CASE REPORT
Prosthetic rehabilitation of a professional wind instrument player with
periodontal disease – a case report
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1
Katedra Protetyki Stomatologicznej, Warszawski Uniwersytet Medyczny, Polska
2
Warszawski Uniwersytet Medyczny, Studenckie Koło Naukowe przy Katedrze Protetyki Stomatologicznej
3
Wojskowy Instytut Medyczny – Państwowy Instytut Badawczy, Kliniczny Oddział Chirurgii Czaszkowo-Szczękowej
These authors had equal contribution to this work
Submission date: 2026-08-07
Final revision date: 2026-08-26
Acceptance date: 2026-09-17
Publication date: 2026-09-17
Corresponding author
Karolina Anna Ambroziak
Katedra Protetyki Stomatologicznej, Warszawski Uniwersytet Medyczny, Binieckiego 6, Warszawa, Polska
Prosthodontics 2026;76(3):291-298
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ABSTRACT
Periodontal disease in wind instrumentalists
represents a significant challenge for
clinicians. The specific forces generated
during musical performance impose
additional requirements on prosthetic
restorations regarding stability and precise
reconstruction of occlusal-phonetic conditions.
This paper presents the process of interdisciplinary
rehabilitation of a professional wind musician
diagnosed with generalized, severe periodontitis.
Due to pathological tooth mobility and the
presence of infectious foci, the initial phase of
treatment involved oral sanation combined with
immediate prosthodontic treatment. Provision of
immediate dentures aimed to optimize the healing
process, ensure morphological tissue stabilization,
and maintain professional career continuity. During the second stage of treatment, tooth
arrangement in the final prostheses was verified
directly using the instrument’s mouthpiece. Thus
it was possible to obtain full stability of the
restorations despite the impact of external nonphysiological
forces generated by the mouthpiece,
while simultaneously ensuring proper soft tissue
support and comfort in forming the embouchure.
The applied approach, combining periodontal,
surgical and prosthodontic procedures, resulted
in satisfactory functional and aesthetic outcome,
while preserving the patient’s psychological and
professional well-being.