Maxillary Rehabilitation using subperiosteal implants associated with a Lefort 1 Osteotomy : a technical note.

IF 2 3区医学 Q2 Dentistry

Journal of Stomatology Oral and Maxillofacial Surgery Pub Date : 2025-07-15 DOI:10.1016/j.jormas.2025.102497

C Debortoli, O Rios, S Latreche, F Afota, R Castro, C Savoldelli

引用次数: 0

Abstract

Introduction: With the advent of digital workflows, subperiosteal implants have experienced a resurgence. They offer a valuable solution for rehabilitating patients with severe maxillary atrophy. However, in cases involving an initial skeletal discrepancy, prosthetic compensation is often required. This report aims to minimize such compensation by combining subperiosteal implants with a Le Fort I osteotomy.

Technical note: Le Fort I osteotomy and subperiosteal implant placement were performed under general anesthesia. The implants were osteosynthesized following the osteotomy, while maintaining proper occlusion through guided positioning.

Conclusion: This technique requires significant surgical expertise. The addition of a Le Fort I osteotomy reduces prosthetic compensation and effectively addresses the sagittal skeletal discrepancy.

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采用骨膜下种植体联合Lefort 1截骨术进行上颌康复：技术说明。

导语：随着数字化工作流程的出现，骨膜下植入经历了复苏。为上颌严重萎缩患者的康复提供了有价值的解决方案。然而，在涉及初始骨骼差异的情况下，通常需要假体补偿。本报告旨在通过骨膜下种植体联合Le Fort I截骨术来减少这种补偿。技术说明：Le Fort I型截骨术和骨膜下植入物在全身麻醉下进行。种植体在截骨后进行骨合成，同时通过引导定位保持适当的咬合。结论：该技术需要大量的外科专业知识。Le Fort I截骨术减少了假体代偿，有效地解决了矢状面骨骼差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Stomatology Oral and Maxillofacial Surgery Dentistry-Oral Surgery

CiteScore

2.20

自引率

9.10%

发文量

305

期刊介绍： J Stomatol Oral Maxillofac Surg publishes research papers and techniques - (guest) editorials, original articles, reviews, technical notes, case reports, images, letters to the editor, guidelines - dedicated to enhancing surgical expertise in all fields relevant to oral and maxillofacial surgery: from plastic and reconstructive surgery of the face, oral surgery and medicine, … to dentofacial and maxillofacial orthopedics. Original articles include clinical or laboratory investigations and clinical or equipment reports. Reviews include narrative reviews, systematic reviews and meta-analyses. All manuscripts submitted to the journal are subjected to peer review by international experts, and must: Be written in excellent English, clear and easy to understand, precise and concise; Bring new, interesting, valid information - and improve clinical care or guide future research; Be solely the work of the author(s) stated; Not have been previously published elsewhere and not be under consideration by another journal; Be in accordance with the journal''s Guide for Authors'' instructions: manuscripts that fail to comply with these rules may be returned to the authors without being reviewed. Under no circumstances does the journal guarantee publication before the editorial board makes its final decision. The journal is indexed in the main international databases and is accessible worldwide through the ScienceDirect and ClinicalKey Platforms.