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Case Reports in Dentistry
Volume 2017, Article ID 6348570, 6 pages
https://doi.org/10.1155/2017/6348570
Case Report

Multidisciplinary Approach in the Management of a Complex Case: Implant-Prosthetic Rehabilitation of a Periodontal Smoking Patient with Partial Edentulism, Malocclusion, and Aesthetic Diseases

1Multidisciplinary Department of Medical, Surgical and Dental Sciences, Campania University Luigi Vanvitelli, Via Luigi De Crecchio 7, 80138 Naples, Italy
2Dental Prosthesis and Implantology, Multidisciplinary Department of Medical, Surgical and Dental Sciences, Campania University Luigi Vanvitelli, Via Luigi De Crecchio 7, 80138 Naples, Italy
3Department of Humanities, University of Naples Federico II, Via Porta di Massa 1, 80133 Naples, Italy

Correspondence should be addressed to Alessandro Lanza; ti.2aninu@aznal.ordnassela

Received 13 February 2017; Accepted 13 March 2017; Published 21 March 2017

Academic Editor: Jamil A. Shibli

Copyright © 2017 Alessandro Lanza et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Complex periprosthetic cases are considered as challenges by clinicians. Clinical and radiographic parameters should be considered separately to make the right choice between an endodontically or periodontally compromised treated tooth and implant. Therefore, in order to decide whether the tooth is safe or not, data that have to be collected are specific parameters of both the patient and the clinician. In addition, the presence of periodontal, prosthetic, and orthodontic diseases requires patients to be set in multidisciplinary approach. The aim of this case report is to describe how the multidisciplinary approach could be the best way to manage difficult cases of implant-prosthetic rehabilitation. How to rehabilitate with fixed prosthesis on natural teeth and dental implants a smoker patient who presents with active periodontitis, multiple edentulous areas, dental malocclusion, and severe aesthetic problems was also described.