Simultaneous Le Fort I osteotomy and zygomatic implants placement with delayed prosthetic rehabilitation.
Patients affected by severe maxillary atrophy and skeletal malocclusion have been widely treated by simultaneous orthognathic surgical procedures, interpositional bone insertion and immediate or delayed implant placement. Although several authors have described that the "quad" technique using 4 zygomatic fixtures as an effective way to fully rehabilitate the severe atrophic maxilla, there are still no experiences relative to the use of zygomatic fixtures associated to maxillary osteotomies in case of large skeletal discrepancy. The aim of this study is to report a 1-step surgical rehabilitation of severe atrophic maxilla by means of Le Fort I osteotomy for maxillary forward repositioning and simultaneous insertion of 4 zygomatic implants with immediate prosthetic loading.
From the *Department of Surgery, Section of Oral and Maxillo-Facial Surgery, University of Verona, Verona; and †Department of Neuroscience, Section of Dentistry and Oral and Maxillofacial Surgery, University Hospital of Modena and Reggio Emilia, Modena, Italy.
Pier Francesco
PF
Nocini
Antonio
A
D'Agostino
Luigi
L
Chiarini
Lorenzo
L
Trevisiol
Pasquale
P
Procacci
D016025:Bone Transplantation / Q000379:methods; D003758:Dental Implantation, Endosseous / Q000379:methods*; D015921:Dental Implants; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007575:Jaw, Edentulous / Q000534:rehabilitation / Q000601:surgery*; D008297:Male; D008310:Malocclusion / Q000601:surgery; D008437:Maxilla / Q000601:surgery*; D008875:Middle Aged; D019340:Osteotomy, Le Fort / Q000379:methods*; D015050:Zygoma / Q000601:surgery*
D015921:Dental Implants