Management of the severely resorbed maxilla using Le Fort I osteotomy.
The severely resorbed maxilla poses difficulties for patient rehabilitation. This condition is characterized by the absence of bone for implant therapy and a reversed maxillomandibular relationship. Treatment for this condition is well established, but the correct time for reconstruction, implant therapy and Le Fort I osteotomy may vary. This paper describes a three-step procedure for the management of the severely resorbed maxilla. The three steps are: maxillary bone reconstruction; implant placement and building a fixed prosthesis in class III occlusion; followed by orthognathic surgery.
Gil
J N
JN
Department of Oral and Maxillofacial Surgery, University Hospital, College of Dentistry, Santa Catarina Federal University, Florianopolis, Brazil. gil@ccs.ufsc.br
Claus
J D P
JD
Campos
F E B
FE
Lima
S M
SM
D000540:Alveolar Ridge Augmentation / Q000379:methods; D001862:Bone Resorption / Q000601:surgery*; D016025:Bone Transplantation / Q000379:methods; D003758:Dental Implantation, Endosseous; D015921:Dental Implants; D003766:Dental Occlusion; D019094:Dental Prosthesis, Implant-Supported; D006801:Humans; D008313:Malocclusion, Angle Class III / Q000601:surgery; D008334:Mandible / Q000601:surgery; D008439:Maxillary Diseases / Q000601:surgery*; D019340:Osteotomy, Le Fort / Q000379:methods*; D010347:Patient Care Planning; D019651:Plastic Surgery Procedures / Q000379:methods
D015921:Dental Implants