Le Fort I osteotomy with interpositional graft and immediate loading of delayed modified SLActive surface dental implants for rehabilitation of extremely atrophied maxilla: a case report.
OBJECTIVE
To describe a successful clinical case of immediate prosthetic loading of modified sandblasting and acid-etching surface ITI dental implants inserted in a grafted maxilla after Le Fort I osteotomy.


METHODS
A 59-year-old man with a severely atrophied maxilla was treated with Le Fort I osteotomy and interpositional iliac bone graft. Thirteen weeks later, 7 modified sandblasted and acid-etched surface ITI dental implants were inserted with immediate application of a screw-fixed prosthetic acrylic device kept in functional loading for 3 months until a definitive fixed prosthesis was inserted.


RESULTS
After 20-month follow-up there has been no implant failure, with minimal bone loss and healthy peri-implant soft tissues; the patient is functionally and esthetically satisfied.


CONCLUSIONS
Immediate loading of implants placed after Le Fort I osteotomy and interpositional iliac bone grafting could be an applicable protocol to rehabilitate extremely atrophied edentulous maxillas.
Marchetti
Claudio
C
Department of Oral and Dental Sciences, University of Bologna, Bologna, Italy.
Felice
Pietro
P
Lizio
Giuseppe
G
Rossi
Fabio
F
D016301:Alveolar Bone Loss / Q000000981:diagnostic imaging / Q000534:rehabilitation; D000540:Alveolar Ridge Augmentation / Q000379:methods*; D016025:Bone Transplantation / Q000379:methods*; D003758:Dental Implantation, Endosseous / Q000379:methods; D015921:Dental Implants; D017267:Dental Prosthesis Design; D019094:Dental Prosthesis, Implant-Supported; D003794:Dental Restoration, Temporary; D003825:Denture, Complete, Immediate; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008437:Maxilla / Q000601:surgery*; D008875:Middle Aged; D019340:Osteotomy, Le Fort / Q000379:methods*; D011859:Radiography; D013997:Time Factors
D015921:Dental Implants