SURGICAL CORRECTION OF ATROPHIC MAXILLA FOR INSERTION OF ENDOSSEOUS DENTAL IMPLANTS

Authors

  • Danijel Žerdoner Oddelek za maksilofacialno in oralno kirurgijo Splošna bolnišnica Celje Oblakova 5 3000 Celje
  • Vitomir Konstantinović Klinika za maksilofacijalnu hirurgiju Beograd Dr. Subotića 4 11000 Beograd
  • Andrej Kansky Klinika za maksilofacialno in oralno kirurgijo Klinični center Zaloška 2 1525 Ljubljana

DOI:

https://doi.org/10.6016/ZdravVestn.2297

Keywords:

atrophy of maxilla, sinus floor lift, dental implants

Abstract

Background. Alveolar process atrophy is a physiological process in edentulous patients that may heavily compromise the succes of dental prosthetic rehabilitation. This is particulary important for insertion of endosseous implants. Because of the direct vicinity of maxillary sinuses, implantation is often impossible without previous pre-prosthetic surgical intervention.

Methods. Two types of pre-prosthetic surgical procedures are described and their relative advantages are discussed. An illustrative case report is presented, describing the patient’s problems, his treatment and clinical outcome.

Conclusions. In cases when maxillary alveolar process atrophy is so severe that insertion of dental implants is impossible, surgical correction with sinus floor lift is necessary. In our institution, the results of this procedure are good. Good quality of the antral mucosa and normal anatomic shape of the maxillary sinuses are two prerequisites for its success.

Downloads

Download data is not yet available.

References

Neukam FW, Scheller H, Günay H. Experimentelle und klinische Untersuchungen zur Auflagerungsosteoplastik in Kombination mit enossalen Implantaten. Z Zahnarztl Implantol 1989; 5: 235–41.

König S, Widlitzek H, Golin U. Der Stellenwert des Dental-CTs bei Sinus LiftOperationen. Dtsch Z Mund Kiefer Gesichtschir 1996; 20: 167–3.

Schwarz M, Rothman S, Chafetz N, Rhodes M. Computed tomography in dental implantation surgery. Dent Clin North Am 1989; 33: 555–97.

Tal H, Moses O. A comparison of panoramic radiography with computed tomography in the planning of implants surgery. Dentomaxillofac Radiol 1991; 20: 40–2.

Bhattacharyya N. Bilateral chronic maxillary sinusitis after the sinus-lift procedure. Am J Otolaryngol 1999; 20: 133–5.

Suzanne K, Richard A, Renato J, Glickman R, Joseph B. Chronic sinusitis complicating sinus lift surgery. Am J Rhinol 2001; 15: 181–6.

Gössweiner S, Watzinger F, Ewers R. Hufeisen-Le-Fort-I-Osteotomie. Mund Kiefer Gesichtschir 1999; 3: Suppl 1: 24S–9S.

Boyne PJ, Marx RE, Nevins M et al. A feasibility study evaluating rhBMP2absorbable collagen sponge for maxillary sinus floor augmentation. Int J Periodont Restor Dent 1997; 50: 399–410.

Gottsauner A, Hardt N. Technik und Erfahrungen mit der Sinuslift OP und enossalen Implantaten. Z Zahnärztl Implantol 1993; 9: 184–7.

Jensen J, Krantz Simonsen E, Sindet-Pedersen S. Reconstruction of severely resorbed maxilla with bone grafting and osteointegrated implants: a preliminary report. J Oral Maxillofac Surg 1990; 48: 27–32.

Mazor Z, Peleg M, Garg AK, Chaushu G. The use of hydroxyapatite bone cement for sinus floor augmentation with simultaneous implant placement in the atrophic maxilla. A report of 10 cases. J Periodontol 2000; 71: 1187–94.

Small SA, Zinner ID, Panno FV, Shapiro HJ, Stein JI. Augmenting the maxillary sinus implants. Report of 27 patients. Int J Oral Maxillofac Implants 1993; 8: 523–8.

Wheeler SL, Holmes RE, Calhoun CJ. Six-year clinical and histological study of sinus-lift grafts. Int J Oral Maxillofac Implants 1996; 11: 26–34.

Reinert S, König ST, Eufinger H, Bremerich A. Verlaufskontrollen der dreidimensionalen osteoplastischen Rekonstruktion des extrem atrophierten Oberkiefers im Kombination mit Implantaten. Mund Kiefer Gesichtschir 1999; 3: Suppl 1: 30S–4S.

Hall HD, McKenna SJ. Bone grafts of the maxillary sinus floor for Bränemark implants. A preliminary report. Oral Maxillofac Surg Clin North Am 1991; 3: 869–70.

Isaksson S. Evaluation of three bone grafting techniques severely resorbed maxillae in conjunction with immediate endosseous implants. Int J Oral Maxillofac Implants 1994; 9: 679–88.

Wiltfang J, Merten HA, Ludwig A, Engelke W, Arzt T. Röntgenologische, endoskopische und sonographische Beurteilung der Kieferhöhle nach Sinuslift und simultaner Implantatsinsertion. Mund Kiefer Gesichtschir 1999; 3: Suppl 1: 61S–4S.

Tidwell JK, Blijdorp PA, Stoelinga PJW, Brouns JB, Hinderks F. Composite grafting of the maxillary sinus for placement of endosteal implants. Int J Oral Maxillofac Surg 1992; 21: 204–9.

Issue

Section

Professional Article

How to Cite

1.
SURGICAL CORRECTION OF ATROPHIC MAXILLA FOR INSERTION OF ENDOSSEOUS DENTAL IMPLANTS. ZdravVestn [Internet]. 2004 Apr. 25 [cited 2024 Nov. 2];73(4). Available from: https://vestnik.szd.si/index.php/ZdravVest/article/view/2297

Most read articles by the same author(s)

1 2 > >>