Bone grafting and insertion of dental implants followed by Le Fort advancement for correction of severely atrophic maxilla in young patients.
The atrophic maxilla often results in lateral, anteroposterior and vertical disproportion of the maxillary arches. This paper presents the case of a 40-year-old male with a severely atrophic maxilla who underwent oral rehabilitation. He was treated with onlay and inlay iliac bone grafts followed by vestibuloplasty and dental implant placement 170 days after initial bone grafting. The dental implants were uncovered after 4 months of healing. The patient also underwent orthognathic surgery for correction of the maxillary basal bone and to improve implant positioning. At the 48-month follow-up there were no complications.
Ribeiro-Junior
P D
PD
University of Sagrado Coração, Bauru, SP, Brazil. paulodrj@hotmail.com
Padovan
L E Marques
LE
Gonçales
E Sanches
ES
Nary-Filho
H
H
D000328:Adult; D016301:Alveolar Bone Loss / Q000534:rehabilitation / Q000601:surgery*; D000540:Alveolar Ridge Augmentation; D000543:Alveoloplasty; D016025:Bone Transplantation; D003758:Dental Implantation, Endosseous; D019094:Dental Prosthesis, Implant-Supported; D006801:Humans; D008297:Male; D008437:Maxilla / Q000473:pathology / Q000601:surgery*; D008439:Maxillary Diseases / Q000534:rehabilitation / Q000601:surgery; D016910:Orthodontic Brackets; D056948:Orthognathic Surgical Procedures; D019340:Osteotomy, Le Fort