Aggressive Periodontitis and a Prosthetic Solution: 7-Month Follow-Up

Raisa Queiroz Catunda*¹, Bruno Gustavo da Silva Casado² and Renato Vasconcelos Alves³, Jordana de Oliveira Silva⁴

Received: May 22, 2018;   Published: May 29, 2018

DOI: 10.26717/BJSTR.2018.04.001128

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Abstract

The terms gingival prosthesis, gingival epithesis or gum mask are used to describe the replacement of lost gingival tissue with a removable prosthesis. This case report aimed to clarify the indications, contraindications, advantages and disadvantages of making a gum epithesis in a 21-year-old female patient with aggressive periodontitis, who attended Clínica de Especializaçãoem Periodontia from the Associação Brasileira de Odontologia-Pernambuco Section with losses of interdental papillae on the anterior superior and aesthetic complaint about “dark spaces”. The patient underwent basic periodontal treatment consisting of scaling and root planning and oral hygiene orientation, aiming the stability of periodontal inflammation. However, the loss of anterior gingiva was still noticeable. Looking for a functional and aesthetic solution for this problem, gingival epithesis or removable artificial gingiva in acrylic resin was suggested to complement the treatment. The steps of impression, wax try-in and manufacture of gum epithesis in acrylic resin were made. After adjustments, the prosthesis was adapted to the patient, the guidelines for conservation and cleaning were done and thus a solution to the aesthetic, functional and phonetic filling was achieved for the main complaint of the patient. A follow-up of seven months was performed, no further adjusts were needed and the prosthesis showed appropriate adaptation. Periodontal condition was also assessed and patient was periodontally stable.

Keywords: Epithesis, Aggressive Periodontitis, Periodontal Health, Gingival Esthetic Rehabilitation

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