Challenging implant treatment planning in two patients with Papillon Lefèvre Syndrome


Özcan İ., Şenel Ş. N., Onur Ö.

28th Balkan Stomalogical Society Congress, Budva, Montenegro, 25 - 27 April 2024, pp.82

  • Publication Type: Conference Paper / Summary Text
  • City: Budva
  • Country: Montenegro
  • Page Numbers: pp.82
  • Istanbul University Affiliated: Yes

Abstract

Papillon Lefèvre Syndrome (PLS) is a rare autosomal recessive disease characterized by palmoplantar keratosis and severe periodontitis that leads to early tooth loss in primary and permanent teeth. In the diagnosis of Papillon-Lefèvre syndrome, hematological tests, hormone analyzes and genetic tests are used in addition to clinical and radiological diagnosis. In the early stages of PLS, periodontal treatment procedures such as scaling and root planing are performed. As the disease progresses, antibiotic treatment is also recommended depending on the severity of periodontitis. Despite all the treatments applied, loss of teeth and alveolar crests occurs due to the aggressive and rapidly progressing character of periodontitis. Dental implants are recommended to correct functional and aesthetic disorders that occur due to missing teeth in young PLS patients. Thinning of the alveolar bone due to periodontal bone resorption in PLS patients creates difficulties in implant applications. The purpose of this study is to present the clinical and radiological examination findings and the implant treatment process of two Papillon Lefèvre Syndrome patients who applied to the Faculty of Dentistry Clinic with the complaint of missing teeth.