Abstract:
The management of marked horizontal bone atrophy represents a critical challenge for traditional implantology procedures. For this purpose, clinicians have developed several protocols and procedures to allow the most suitable and accurate surgical and prosthetic implant rehabilitation. Despite the development of guided bone regeneration methods and the use of small-diameter implants, the rehabilitation of thin bone areas is a clinical dilemma for the medium- and long-term survival of implant-prosthetic therapies. This clinical case evaluates the use of wedge-shaped implants for the full-arch rehabilitation of an atrophic maxilla with a thin ridge. This treatment choice allowed a minimally invasive rehabilitation, avoiding regenerative bone surgery, while respecting biologic and prosthetic limits. Furthermore, evaluation of the implant stability quotient and marginal bone loss values during the first year of follow-up allowed analysis of the behavior of this rehabilitation in fullarch maxillary cases.
摘要:
明显的水平骨萎缩的管理代表了传统植入手术的关键挑战。为此,临床医生已经开发了几种方案和程序,以允许最合适和准确的手术和假体植入物康复。尽管引导骨再生方法的发展和小直径植入物的使用,骨薄区域的康复是植入物修复疗法中长期生存的临床难题。此临床病例评估了楔形植入物在萎缩的上颌骨的全弓康复中的应用。这种治疗选择允许微创康复,避免再生骨手术,同时尊重生物和假体的限制。此外,在随访的第一年中,对植入物稳定性商和边缘骨丢失值进行评估,从而可以分析这种康复在全落叶上颌病例中的行为。