Reconstrucción maxilar con un implante subperióstico en un caso de atrofia severa. De la planificación a la rehabilitación siguiendo un protocolo totalmente digital. A propósito de un caso clínico y revisión bibliográfica

  1. Pablo Garrido Martínez 1
  2. Néstor Montesdeoca 2
  3. G. Esparza Gómez 3
  4. Norberto Quispe López 4
  5. José Luis Cebrián Carretero 5
  1. 1 Universidad Alfonso X el Sabio
    info

    Universidad Alfonso X el Sabio

    Villanueva de la Cañada, España

    ROR https://ror.org/054ewwr15

  2. 2 Hospital da Luz
    info

    Hospital da Luz

    Lisboa, Portugal

    ROR https://ror.org/03jpm9j23

  3. 3 Universidad Complutense de Madrid
    info

    Universidad Complutense de Madrid

    Madrid, España

    ROR 02p0gd045

  4. 4 Universidad de Salamanca
    info

    Universidad de Salamanca

    Salamanca, España

    ROR https://ror.org/02f40zc51

  5. 5 Instituto de Investigación Sanitaria del Hospital Universitario La Paz
    info

    Instituto de Investigación Sanitaria del Hospital Universitario La Paz

    Madrid, España

    ROR https://ror.org/017bynh47

Journal:
Científica dental: Revista científica de formación continuada

ISSN: 1697-6398

Year of publication: 2023

Volume: 20

Issue: 1

Pages: 23-30

Type: Article

More publications in: Científica dental: Revista científica de formación continuada

Abstract

Introduction: Customized subperiosteal titanium implants, designed from planning and fabrication software, constitute an alternative in the rehabilitation of severe maxillary atrophy, avoiding more complex bone and soft reconstruction surgeries and reducing healing times. The aim of this article is to present the rehabilitation in a clinical case with severe atrophy in the upper jaw, using a structure with subperiosteal implants, by means of a digital protocol. Clinical Case: A subperiosteal sintered titanium structure was fabricated with six transepithelial connections that were rehabilitated with an immediate implant-supported fixed prosthesis made of PMMA. Two months later, a sintered Chromium-Cobalt framework with machined bases covered with acrylic resin teeth was fabricated as the final restoration. At oneyear follow-up, the case remains stable. Conclusions: Nowadays, rehabilitation with subperiosteal implants is an alternative tool in cases of complex surgeries with large atrophies with the possibility of immediate loading.