Patient with diabetes mellitus and HIV with a viral load of 50,000. Generalized probing depths of 7-10 mm. Has a bridge from #7 to #11. Possible treatment?

Correct answer: C. Overdenture with implants

• A. A complete denture is overly aggressive if any teeth could be retained/utilized, and doesn't address the underlying functional/retentive needs as effectively as an implant-supported solution in appropriately selected cases.
• B. An RPD with acrylic offers less retention/stability and durability than an implant-supported option.
• C. Correct. Given the poor periodontal prognosis (7-10mm pockets) but retained alveolar ridge, an implant-supported overdenture can provide improved retention/function once any active disease/infection is controlled, representing a reasonable advanced prosthetic option in this case.
• D. An RPD with metal framework still relies on remaining natural teeth with poor periodontal prognosis (7-10mm pocketing), making long-term success less predictable than an implant-supported solution.