome. Journal of periodontology. 2006;77:233-7.
Canger EM, Celenk P, Devrim I, et al: Intraoral findings of Papillon-Lefevre syndrome. J Dent Child 2008;75:99-103
Kaur B. Papillon Lefevre syndrome: a case report with review. Dentistry. 2013;3:2161-1122.
Gorlin RJ, Sedano H, Anderson VE: The syndrome of palmar-plantar hyperkratosis and premature periodontal destruction of the teeth. J Pediatr 1964;65:895-898.
Haneke E: The Papillon-Lefevre syndrome: keratosis palmoplantaris with periodontopathy. Report of a case and review of the cases in the literature. Hum Genet 1979;51:1-35
Galanter DR, Bradford S: Case report. Hyperkeratosis palmoplantaris and periodontosis: the Papillon-Lefevre Syndrome. J Periodontol 1969;40:40-47
Wiebe CB, Häkkinen L, Putnins EE, Walsh P, Larjava HS. Successful periodontal maintenance of a case with Papillon-Lefevre syndrome: 12-year follow-up and review of the literature. Journal of periodontology. 2001;72:824-30.
Sreeramulu B, Shyam ND, Ajay P, Suman P. Papillon–Lefèvre syndrome: clinical presentation and management options. Clinical, cosmetic and investigational dentistry. 2015;7:75-81.
Newman M, Angel I, Karge H, Weiner M, Grinenko V, Schusterman L. Bacterial studies of the Papillon-Lefevre syndrome. Journal of dental research. 1977;56:545-545.
Schacher B, Baron F, Ludwig B, Valesky E, Noack B, Eickholz P. Periodontal therapy in siblings with Papillon–Lefevre syndrome and tinea capitis: a report of two cases. Journal of clinical periodontology. 2006;33:829-36.
Woo I, Brunner DP, Yamashita DD, Le BT. Dental implants in a young patient with Papillon-Lefevre syndrome: A case report. Implant dentistry. 2003;12:140-4.
Ahmadian L, Monzavi A, Arbabi R, Hashemi HM. Full‐Mouth Rehabilitation of an Edentulous Patient with Papillon‐Lefèvre Syndrome Using Dental Implants: A Clinical Report. Journal of Prosthodontics: Implant, Esthetic and Reconstructive Dentistry. 2011;20:643-8.
Shah J, Goel S. Papillon-Lefevre syndrome: Two case reports. Indian J Dent Res. 2007;18:210-213.
Ullbro C, Crossner CG, Lundgren T, Stålblad PÅ, Renvert S. Osseointegrated implants in a patient with Papillon‐Lefèvre syndrome: A 4½‐year follow‐up. Journal of Clinical Periodontology: Case Report. 2000;27:951-4.
Van der Weijden GA, Van Bemmel KM, Renvert S. Implant therapy in partially edentulous periodontally compromised patients: A review. J Clin Periodontol. 2005;32:506-511.
Orsini G, Bianchi AE, Vinci R, et al: Histologic evaluation of autogenous calvarial bone in maxillary onlay bone grafts: a report of 2 cases. Int J Oral Maxillofac Implants 2003;18:594-598.
Kan JY, Rungcharassaeng K, Bohsali K, Goodacre CJ, Lang BR. Clinical methods for evaluating implant framework fit. The Journal of prosthetic dentistry. 1999;81:7-13.
Elsayed A, Wille S, Al-Akhali M, Kern M. Comparison of fracture strength and failure mode of different ceramic implant abutments. Journal of Prosthetic Dentistry. 2017;117:499-506.
Tischler M. Dental implants in the esthetic zone. Continuing Education. 2004; 518:793-3160.
Hadzik J, Krawiec M, Sławecki K, Kunert-Keil C, Dominiak M, Gedrange T. The Influence of the Crown-Implant Ratio on the Crestal Bone Level and Implant Secondary Stability: 36-Month Clinical Study. BioMed research international. 2018;2018.
Jokstad A, Braegger U, Brunski JB, Carr AB, Naert I, Wennerberg A. Quality of dental implants. International dental journal. 2003;53:409-43.
Nissan J, Ghelfan O, Gross O, Priel I, Gross M, Chaushu G. The effect of crown/implant ratio and crown height space on stress distribution in unsplinted implant supporting restorations. Journal of Oral and Maxillofacial Surgery. 2011;69:1934-9.
Verri FR, Junior JF, de Faria Almeida DA, de Oliveira GB, de Souza Batista VE, Honório HM, Noritomi PY, Pellizzer EP. Biomechanical influence of crown-to-implant ratio on stress distribution over internal hexagon short implant: 3-D finite element analysis with statistical test. Journal of biomechanics. 2015;48:138-45.
Bulaqi HA, Mashhadi MM, Safari H, Samandari MM, Geramipanah F. Effect of increased crown height on stress distribution in short dental implant components and their surrounding bone: A finite element analysis. The Journal of prosthetic dentistry. 2015;113:548-57.
Urdaneta RA, Rodriguez S, McNeil DC, Weed M, Chuang SK. The effect of increased crown-to-implant ratio on single-tooth locking-taper implants. International Journal of Oral & Maxillofacial Implants. 2010;25:729-743.
Fan T, Li Y, Deng WW, Wu T, Zhang W. Short implants (5 to 8 mm) versus longer implants (> 8 mm) with sinus lifting in atrophic posterior maxilla: a meta‐analysis of RCTs. Clinical implant dentistry and related research. 2017 Feb;19(1):207-15.
Tong Q, Zhang X, Yu L. Meta-analysis of Randomized Controlled Trials Comparing Clinical Outcomes Between Short Implants and Long Implants with Bone Augmentation Procedure. International Journal of Oral & Maxillofacial Implants. 2017;32:25-34.
Nisand D, Picard N, Rocchietta I. Short implants compared to implants in vertically augmented bone: a systematic review. Clinical oral implants research. 2015;26:170-9.
Srinivasan M, Vazquez L, Rieder P, Moraguez O, Bernard JP, Belser UC. Survival rates of short (6 mm) micro‐rough surface implants: a review of literature and meta‐analysis. Clinical Oral Implants Research. 2014;25:539-45.
Nissan J, Gross O, Ghelfan O, Priel I, Gross M, Chaushu G. The effect of splinting implant-supported restorations on stress distribution of different crown-implant ratios and crown height spaces. Journal of Oral and Maxillofacial Surgery. 2011;69:2990-4.
Bal BT, Çağlar A, Aydın C, Yılmaz H, Bankoğlu M, Eser A. Finite element analysis of stress distribution with splinted and nonsplinted maxillary anterior fixed prostheses supported by zirconia or titanium implants. International Journal of Oral & Maxillofacial Implants. 2013;28:27-38.
Lee JB, Kim MY, Kim CS, Kim YT. The prognosis of splinted restoration of the most-distal implants in the posterior region. The journal of advanced prosthodontics. 2016;8:494-503.
Behnaz E, Ramin M, Abbasi S, Pouya MA, Mahmood F. The effect of implant angulation and splinting on stress distribution in implant body and supporting bone: A finite element analysis. European journal of dentistry. 2015;9:311-318.
Etöz OA, Ulu M, Kesim B. Treatment of patient with Papillon-Lefevre syndrome with short dental implants: a case report. Implant dentistry. 2010;19:394-9.
Senel FC, Altintas NY, Bagis B, Cankaya M, Pampu AA, Satıroglu I, Senel AC. A 3-year follow-up of the rehabilitation of Papillon-Lefèvre syndrome by dental implants. Journal of oral and maxillofacial surgery. 2012;70:163-7.
Walia MS, Arora S, Luthra R, Walia PK. Removal of fractured dental implant screw using a new technique: a case report. Journal of Oral Implantology. 2012;38:747-50.
Gooty JR, Palakuru SK, Guntakalla VR, Nera M. Noninvasive method for retrieval of broken dental implant abutment screw. Contemporary clinical dentistry. 2014;5:264.
Williamson RT, Robinson FG. Retrieval technique for fractured implant screws. The Journal of prosthetic dentistry. 2001;86:549-50.
Davidowitz G, Kotick PG. The use of CAD/CAM in dentistry. Dental Clinics. 2011;55:559-70.
Wittneben JG, Wright RF, Weber HP, Gallucci GO. A systematic review of the clin- ical performance of CAD/CAM single-tooth restorations. Int J Prosthodont 2009; 22:466–71
Abduo J. Fit of CAD/CAM implant frameworks: a comprehensive review. Journal of Oral Implantology. 2014;40:758-66.
Michalakis KX, Hirayama H, Garefis PD. Cement-retained versus screw-retained implant restorations: a critical review. Int J Oral Maxillofac Implants. 2003;18:719–728.
Drago C, Saldarriaga RL, Domagala D, Almasri R. Volumetric determination of the amount of misfit in CAD/CAM and cast implant frameworks: a multicenter laboratory study. Int J Oral Maxillofac Implants. 2010;25:920–929.
Torsello F, di Torresanto VM, Ercoli C, Cordaro L. Evaluation of the marginal precision of one-piece complete arch titanium frameworks fabricated using five different methods for implant- supported restorations. Clin Oral Implants Res. 2008;19:772–779.
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