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J Craniofac Surg. 2013;24(5):e472-5. doi: 10.1097/SCS.0b013e3182903129.

Modern therapy for severe alveolar ridge atrophy.

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  • 1From the *Department of Oral Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University; †Department of Dentistry, Ta-Tung Medical Hospital; and ‡Department of Orthodontics, Kaohsiung Medical University; §Department of Oral Pathology, Faculty of Dentistry, College of Dental Medicine; and ∥Department of Prosthodontics, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.


This clinical report illustrates a modern method for oral rehabilitation of severe edentulous atrophic ridge. Shallow vestibule and small denture-bearing area of the maxilla provide insufficient retention, and only the symphyseal region of the mandible has obvious alveolar ridge. The surgery of deepening vestibule of the maxilla ridge was done by using tentative miniscrew combined with old denture and soft liner. The osseointegrated dental implants were installed over symphyseal region of the mandible to act as retentive devices for prostheses. In addition, functional reline with rebase material to build buccal-tongue contact over the retromolar area after denture delivery obtained high satisfaction from the patient. Many clinical conditions cannot be managed solely with implants or preprosthetic surgery alone, whereas a combination of the 2 can achieve successful outcome.

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