Computer planned implant-orthognathic rehabilitation: a case of one step surgical procedure with implants insertion, Le Fort I advancement, grafting and immediate loading


Submitted: 9 June 2017
Accepted: 9 June 2017
Published: 30 December 2009
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Authors

  • Francesco Grecchi Dipartimento di Chirurgia Maxillofacciale, Istituto Ortopedico Galeazzi, Milano, Italy.
  • Matteo Danza Corso di laurea in Odontoiatria, Università di Pescara-Chieti, Italy.
  • Raffaella Bianco Dipartimento di Chirurgia Maxillofacciale, Istituto Ortopedico Galeazzi, Milano, Italy.
  • Antonina Parafioriti Dipartimento di Anatomia Patologica, Istituto Ortopadico Gaetano Pini, Milano, Italy.
  • Francesco Carinci Dipartimento di Chirurgia Maxillofacciale, Università di Ferrara, Ferrara, Italy.
Aim 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.

Supporting Agencies


Grecchi, F., Danza, M., Bianco, R., Parafioriti, A., & Carinci, F. (2009). Computer planned implant-orthognathic rehabilitation: a case of one step surgical procedure with implants insertion, Le Fort I advancement, grafting and immediate loading. Journal of Osseointegration, 1(3), 95–103. https://doi.org/10.23805/jo.2009.01.03.03

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