Frontiers in Dentistry (May 2023)

Oral Rehabilitation of a Patient with Papillon Lefèvre Syndrome Using Fixed Full-Arch Hybrid Prostheses Supported by Four Axially Loaded Implants: A Case Report with Four-Year Follow-up

  • Kumar Sharma Pawan,
  • Vasudevan Karthikeyan,
  • Krishnan Murugesan,
  • Balasubramaniam Muthukumar,
  • Krishna Kumar Raja,
  • Sivanesan Karthikeyan Jagdish

DOI
https://doi.org/10.18502/fid.v20i7.12606
Journal volume & issue
Vol. 20

Abstract

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This report details the successful prosthetic rehabilitation of a 25-year-old male patient with Papillon Lefèvre Syndrome (PLS) using an implant-supported hybrid prosthesis. Six implants were placed in the maxilla, and four were placed in the mandibular arch. All implants were inserted axially (non-tilted) and were planned to be loaded after a healing period of 6 months. One implant failed due to graft loss during the healing phase, which was removed and the remaining implants were restored with a hybrid prosthesis after 6 months, using the delayed loading protocol. The patient was followed-up for four years and all the remaining implants successfully integrated and remained fully functional during this period. The prosthesis significantly improved the functional, aesthetic, and psychological well-being of the patient. This case report is the first of its kind to use only four axially placed implants for rehabilitation of a PLS patient with a successful four-year follow-up.

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