title: Reconstruction of a severely atrophic maxilla using a Le Fort I downgraft and dental implants: clinical report.
abstract: A 55-year-old woman developed chronic infections of the maxillary sinuses with osteomyelitis resulting in extensive bone destruction and atrophy from a failed subperiosteal implant. After surgical removal of the subperiosteal implant, extensive debridement of the maxilla, and long-term antibiotic therapy, maxillary reconstruction was initiated. A Le Fort I osteotomy and downgraft was performed, and a posterior iliac bone graft was harvested and grafted to reconstruct the severely atrophic maxilla. In a later surgical procedure, maxillary and mandibular implants were placed. Implant-retained overdentures were fabricated to restore function and esthetics.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Temple University School of Dentistry, Philadelphia, PA 19140-5096, USA.
authors.forename: B J
authors.initials: BJ
authors.lastname: Cutilli
authors.forename: B M
authors.initials: BM
authors.lastname: Smith
authors.forename: R
authors.initials: R
authors.lastname: Bleiler
mesh_terms: D016301:Alveolar Bone Loss / Q000209:etiology / Q000534:rehabilitation / Q000601:surgery; D000540:Alveolar Ridge Augmentation / Q000379:methods*; D016025:Bone Transplantation / Q000379:methods; D003758:Dental Implantation, Endosseous / Q000379:methods*; D016299:Dental Implantation, Subperiosteal / Q000009:adverse effects; D019094:Dental Prosthesis, Implant-Supported; D003828:Denture, Overlay; D005260:Female; D006801:Humans; D007085:Ilium / Q000637:transplantation; D008439:Maxillary Diseases / Q000150:complications / Q000209:etiology / Q000534:rehabilitation / Q000601:surgery*; D008875:Middle Aged; D019340:Osteotomy, Le Fort; D012086:Reoperation