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Case Reports
. 2017 Nov 30;10(3):325-334.
doi: 10.11138/orl/2017.10.3.325. eCollection 2017 Jul-Sep.

Surgiplanner: a new method for one step oral rehabilitation of severe atrophic maxilla

A Busato  1 , V Vismara  1 , F Grecchi  2 , E Grecchi  3 , D Lauritano  4
Affiliations
Case Reports

Surgiplanner: a new method for one step oral rehabilitation of severe atrophic maxilla

A Busato et al. Oral Implantol (Rome). .

Abstract

The implant-prosthetic rehabilitation of edentulous upper jaws has always been complex for surgeons and dentists. The lack of bone in both vertical and horizontal dimension does not allow the correct insertion of dental implants. In addition, patients with edentulous upper and lower arch have a loss of vertical dimension of the face and an aged expression. Many surgical techniques have been proposed to increase the bone volume, height and thickness, such as the Le Fort I osteotomy, the bone grafts and the placement of dental implants. Planning these surgical procedures is difficult, because it is not possible to reproduce the movements of osteotomized bone segments in three planes of space. This article describes the treatment of severe atrophy maxilla with a new approach using a new instrument named "Surgiplanner". Surgiplanner is a method that, only using a computerized axial tomography (CAT), allows to obtain a totally predetermined therapeutic result from both an aesthetic and functional point of view, with surgery of severe resorbed jaws. Surgiplanner allows repositioning of segment of the skeleton of the patient's face in a predetermined and controlled way for the best implant-supported oral rehabilitation.

Keywords: atrophy of maxilla; bone; cranio-facial surgery; implant dentistry; severe resorbed maxilla.

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Figures

Figure 1
Figure 1
A patient before a) and after surgical treatment planned with Surgiplanner b).
Figure 2
Figure 2
a) 3D model of a facial skeleton mounted on Surgiplanner; b) prosthetic crowns performed according to Surgiplanner analysis.
Figure 3
Figure 3
Upper denture performed in order assesses the adequacy of the rehabilitation project respect to the objective.
Figure 4
Figure 4
Cephalometric analysis in order to define the relationships between bone bases, vertical dimension of the patient’s face, occlusal plane, position and orientation of the upper and lower incisors.
Figure 5
Figure 5
Surgiplanner additional tools (drilling templates for osteotomy, template for implantology, orientation grids custom-made osteosynthesis) offering the surgeon the possibility to orient the skeletal segments exactly in the position that will allow to insert implants for a better prosthesis.
Figure 6
Figure 6
A 49-year-old Caucasian woman with partial edentulous maxilla. The CAT evidences severe bone loss.
Figure 7
Figure 7
Surgical tools (osteotomy and drilling template, custom made osteosynthesis and template implant) performed with the use of the Surgiplanner.
Figure 8
Figure 8
The final result of one-step oral rehabilitation.
See this image and copyright information in PMC

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