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. Nestor Montesdeoca García 2
  3. Germán 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. Facultad de Odontología
  4. 4 Universidad de Salamanca
    info

    Universidad de Salamanca

    Salamanca, España

    ROR https://ror.org/02f40zc51

  5. 5 Hospital Universitario La Paz
    info

    Hospital Universitario La Paz

    Madrid, España

    ROR https://ror.org/01s1q0w69

Revista:
Científica dental: Revista científica de formación continuada

ISSN: 1697-6398 1697-641X

Ano de publicación: 2023

Volume: 20

Número: 1

Páxinas: 23-30

Tipo: Artigo

Outras publicacións en: Científica dental: Revista científica de formación continuada

Resumo

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.