Surgical-prosthetic rehabilitation of patients with aggressive periodontitis and immediately loaded implants: a report of two cases

Background Treatment with dental implants is demonstrated to be a predictable procedure to replace lost or defective teeth in patients with a history of chronic and aggressive periodontitis. Although the dental implants are less successful in compromised patients compared to uncompromised patients. Case report In this report, two  cases are described of Generalized Aggressive Periodontitis (GAgP) treated with multidisciplinary management and a two-year follow-up. The two patients received periodontal and prosthetic treatment with immediately loaded implants using a supported surgical computer-planned guide. Dental implants were inserted by means of a flapless procedure, and immediate provisionalizations were put into place. The survival of the implants was evaluated by clinical and radiographic means after two years. Minimal pain and edema on the surgical site were observed. Conclusion The 2 case reports support the benefits of immediate loading with provisional implant-retained fixed prostheses in patients with GAgP.