PMC5093869_01
The patient in 2009.
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In 2003, the Department of Oral Pathology and Surgery at the School of Dentistry, University of Athens referred a young 22-year-old female with Hajdu-Cheney Syndrome (HCS) to the Postgraduate Clinic of the Department of Periodontology, in order to receive periodontal treatment (Fig. 1).
Panoramic radiograph of the patient in 2003.
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The patient was diagnosed in 2001 with HCS after clinical, radiographic and histological examination (Fig. 2).
Clinical photograph of the patient's hands.
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The patient had thick coarse hair, low-set ears, small face and stature, thin lips, small mouth and short hands with clubbing of the fingertips (Fig. 3).
Panoramic radiograph of the patient in 2005, after the placement of a dental implant in position #5.
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The maxilla was then rehabilitated with the placement of a provisional fixed partial denture of metal acrylic and the anterior region of the mandible with the placement of a Maryland bridge (Fig. 4). So, although in the current literature no other case of implant placement in a patient with HCS was described, in February 2005, a dental implant (Nobel Biocare, Replace Select Straight, TiUnite RP 4.3 x 13mm) was placed in the upper right first premolar region (Figs. 4, 5).
Periodontal examination chart of the patient 5 years after the placement of a dental implant (Nobel Biocare, Replace Select Tapered TiUnite RP 4.3 x 13mm) in the upper right first premolar region.
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So, although in the current literature no other case of implant placement in a patient with HCS was described, in February 2005, a dental implant (Nobel Biocare, Replace Select Straight, TiUnite RP 4.3 x 13mm) was placed in the upper right first premolar region (Figs. 4, 5).
Placement of a dental implant in the posterior right region of the maxilla (a-f).
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Biocare, Replace Select Tapered TiUnite Regular Platform (RP) 4.3 x 8mm) was placed in the upper right first molar region (Fig. 6a-f). Bone mineral density appeared physiological (Bone Type III) (Fig. 7).
Panoramic radiograph of the patient in 2010 after the placement of an additional dental implant in position #3.
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Biocare, Replace Select Tapered TiUnite Regular Platform (RP) 4.3 x 8mm) was placed in the upper right first molar region (Fig. 6a-f). Bone mineral density appeared physiological (Bone Type III) (Fig. 7).
Placement of a fixed prosthetic restoration on dental implants in positions #3 and 5 (a-f).
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Six months after implant placement, a porcelain fused to metal, three unit implant supported fixed partial denture 3 (4) 5 was placed in the upper right region (Fig. 8a-f).
Placement of 2 dental implants in the posterior left region of the mandible (a-c).
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After successful oral rehabilitation of the posterior upper right region, 2 additional dental implants were placed in the posterior left region (during surgery tooth #20 - in place of #21- was extracted) and 1 in the posterior right region of the mandible (Straumann Standard Platform (SP) Tissue Level) (Figs. 9-11).
Placement of a dental implant in the posterior right region of the mandible (a-c).
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After successful oral rehabilitation of the posterior upper right region, 2 additional dental implants were placed in the posterior left region (during surgery tooth #20 - in place of #21- was extracted) and 1 in the posterior right region of the mandible (Straumann Standard Platform (SP) Tissue Level) (Figs. 9-11).
Periapical radiographs of the dental implants placed in mandible (positions # 19, 20, 30) (a-b).
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After successful oral rehabilitation of the posterior upper right region, 2 additional dental implants were placed in the posterior left region (during surgery tooth #20 - in place of #21- was extracted) and 1 in the posterior right region of the mandible (Straumann Standard Platform (SP) Tissue Level) (Figs. 9-11).
Clinical photographs of the fixed prosthetic restorations on dental implants in positions # 30, 19 and 20 (a-b).
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Clinical photographs of the patient's teeth and dental implants 5 years after dental implant placement.
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Periodontal examination chart of the patient 5 years after the placement of 2 dental implants (Straumann SP Tissue level diameter 4,1 x 8 mm) in the lower left premolar and molar region and 1 dental implant (Straumann SP Tissue level WN diameter 4,8 x 8mm) in the lower right molar region).
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Panoramic radiograph of the patient in 2015.
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