2022, Number 1
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Odovtos-Int J Dent Sc 2022; 24 (1)
Nasal Wall Oriented Implants for All-on-4 Fix-Detachable Maxillary Reconstruction
Uhlendorf J, Cartelli CA, Trojan LC, Thomé G, Moura MB
Language: English
References: 26
Page: 16-25
PDF size: 374.92 Kb.
ABSTRACT
Immediate loading of full-arch prostheses on dental implants in the upper
arch is challenging, as the bone is of low quality and obtaining sufficient torque may
be difficult. The purpose of this case report is to describe the rehabilitation of a fullarch
by means of placement of four internal tapered connection tilted implants and
immediate loading. A 65-year-old man sought dental care with a partially edentulous
upper arch. The teeth presented mobility and were extracted. In a second step, two
conventional-length implants were placed in the anterior region and two tilted and
nasal wall–directed extra-long implants in the posterior region. The insertion torques of
60 N.cm allowed the installation of an immediate prosthesis (hybrid). The clinical case
report suggests that the placement of tilted and extra-long implants in the paranasal
bone and immediate loading may be a viable option for rehabilitation of the edentulous
upper arch.
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