Minimal Invasive Approach in Atrophic Jaws Rehabilitation Using A Reduced Number of Implants

Abstract

Implant-prosthetic rehabilitations of immediate jaws represent a therapeutic possibility with a high success rate and satisfaction for the surgeon and the patient. However, the anatomy of the jaws, periodontal and iatrogenic problems represent limitations to the conventional rehabilitations of edentulous patients and with serious problems of the residual dental elements that would necessary preimplant bone regeneration treatments. These methods are to be considered for patients with a high biological and economic cost, with high morbility and based on the operator experience. For these reasons, the modern implant guidelines are based on clinical protocols that used the residual basal bone without bone regeneration. These methods, well supported by scientific data, provide for an immediate restoration of the function by positioning implants with immediate loading [1-4]. This approach is based on the placement “straight” implants in anterior area and tilted in posterior area. The reduced number of implant rehabilitations, whether they are inclined or not, are proved by numerous scientific studies showing that four implants are sufficient to support a fullarch prosthesis. Since the immediate loading of tilted and axial implants with placement of an immediate provisional prosthesis is proposed as a predictable, fast and cheap method to treat jaws atrophy, the purpose of this article is to illustrate the atrophic jaws rehabilitation with immediate loading of a patients with severe problems of residual dental elements using only basal bone [5-14]. *Corresponding author: Enrico Felice Gherlone, Department of Dentistry, Dean Professor, IRCCS San Raffaele Hospital, Italy. Received Date: June 28, 2019 Published Date: August 01, 2019 ISSN: 2641-1962 DOI: 10.33552/OJDOH.2019.02.000537