Oral rehabilitation with All on Four protocol in HIV-infected patient: Case report 2 years follow-up

• Autor(a) principal: Voss de Oliveira, Douglas
• Data de Publicação: 2023
• Outros Autores: Thiers Carneiro Junior, José, Vieira da Silva Gomes, Carlos Eduardo, Pimentel de Oliveira, Roberta, Pimentel de Oliveira, Renata, Fernandes de Menezes, Silvio Augusto, Fonseca, Ricardo
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Brazilian Journal of Implantology and Health Sciences
• Texto Completo: https://bjihs.emnuvens.com.br/bjihs/article/view/230
• topic: HIV, Periodontia, Implantes Dentários e Regeneração Tecidual Guiada.; HIV; Periodontics; Implantology; Guided bone regeneration.; VIH, Periodoncia, Implantes Dentales y Regeneración Tisular Guiada.

Introduction:Oral rehabilitation with dental implants in people living with HIV (PLwH) is still a topic little studied in the literature, especially due to the health risk due to human immunodeficiency, so the purpose of this work is to report the all-on-four superior oral rehabilitation with guided bone regeneration (GBR) in PVH with 2-year follow-up. Case report:A 58-year-old male patient HIV-infected for 15 years, ART user for 14 years, no previous history of allergies presented to a dental college in northern Brazil with the main complaint of tooth loss, use of temporary removable partial dentures, aesthetic and functional discontent. In the clinical examination, the presence of upper teeth with grade II periodontitis was observed, the patient was systemically healthy and had medical clearance. It was indicated extraction of teeth affected by periodontitis, installation of morse taper implants (12: 3.8x13m/ 22: 3.8x13mm/ 13: 3.8x15mm/ 23: 3.8x15mm), GBR with alogenous bone graft covered by a resorbable collagen membrane to alveolus filling and fabrication of upper protocol prosthesis by the all on four technique.Conclusion: To the authors' knowledge, this is the first case of an all on four with GBRin PLwHin northern Brazil. Through this case, it was observed that dental implants are a viable option for oral rehabilitation when the patient is immunocompetent due to adequate treatment, demonstrating the possibility of longevity of dental implants in this key population.