Surgical and prosthetic treatment of a patient with Wegener’s granulomatosis

Wegener's granulomatosis is an uncommon systemic
disease that belongs to the group of necrotizing
granulomatous vasculitides. The disease generally
involves the upper and lower respiratory tract
and kidneys. In the oral cavity it is manifested by
hyperplastic granular gingivitis called “strawberry
gingivitis”. This article presents a female patient
who suffered from Wegener’s granulomatosis with
indications for surgical and prosthetic treatment.
At the time of the first visit, the clinical examination
revealed missing teeth replaced with fixed prostheses,
teeth denudation and mobility. After analyzing the
clinical status and orthopantomograph, it was decided
to extract all maxillary teeth and fabricate immediate
complete upper denture. Follow-up appointments
showed prolonged healing with significant and uneven
loss of bone tissue. Despite this the patient adapted
quite well to the prosthesis. After three weeks, Mollosil
(Detax, Germany) soft relining material was applied,
which was then replaced with acrylic one. After
stabilization of the prosthetic surface, construction of
a new upper denture is planned.