Réhabilitation totale implantoportée bimaxillaire

B. Vialle , G. Payement , L. Richard , D. Cantaloube
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Abstract

The treatment of the totally edentulous by implant prostheses is now current in therapeutic methods. When resorption proceeds the mandible tends to assume a skeletal pseudo-class III relationship to the maxilla, then the surgical correction is necessary to obtain a functional and aesthetic result for implant prostheses. A method of reconstruction by combining a maxillary advancement, a bilateral sinus floor elevation and autologous bone grafts with buccal onlay is suitable for implant placement. This surgical procedure is the preliminary condition to obtain a high success rate in long term of the osseointegrated implant prostheses. The clinical case, seven years ago after prosthetic rehabilitation, can be described the different surgical and prosthesis stages to a successful bi-maxillary implant prostheses.

全康复双颌种植体
用种植体修复全无牙是目前的一种治疗方法。当吸收进行时,下颌骨倾向于假定与上颌骨的骨骼伪III类关系,那么手术矫正是必要的,以获得植入假体的功能和美学结果。采用上颌前移、双侧窦底抬高、自体骨移植物及颊嵌体相结合的重建方法适合种植体的放置。该手术是获得长期高成功率种植体的前提条件。本临床案例,七年前进行义肢康复后,可以用不同的手术和义肢阶段来描述一个成功的双颌种植义肢。
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