Search

The reconstruction of the severe atrophy of the maxilla using dental implants requires extensive surgical treatments. Sinus lift procedure, ridge augmentation with free bone grafts or free vascularized bone transfers represent the common techniques. With regard to a higher life expectancy the number of patients suffering from limited chewing function based on atrophic bone conditions will increase. In addition to a higher number of failed implants in elderly people ask for other treatment strategies to regain proper oral function with limited surgical effort. This case report presents the failed treatment of maxilla, using disc implants and shows the new maxillary reconstruction using Brånemark-Zygoma implants combined with standard Nobel Replace implants in order to avoid extensive augmentation procedure.

The insertion of dental implants with simultaneous loss of alveolar bone still represents a challenge. A traumatical tooth loss within the range of the front of the maxillary is frequently connected with a clear substance defect. The goal of a pre-implantologically treatment must be therefore the hard tissue reconstruction of the defect. Thus the implant camp is optimized and the prosthetical necessary implant position is guaranteed. In this case report the reconstruction of a vertical and horizontal bone loss with a transplant from the Crista zygomatico alveolaris is represented. The withdrawal of the bone transplant took place under indulgence of the vestibular membrane of the maxillary sinus by means of piezosurgery. After an appropriate healing time the single tooth gap was supplied with an ITI implant of the company Straumann (Freiburg, Germany).