title: Reconstruction of the severely atrophic maxilla in a young adult with periodontosis.
abstract: Reconstruction of the atrophic maxilla in a young adult presents unique challenges. This article describes reconstruction in a 30-year-old patient using a two-stage procedure. Bilateral maxillary sinus augmentations with simultaneous corticocancellous grafting to the anterior maxilla and alveolar ridge were performed. Eight endosseous implant fixtures were subsequently placed into the maxilla after a five-month healing phase. Six months later the implants were uncovered, healing abutments placed and a maxillary vestibuloplasty performed. The rationale behind this treatment and a review of the literature are discussed.
authors.affiliation: Columbia University School of Dental and Oral Surgery, Division of Oral and Maxillofacial Surgery, USA.
authors.forename: E D
authors.initials: ED
authors.lastname: Swanson
authors.forename: C L
authors.initials: CL
authors.lastname: Sobieraj
authors.forename: J
authors.initials: J
authors.lastname: Ackerman
authors.forename: H A
authors.initials: HA
authors.lastname: Israel
mesh_terms: D000328:Adult; D010520:Aggressive Periodontitis / Q000150:complications / Q000601:surgery*; D016301:Alveolar Bone Loss / Q000601:surgery*; D000540:Alveolar Ridge Augmentation / Q000379:methods*; D016025:Bone Transplantation; D003758:Dental Implantation, Endosseous; D005260:Female; D006801:Humans; D007575:Jaw, Edentulous / Q000209:etiology / Q000534:rehabilitation; D008443:Maxillary Sinus / Q000601:surgery*