case_images: PMC5093869_01
case_images: The patient in 2009.
case_images: TODENTJ-10-575_F1.jpg
case_images: PMC5093869_01_TODENTJ-10-575_F1.jpg
case_images: F1
case_images: 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).
case_images: Panoramic radiograph of the patient in 2003.
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case_images: PMC5093869_01_TODENTJ-10-575_F2.jpg
case_images: F2
case_images: The patient was diagnosed in 2001 with HCS after clinical, radiographic and histological examination (Fig. 2).
case_images: Clinical photograph of the patient's hands.
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case_images: PMC5093869_01_TODENTJ-10-575_F3.jpg
case_images: F3
case_images: 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).
case_images: Panoramic radiograph of the patient in 2005, after the placement of a dental implant in position #5.
case_images: TODENTJ-10-575_F4.jpg
case_images: PMC5093869_01_TODENTJ-10-575_F4.jpg
case_images: F4
case_images: 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).
case_images: 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.
case_images: TODENTJ-10-575_F5.jpg
case_images: PMC5093869_01_TODENTJ-10-575_F5.jpg
case_images: F5
case_images: 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).
case_images: Placement of a dental implant in the posterior right region of the maxilla (a-f).
case_images: TODENTJ-10-575_F6.jpg
case_images: PMC5093869_01_TODENTJ-10-575_F6.jpg
case_images: F6
case_images: 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).
case_images: Panoramic radiograph of the patient in 2010 after the placement of an additional dental implant in position #3.
case_images: TODENTJ-10-575_F7.jpg
case_images: PMC5093869_01_TODENTJ-10-575_F7.jpg
case_images: F7
case_images: 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).
case_images: Placement of a fixed prosthetic restoration on dental implants in positions #3 and 5 (a-f).
case_images: TODENTJ-10-575_F8.jpg
case_images: PMC5093869_01_TODENTJ-10-575_F8.jpg
case_images: F8
case_images: 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).
case_images: Placement of 2 dental implants in the posterior left region of the mandible (a-c).
case_images: TODENTJ-10-575_F9.jpg
case_images: PMC5093869_01_TODENTJ-10-575_F9.jpg
case_images: F9
case_images: 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).
case_images: Placement of a dental implant in the posterior right region of the mandible (a-c).
case_images: TODENTJ-10-575_F10.jpg
case_images: PMC5093869_01_TODENTJ-10-575_F10.jpg
case_images: F10
case_images: 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).
case_images: Periapical radiographs of the dental implants placed in mandible (positions # 19, 20, 30) (a-b).
case_images: TODENTJ-10-575_F11.jpg
case_images: PMC5093869_01_TODENTJ-10-575_F11.jpg
case_images: F11
case_images: 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).
case_images: Clinical photographs of the fixed prosthetic restorations on dental implants in positions # 30, 19 and 20 (a-b).
case_images: TODENTJ-10-575_F12.jpg
case_images: PMC5093869_01_TODENTJ-10-575_F12.jpg
case_images: F12
case_images: Clinical photographs of the patient's teeth and dental implants 5 years after dental implant placement.
case_images: TODENTJ-10-575_F13.jpg
case_images: PMC5093869_01_TODENTJ-10-575_F13.jpg
case_images: F13
case_images: 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).
case_images: TODENTJ-10-575_F14.jpg
case_images: PMC5093869_01_TODENTJ-10-575_F14.jpg
case_images: F14
case_images: Panoramic radiograph of the patient in 2015.
case_images: TODENTJ-10-575_F15.jpg
case_images: PMC5093869_01_TODENTJ-10-575_F15.jpg
case_images: F15