Management of maxillary posterior inadequate ridge height for prosthetic rehabilitation

Diganta Thube, Nihal Devkar, Akshay Vibhute, Divya Agarwal, Praful Walke
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Abstract

The rehabilitation of patients affected by posterior maxillary atrophy by the aid of implant-supported fixed prosthesis presents a challenge in many cases. The available residual alveolar ridge is insufficient for the placement of dental implants because of alveolar bone resorption, pneumatization of the maxillary sinus, or their combination. Maxillary sinus floor augmentation is the treatment of choice in such cases. Sinus lift procedure can be carried with or without simultaneous implant placement. Recently, various newer techniques have been introduced for sinus floor elevation such as antral membrane balloon elevation, water lift technique, and piezosurgery. Furthermore, short implants and zygomatic implants can also be done in severe posterior atrophied maxilla.
上颌后嵴高度不足的修复治疗
在上颌后牙萎缩患者的康复治疗中,种植体支持的固定假体在很多情况下都是一个挑战。由于牙槽骨吸收、上颌窦气化或两者兼有,可用的残余牙槽嵴不足以放置种植体。上颌窦底增强术是此类病例的首选治疗方法。窦提升术可以同时进行,也可以不同时放置种植体。近年来,窦底抬高的新技术如窦膜球囊抬高、水提技术和压电手术等已被引入。此外,短植体和颧骨植体也可用于严重后萎缩的上颌骨。
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