Dental implants in patients with controlled periodontal disease: a 15 and 25 years follow-up cases

The maintenance and success of long-term implants in patients with previous periodontal disease can be complex and depend on several factors. This study present the cases of two non-smoking periodontal patients, with periodical systemic health and average age of 40 years, treated and indicated for dental implants. The classification of periodontal disease in both patients was generalized aggressive periodontitis. After the treatment through basic periodontal therapy and an adequate periodic maintenance of five years, implants were indicated in the regions of tooth loss. Each dental implant was installed according to the location and availability at the time. Thus, follow-up and proservation of the cases was performed every six months until the present moment. The favorable results were observed in the clinical and radiographic evaluations during the follow-up. There were no failures in the implants or material properties, or aesthetic limitations due to discoloration. There was an adequate control of the periodontal disease of patients, and no periodontal complications during the proservation period of the case. It is worth noting that patients with aggressive periodontal disease, when properly treated, can be successfully submitted to implant therapy as long as they are regularly monitored and maintain the periodontal health.