Reconstruction of the severely resorbed maxilla with a combination of sinus augmentation, onlay bone grafting, and implants.
OBJECTIVE
A new method of reconstruction of the atrophic maxilla by combining a bilateral sinus floor elevation and cancellous bone graft with buccal and labial onlay graft using L-shaped corticocancellous blocks from the posterior iliac crest is presented.


METHODS
Seventeen patients were treated with this procedure. One hundred one IMZ implants were placed in 14 patients, and 22 Brånemark implants were placed in three patients. Patients were observed for 6 months after prosthetic rehabilitation.


RESULTS
All patients were fully rehabilitated with fixed bridges except one, who preferred an overdenture. Only two implants were lost at the time of the abutment connection. Some bone resorption was seen around six implants. The success rate with this procedure was 92.7% 6 months after prosthetic rehabilitation if implants with bone resorption were considered failures.


CONCLUSIONS
These preliminary results indicate that this surgical procedure is suitable for reconstruction of most atrophic maxillas.
Neyt
L F
LF
Division of Maxillo-Facial Surgery, A.Z. St Jan Brugge, Belgium.
De Clercq
C A
CA
Abeloos
J V
JV
Mommaerts
M Y
MY
D000328:Adult; D000540:Alveolar Ridge Augmentation / Q000379:methods*; D001284:Atrophy; D001862:Bone Resorption / Q000534:rehabilitation / Q000601:surgery*; D016025:Bone Transplantation / Q000379:methods*; D000044:Dental Abutments; D003758:Dental Implantation, Endosseous; D015921:Dental Implants; D017267:Dental Prosthesis Design; D019232:Dental Restoration Failure; D003828:Denture, Overlay; D003830:Denture, Partial, Fixed; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008439:Maxillary Diseases / Q000534:rehabilitation / Q000601:surgery*; D008443:Maxillary Sinus / Q000601:surgery*; D008875:Middle Aged; D012008:Recurrence; D016896:Treatment Outcome
D015921:Dental Implants