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Digital Approach for the Rehabilitation of the Edentulous Maxilla with Pterygoid and Standard Implants: The Static and Dynamic Computer-Aided Protocols

A full-arch rehabilitation of the edentulous upper jaw without grafting procedures exploits the residual alveolar or the basal bone, with the necessity of long implants placed with a particular orientation. The precision in planning and placing the fixtures is fundamental to avoid clinical problems...

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Autores principales: Franchina, Alessio, Stefanelli, Luigi Vito, Gorini, Simone, Fedi, Simone, Lizio, Giuseppe, Pellegrino, Gerardo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7768480/
https://www.ncbi.nlm.nih.gov/pubmed/33371232
http://dx.doi.org/10.3390/mps3040084
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author Franchina, Alessio
Stefanelli, Luigi Vito
Gorini, Simone
Fedi, Simone
Lizio, Giuseppe
Pellegrino, Gerardo
author_facet Franchina, Alessio
Stefanelli, Luigi Vito
Gorini, Simone
Fedi, Simone
Lizio, Giuseppe
Pellegrino, Gerardo
author_sort Franchina, Alessio
collection PubMed
description A full-arch rehabilitation of the edentulous upper jaw without grafting procedures exploits the residual alveolar or the basal bone, with the necessity of long implants placed with a particular orientation. The precision in planning and placing the fixtures is fundamental to avoid clinical problems and to allow an acceptable connection with the prosthesis. The computer-aided implantology resulted in more accuracy than the traditional one, with a high standard of correspondence between the virtual project and the real outcome. This paper reports about the two different digital protocols, static and dynamic, as support to implant-borne prosthetic rehabilitation of edentulous maxillae. Two pterygoid and two/four anterior standard implants were seated in both cases by two different operators, without flap raising, and immediately loaded. This approach avoided the posterior cantilever by-passing the maxillary sinus and was adequately planned and realized without any surgical or prosthetic error. The two digital flow-charts were described step by step, underlining each other’s advantages and drawbacks compared to a free-hand approach.
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spelling pubmed-77684802020-12-29 Digital Approach for the Rehabilitation of the Edentulous Maxilla with Pterygoid and Standard Implants: The Static and Dynamic Computer-Aided Protocols Franchina, Alessio Stefanelli, Luigi Vito Gorini, Simone Fedi, Simone Lizio, Giuseppe Pellegrino, Gerardo Methods Protoc Protocol A full-arch rehabilitation of the edentulous upper jaw without grafting procedures exploits the residual alveolar or the basal bone, with the necessity of long implants placed with a particular orientation. The precision in planning and placing the fixtures is fundamental to avoid clinical problems and to allow an acceptable connection with the prosthesis. The computer-aided implantology resulted in more accuracy than the traditional one, with a high standard of correspondence between the virtual project and the real outcome. This paper reports about the two different digital protocols, static and dynamic, as support to implant-borne prosthetic rehabilitation of edentulous maxillae. Two pterygoid and two/four anterior standard implants were seated in both cases by two different operators, without flap raising, and immediately loaded. This approach avoided the posterior cantilever by-passing the maxillary sinus and was adequately planned and realized without any surgical or prosthetic error. The two digital flow-charts were described step by step, underlining each other’s advantages and drawbacks compared to a free-hand approach. MDPI 2020-12-21 /pmc/articles/PMC7768480/ /pubmed/33371232 http://dx.doi.org/10.3390/mps3040084 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Protocol
Franchina, Alessio
Stefanelli, Luigi Vito
Gorini, Simone
Fedi, Simone
Lizio, Giuseppe
Pellegrino, Gerardo
Digital Approach for the Rehabilitation of the Edentulous Maxilla with Pterygoid and Standard Implants: The Static and Dynamic Computer-Aided Protocols
title Digital Approach for the Rehabilitation of the Edentulous Maxilla with Pterygoid and Standard Implants: The Static and Dynamic Computer-Aided Protocols
title_full Digital Approach for the Rehabilitation of the Edentulous Maxilla with Pterygoid and Standard Implants: The Static and Dynamic Computer-Aided Protocols
title_fullStr Digital Approach for the Rehabilitation of the Edentulous Maxilla with Pterygoid and Standard Implants: The Static and Dynamic Computer-Aided Protocols
title_full_unstemmed Digital Approach for the Rehabilitation of the Edentulous Maxilla with Pterygoid and Standard Implants: The Static and Dynamic Computer-Aided Protocols
title_short Digital Approach for the Rehabilitation of the Edentulous Maxilla with Pterygoid and Standard Implants: The Static and Dynamic Computer-Aided Protocols
title_sort digital approach for the rehabilitation of the edentulous maxilla with pterygoid and standard implants: the static and dynamic computer-aided protocols
topic Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7768480/
https://www.ncbi.nlm.nih.gov/pubmed/33371232
http://dx.doi.org/10.3390/mps3040084
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