INNOVATIVE IMPLANTATION
The patient had a negative experience with implantation in the upper jaw.
Five years ago, six implants were placed in the 1.3–2.3 tooth region (from canine to canine).
After four years, the implants failed due to insufficient bone volume at the time of placement.
At the time the patient came to our clinic, CT scans showed vertical and horizontal bone atrophy down to 0.5–1 mm.
In addition, the disintegration process was accompanied by inflammation of the tissue around the implants and subsequent lysis, resulting in a significant bone defect.
Part of the bony wall forming the floor of the nasal cavity had also been lost.
Five years ago, six implants were placed in the 1.3–2.3 tooth region (from canine to canine).
After four years, the implants failed due to insufficient bone volume at the time of placement.
At the time the patient came to our clinic, CT scans showed vertical and horizontal bone atrophy down to 0.5–1 mm.
In addition, the disintegration process was accompanied by inflammation of the tissue around the implants and subsequent lysis, resulting in a significant bone defect.
Part of the bony wall forming the floor of the nasal cavity had also been lost.
Rehabilitation of such a patient using bone grafting is an option, but it may not provide the desired result due to the high invasiveness of both the recipient and donor sites, the unpredictability of the outcome, and the long rehabilitation period — a minimum of 1.5 to 2 years.
For this reason, the chosen approach for this patient was the installation of two transzygomatic implants (in the zygomatic bone area) to serve as the distal (posterior) support for the future prosthesis (teeth 5–6), and two transnasal implants installed in the shell crest area (Vanderlim technique).
Thus, four implants were placed, and on the day of surgery, a fixed prosthesis was fabricated using the patient’s old removable denture.
The photo shows the patient seven days after the procedure. Swelling is minimal.
The photo shows the patient seven days after the procedure. Swelling is minimal.
Moscow
Outpatient Appointments
Stimul Clinic
121552, Moscow, Yartsevskaya St., 28
Inpatient Care
Ilyinskaya Hospital
143421, Moscow Region, Krasnogorsk Urban District,
Glukhovo village, Rublyovskoye Predmestye St., 2, Building 2
Sochi
(Zygomatic implants, full rehabilitation of upper and lower jaw, orthognathic surgery)
Gur.U Clinic
354000, Sochi, Yunykh Lenintsev St., 1
Outpatient Appointments
Stimul Clinic
121552, Moscow, Yartsevskaya St., 28
Inpatient Care
Ilyinskaya Hospital
143421, Moscow Region, Krasnogorsk Urban District,
Glukhovo village, Rublyovskoye Predmestye St., 2, Building 2
Sochi
(Zygomatic implants, full rehabilitation of upper and lower jaw, orthognathic surgery)
Gur.U Clinic
354000, Sochi, Yunykh Lenintsev St., 1
