Réhabilitation totale implantoportée bimaxillaire

B. Vialle , G. Payement , L. Richard , D. Cantaloube
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Abstract

The treatment of the totally edentulous by implant prostheses is now current in therapeutic methods. When resorption proceeds the mandible tends to assume a skeletal pseudo-class III relationship to the maxilla, then the surgical correction is necessary to obtain a functional and aesthetic result for implant prostheses. A method of reconstruction by combining a maxillary advancement, a bilateral sinus floor elevation and autologous bone grafts with buccal onlay is suitable for implant placement. This surgical procedure is the preliminary condition to obtain a high success rate in long term of the osseointegrated implant prostheses. The clinical case, seven years ago after prosthetic rehabilitation, can be described the different surgical and prosthesis stages to a successful bi-maxillary implant prostheses.

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全康复双颌种植体
用种植体修复全无牙是目前的一种治疗方法。当吸收进行时,下颌骨倾向于假定与上颌骨的骨骼伪III类关系,那么手术矫正是必要的,以获得植入假体的功能和美学结果。采用上颌前移、双侧窦底抬高、自体骨移植物及颊嵌体相结合的重建方法适合种植体的放置。该手术是获得长期高成功率种植体的前提条件。本临床案例,七年前进行义肢康复后,可以用不同的手术和义肢阶段来描述一个成功的双颌种植义肢。
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Editorial Board Une fusion pour l'ouverture… Comparaison et définition des phénomènes pathologiques péri-implantaires et des étapes thérapeutiques possibles impliquant des implants basaux et crestaux Insuffisance osseuse verticale circonscrite de la région maxillaire postérieure corrigée par un comblement sinusien alloplastique pour un traitement implantaire Le Concept FM-Clip® de SERF® : pour une approche prothétique simple et efficace des petits bridges implantoportés
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