1. Digital Approach for the Rehabilitation of the Edentulous Maxilla with Pterygoid and Standard Implants: The Static and Dynamic Computer-Aided Protocols
- Author
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Gerardo Pellegrino, Simone Fedi, Giuseppe Lizio, Simone Gorini, Luigi V. Stefanelli, Alessio Franchina, Franchina A., Stefanelli L.V., Gorini S., Fedi S., Lizio G., and Pellegrino G.
- Subjects
Maxillary sinus ,Prosthetic rehabilitation ,Computer science ,medicine.medical_treatment ,fully computer-aided implantology ,Biochemistry, Genetics and Molecular Biology (miscellaneous) ,Prosthesis ,edentulous maxilla ,03 medical and health sciences ,0302 clinical medicine ,Structural Biology ,Immediate loading ,medicine ,Protocol ,030212 general & internal medicine ,lcsh:QH301-705.5 ,Orthodontics ,Rehabilitation ,030206 dentistry ,immediate loading ,medicine.anatomical_structure ,lcsh:Biology (General) ,Maxilla ,Computer-aided ,Edentulous maxilla ,Biotechnology - Abstract
A full-arch rehabilitation of the edentulous upper jaw without grafting procedures exploits the residual alveolar or the basal bone, with the necessity of long implants placed with a particular orientation. The precision in planning and placing the fixtures is fundamental to avoid clinical problems and to allow an acceptable connection with the prosthesis. The computer-aided implantology resulted in more accuracy than the traditional one, with a high standard of correspondence between the virtual project and the real outcome. This paper reports about the two different digital protocols, static and dynamic, as support to implant-borne prosthetic rehabilitation of edentulous maxillae. Two pterygoid and two/four anterior standard implants were seated in both cases by two different operators, without flap raising, and immediately loaded. This approach avoided the posterior cantilever by-passing the maxillary sinus and was adequately planned and realized without any surgical or prosthetic error. The two digital flow-charts were described step by step, underlining each other’s advantages and drawbacks compared to a free-hand approach.
- Published
- 2020