A Novel Technique for the Treatment of Severely Atrophied Maxilla with Immediate Dental Implant Loading

Abstract

Aims: This article aims to present a novel technique of dental implant placement for atrophied cases of maxilla without bone graft and/or sinus lifting and with early loading of the prosthesis. Material and Methods: In a clinical study fifteen cases of the severely atrophied maxilla were treated with the following approach; 8 implants were placed (2 implants in the pterygoid region, 2 implants in the trans-nasal region, and 4 implants in the anterior segment of the maxilla) with early loading of the prosthesis. With follow-up regarding Clinical complications, implant success/failure, and radiographic parameters were evaluated. Consent forms were taken from the patients. The data were tested by Descriptive data analysis using the Statistical Package for Social Sciences (SPSS, version 29). Results: Out of a total of 120 inserted implants, 8 implants in 15 patients (10 males and 5 females with mean age of 60.8 years), were placed to treat a severely atrophic upper jaw and with a mean follow-up of 28.27 months without any unwanted complications and without failure of the implants. Conclusions: With in limited cases that enrolled in our research; We concluded that the rehabilitation of difficult cases of severely atrophied maxilla can be achieved within a short period with early loading, and the patient need was met without additional surgical operations.

Keywords

• atrophied maxilla pterygoid implants trans-nasal implants immediate loading