title: Simplifying the Treatment of Bone Atrophy in the Posterior Regions: Combination of Zygomatic and Wide-Short Implants-A Case Report with 2 Years of Follow-Up.
abstract: The rehabilitation of maxillary and mandibular bone atrophy represents one of the main challenges of modern oral implantology because it requires a variety of procedures, which not only differ technically, but also differ in their results. In the face of limitations such as deficiencies in the height and thickness of the alveolar structure, prosthetic rehabilitation has sought to avoid large bone reconstruction through bone grafting; this clinical behavior has become a treatment system based on evidence from clinical scientific research. In the treatment of atrophic maxilla, the use of zygomatic implants has been safely applied as a result of extreme technical rigor and mastery of this surgical skill. For cases of posterior mandibular atrophy, short implants with a large diameter and a combination of short and long implants have been recommended to improve biomechanical resistance. These surgical alternatives have demonstrated a success rate similar to that of oral rehabilitation with the placing of conventional implants, allowing the adoption of immediate loading protocol, a decrease in morbidity, simplification and speed of the treatment, and cost reduction. This case report presents complete oral rehabilitation in a patient with bilateral bone atrophy in the posterior regions of the maxilla and mandible with the goal of developing and increasing posterior occlusal stability during immediate loading.
authors.affiliation: School of Dentistry, Federal University of Pelotas (UFPEL), Pelotas, RS, Brazil.
authors.forename: Fernanda
authors.identifier: 0000-0001-6889-7238
authors.initials: F
authors.lastname: Faot
authors.affiliation: Implantology Team, Latin American Institute of Dental Research and Education (ILAPEO), Curitiba, PR, Brazil.
authors.forename: Geninho
authors.initials: G
authors.lastname: Thomé
authors.affiliation: Graduate Program in Dentistry, School of Dentistry, Federal University of Pelotas, Pelotas, RS, Brazil.
authors.forename: Amália Machado
authors.initials: AM
authors.lastname: Bielemann
authors.affiliation: Implantology Team, Latin American Institute of Dental Research and Education (ILAPEO), Curitiba, PR, Brazil.
authors.forename: Caio
authors.initials: C
authors.lastname: Hermann
authors.affiliation: Implantology Team, Latin American Institute of Dental Research and Education (ILAPEO), Curitiba, PR, Brazil.
authors.forename: Ana Cláudia Moreira
authors.initials: AC
authors.lastname: Melo
authors.affiliation: Implantology Team, Latin American Institute of Dental Research and Education (ILAPEO), Curitiba, PR, Brazil.
authors.forename: Luis Eduardo Marques
authors.initials: LE
authors.lastname: Padovan
authors.affiliation: Implantology Team, Latin American Institute of Dental Research and Education (ILAPEO), Curitiba, PR, Brazil.
authors.forename: Ivete Aparecida
authors.initials: IA
authors.lastname: de Mattias Sartori