Prosthetic rehabilitation of the edentulous posterior maxilla with implant-supported prostheses fre- quently presents a challenge for the oral surgeon because of the lack of bone due to alveolar ridge resorption or maxillary sinus pneumatization. To overcome these problems, different solutions were proposed over the years, such as the use of short implants or tilted implants (including zygoma implants), with the aim of avoiding maxillary sinus ﬂoor elevation. Both of these techniques have advantages and disadvantages that should be evaluated carefully to choose the most appropriate treatment. Zygoma implants or short/tilted implants are not a panacea for the treatment of patients with inadequate posterior maxillary bone stock. Instead, treatment should be based on the characterization of resorption patterns of the posterior maxilla, and may include the need for sinus grafting or other grafting procedures to reestablish not only adequate bone volume for implant placement, but also a favorable intermaxillary relationship, to optimize the functional and esthetic outcome of the ﬁnal prosthetic rehabilitation. The authors discuss the indications, advantages, and disadvantages of sinus-grafting procedures in association with or without other reconstructive procedures.
|Titolo:||Methods to treat the edentulous posterior maxilla: implants with sinus grafting|
CHIAPASCO, MATTEO FRANCESCO (Primo)
|Settore Scientifico Disciplinare:||Settore MED/28 - Malattie Odontostomatologiche|
|Data di pubblicazione:||apr-2009|
|Digital Object Identifier (DOI):||10.1016/j.joms.2008.11.023|
|Appare nelle tipologie:||01 - Articolo su periodico|