title: Immediate rehabilitation of the posterior maxilla with extensive sinus pneumatization with one axial and one trans-sinus tilted implant: a 3-year clinical report and a classification.
abstract: Implant rehabilitation of the posterior maxilla can entail difficulties due to reduced bone quantity and poor bone quality, especially after long-term edentulism. In some patients, multiple surgeries are necessary, which may lead to higher patient morbidity and longer treatment times before a prosthetic rehabilitation can be achieved. This article presents an immediate fixed prosthesis in a posterior atrophic maxilla supported by 1 anterior axial implant and 1 posterior tilted fixture placed with an intrasinus insertion. Additionally, a classification scheme for immediate treatment for the posterior maxilla based on the available residual bone is provided.
authors.affiliation: Head, Advanced Oral Surgery Unit, Department of Dentistry, Vita Salute University, San Raffaele Hospital, Milan, Italy. Electronic address: e.agliardi@studioagliardi.it.
authors.forename: Enrico L
authors.initials: EL
authors.lastname: Agliardi
authors.affiliation: Adjunct Assistant Professor, Advanced Oral Surgery Unit, Department of Dentistry, Vita Salute University, San Raffaele Hospital, Milan, Italy.
authors.forename: Davide
authors.initials: D
authors.lastname: Romeo
authors.affiliation: Private practice, Zürich, Switzerland.
authors.forename: Anja
authors.initials: A
authors.lastname: Wenger
authors.affiliation: Associate Professor, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia, Italy.
authors.forename: Giorgio
authors.initials: G
authors.lastname: Gastaldi
authors.affiliation: Professor and Chairman, Department of Dentistry, Vita Salute University, San Raffaele Hospital, Milan, Italy.
authors.forename: Enrico
authors.initials: E
authors.lastname: Gherlone
mesh_terms: D000368:Aged; D001284:Atrophy; D064592:Autografts / Q000637:transplantation; D016025:Bone Transplantation / Q000379:methods; D003758:Dental Implantation, Endosseous / Q000295:instrumentation / Q000379:methods*; D015921:Dental Implants / Q000145:classification*; D017267:Dental Prosthesis Design; D019094:Dental Prosthesis, Implant-Supported; D003830:Denture, Partial, Fixed; D003831:Denture, Partial, Immediate; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D057893:Immediate Dental Implant Loading / Q000145:classification / Q000379:methods*; D007576:Jaw, Edentulous, Partially / Q000534:rehabilitation / Q000601:surgery*; D008437:Maxilla / Q000473:pathology / Q000601:surgery*; D059546:Sinus Floor Augmentation / Q000379:methods; D020390:Tooth Socket / Q000601:surgery
chemical_list: D015921:Dental Implants