Sinus lifting before Le Fort I maxillary osteotomy: a suitable method for oral rehabilitation of edentulous patients with skeletal class-III conditions: review of the literature and report of a case.
BACKGROUND
Functional rehabilitation of patients afflicted with severe mandibular and maxillary alveolar atrophy might be challenging especially in malformed patients.


METHODS
Treatment planning using sinus lifting and implant placement before Le Fort I maxillary osteotomy in a patient with severe mandibular and posterior maxillary alveolar atrophy and skeletal class-III conditions due to cleft palate are described.


RESULTS
A full functional and esthetic rehabilitation of the patient was achieved by a stepwise surgical approach performed through sinus lifting as the primary approach followed by implant placement and subsequent Le Fort I maxillary osteotomy to correct the maxillo-mandibular relation.


CONCLUSIONS
Stabilisation of the maxillary complex by a sinus lifting procedure in combination with computer aided implant placement as preorthodontic planning procedure before Le Fort I maxillary osteotomy seems to be suitable in order to allow ideal oral rehabilitation especially in malformed patients.
Depprich
Rita A
RA
Department for Cranio- and Maxillofacial Surgery, Heinrich-Heine-University Düsseldorf, Moorenstr, 5, 40225 Düsseldorf, Germany. depprich@med.uni-duesseldorf.de
Handschel
Jörg G K
JG
Naujoks
Christian
C
Hahn
Tobias
T
Meyer
Ulrich
U
Kübler
Norbert R
NR
D016301:Alveolar Bone Loss / Q000601:surgery; D000540:Alveolar Ridge Augmentation; D001863:Bone Screws; D016025:Bone Transplantation; D003758:Dental Implantation, Endosseous; D006801:Humans; D007576:Jaw, Edentulous, Partially / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008313:Malocclusion, Angle Class III / Q000000981:diagnostic imaging / Q000601:surgery*; D008443:Maxillary Sinus / Q000601:surgery*; D008875:Middle Aged; D019340:Osteotomy, Le Fort; D014057:Tomography, X-Ray Computed; D014081:Tooth Extraction