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J Prosthet Dent. 2015 Mar;113(3):163-8. doi: 10.1016/j.prosdent.2014.07.017. Epub 2014 Nov 25.

Immediate rehabilitation of the posterior maxilla with extensive sinus pneumatization with one axial and one trans-sinus tilted implant: a 3-year clinical report and a classification.

Author information

1
Head, Advanced Oral Surgery Unit, Department of Dentistry, Vita Salute University, San Raffaele Hospital, Milan, Italy. Electronic address: e.agliardi@studioagliardi.it.
2
Adjunct Assistant Professor, Advanced Oral Surgery Unit, Department of Dentistry, Vita Salute University, San Raffaele Hospital, Milan, Italy.
3
Private practice, Z├╝rich, Switzerland.
4
Associate Professor, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia, Italy.
5
Professor and Chairman, Department of Dentistry, Vita Salute University, San Raffaele Hospital, Milan, Italy.

Abstract

Implant rehabilitation of the posterior maxilla can entail difficulties due to reduced bone quantity and poor bone quality, especially after long-term edentulism. In some patients, multiple surgeries are necessary, which may lead to higher patient morbidity and longer treatment times before a prosthetic rehabilitation can be achieved. This article presents an immediate fixed prosthesis in a posterior atrophic maxilla supported by 1 anterior axial implant and 1 posterior tilted fixture placed with an intrasinus insertion. Additionally, a classification scheme for immediate treatment for the posterior maxilla based on the available residual bone is provided.

PMID:
25449610
DOI:
10.1016/j.prosdent.2014.07.017
[Indexed for MEDLINE]

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