Segmental osteotomy to reposition multiple osseointegrated dental implants in the anterior maxilla in a trauma patient.
A 16-year-old young man had severe loss of alveolar bone and lost four teeth in the anterior maxilla because of traumatic injury in a traffic accident. To overcome the surgically compromised condition for implant rehabilitation, the deficient ridge was augmented by autogenous bone graft from the mandibular symphysis. The augmented ridge had much improvement in width but less in vertical height. Four implants were placed to gain initial osseointegration. Segmental osteotomy was performed to occlusally reposition the implants and bone for 5-mm in the anterior maxilla. After 2 years of clinical follow-up, the rehabilitation outcome is satisfactory and stable.
Kao
Shou-Yen
SY
Department of Dentistry, Taipei Veterans General Hospital (VGH), School of Dentistry, National Yang-Ming University (NYMU),Taiwan, ROC. sykao@vghtpe.gov.tw
Fong
Jenny Hwai-Jen
JH
Chou
Shen-Ju
SJ
Wu
Jen-Hsien
JH
Tu
Hsi-Fen
HF
Yeung
Tze-Cheung
TC
D000293:Adolescent; D000540:Alveolar Ridge Augmentation / Q000379:methods*; D003758:Dental Implantation, Endosseous / Q000379:methods*; D015921:Dental Implants; D019094:Dental Prosthesis, Implant-Supported / Q000379:methods*; D003830:Denture, Partial, Fixed; D006801:Humans; D008297:Male; D008437:Maxilla / Q000293:injuries / Q000601:surgery*; D008446:Maxillofacial Injuries / Q000534:rehabilitation / Q000601:surgery; D016348:Osseointegration; D010027:Osteotomy / Q000379:methods*; D016896:Treatment Outcome
D015921:Dental Implants