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
- Pablo Garrido Martínez 1
- Nestor Montesdeoca García 2
- Germán Esparza Gómez 3
- Norberto Quispe López 4
- José Luis Cebrián Carretero 5
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1
Universidad Alfonso X el Sabio
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2
Hospital da Luz
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- 3 Universidad Complutense de Madrid. Facultad de Odontología
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4
Universidad de Salamanca
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5
Hospital Universitario La Paz
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ISSN: 1697-6398, 1697-641X
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.