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Oral rehabilitation of Papillon–Lefèvre syndrome patients by dental implants: a systematic review

Journal of the Korean Association of Oral and Maxillofacial Surgeons / Journal of the Korean Association of Oral and Maxillofacial Surgeons, (P)2234-7550; (E)2234-5930
2020, v.46 no.4, pp.220-227
https://doi.org/10.5125/jkaoms.2020.46.4.220
Fazele Atarbashi-Moghadam (Dental School of Shahid Beheshti University of Medical Sciences)
Saede Atarbashi-Moghadam (Shahid Beheshti University of Medical Sciences)
Setare Kazemifard (Shahid Beheshti University of Medical Sciences)
Soran Sijanivandi (Shahid Beheshti University of Medical Sciences)
Mahshid Namdari (Shahid Beheshti University of Medical Sciences, Tehran, Iran)

Abstract

Objectives: Papillon–Lefèvre syndrome (PLS) is a rare autosomal recessive disorder. These patients lose their teeth at a young age and are in need of prosthetic rehabilitation. The aim of this systematic review was to assess the success of dental implant placement in these patients.Materials and Methods: An electronic search was performed in PubMed Central, Scopus, and Web of Science using the keyword “Papillon–Lefèvre syndrome” AND “dental implant” OR “prosthodontics”. Articles reporting implant placement in patients with PLS until July 2019 were included.Results: Assessment of the included 11 articles reporting 15 cases showed 136 implant placements in these patients. Implant failure occurred in 3 patients (20 implants). The peri-implantitis and failure rate was higher in the maxilla. Meta-analysis showed the probability of failure to be 7% (95% confidence interval [CI] 0%-31%) for maxillary implants and 2% (95% CI 0%-9%) for mandibular implants. The follow-up time ranged between 1 and 20 years. Healing after bone graft and implant placement in these patients was uneventful. Conclusion: Dental implants may be a viable treatment option for PLS patients. Implantation can help preserve alveolar bone if the patients’ immuno-logical and growing conditions are well-considered and proper oral hygiene and compliance with the maintenance program are continued.

keywords
Papillon–Lefèvre syndrome, Dental implants, Oral rehabilitation, Prosthodontics, Rapid progressive periodontitis

Journal of the Korean Association of Oral and Maxillofacial Surgeons