Computer planned implant-orthognathic rehabilitation: a case of one step surgical procedure with implants insertion, Le Fort I advancement, grafting and immediate loading
AbstractAim In the last decade several systems for computerplanned implantology have been reported. Among them is a system that uses a software and a threedimensional parallelometer able to transfer the implant position from the virtual project to the master model. To verify the potentiality of this system, a single step oral rehabilitation was planned in a patient with edentulous maxilla. Materials and methods A 52 year old male patient was referred to the Department of Maxillofacial Surgery, Orthopedic Institute Galeazzi, Milan (Italy), in January 2008. He was almost completely edentulous in the maxilla. A CT scan and a computer planning were performed. The one step oral rehabilitation consisted of a single operation composed by a Le Fort I osteotomy, flapless implant insertion, provisional full arch screwing, maxillary advancement and fixation, gaps grafting. Results After 8 months follow-up no implant was lost and clinical and radiological controls demonstrated the stability of the surgical procedure. Conclusion Computer-planned and cast model transferred implantology is a helpful technology not only for planning prosthodontic rehabilitation but also for implant-orthognathic surgery.
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Copyright (c) 2009 Francesco Grecchi, Matteo Danza, Raffaella Bianco, Antonina Parafioriti, Francesco Carinci
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