Implant-supported full-mouth restoration in a young patient with generalized aggressive periodontitis

Aggressive periodontitis is characterized by rapid loss of attachment and destruction of the periodontal ligament and bone in otherwise systemically healthy individuals. Patients with generalized aggressive periodontitis (GAgP) demonstrate proximal attachment loss affecting at least 3 teeth other than the first molars and incisors. These patients are usually young individuals under 30 years of age with familial aggregation and a high tendency toward recurrence. The major challenge in treating the individuals with GAgP is the edentulism at a very young age when removable prosthetic restorations are usually not favored by the patients. Aggressive periodontitis presents great challenges in treatment and prosthodontic rehabilitation. The remaining dentition is often compromised and prevents sufficient retention of fixed or removable partial dentures. In GAgP patients, an interdisciplinary approach is essential to evaluate, diagnose, and restore the function and esthetic problems. Such treatment plans require extensive planning and careful execution at every stage utilizing a combination of prosthodontic and periodontic treatments.