Background : Maxillary segmental osteoperiosteal flap with simultaneous placement of dental implants: case report of a novel technique
Obtaining proper occlusal clearance to allow for a single unit crown restoration is a fundamental prerequisite for dental implant restoration. Long-standing edentulous sites are often fraught with disuse atrophy and unopposed supra-eruption of the opposing dentition. In the posterior maxillae/mandible, there are vital structures that have to be mobilized in order to allow space for either bone transposition or onlay/inlay grafting. There are several predictable techniques described to address these preprosthetic alveolar deficiency dilemmas [1–3].
The osteoperiosteal flap technique has made a strong contribution towards management of these defects. Mobilizing a segment of alveolus attached to the overlying soft tissue can obtain uni- or bi-directional augmentation. This case report describes an amplification of a vertical osteoperiosteal flap with concomitant placement of dental implants in a partially edentulous dental arch.
Serial posts:
- Background : Maxillary segmental osteoperiosteal flap with simultaneous placement of dental implants: case report of a novel technique
- Case Presentation : Maxillary segmental osteoperiosteal flap with simultaneous placement of dental implants: case report of a novel technique
- Discussion : Maxillary segmental osteoperiosteal flap with simultaneous placement of dental implants: case report of a novel technique [1]
- Discussion : Maxillary segmental osteoperiosteal flap with simultaneous placement of dental implants: case report of a novel technique [2]
- Conclusions : Maxillary segmental osteoperiosteal flap with simultaneous placement of dental implants: case report of a novel technique
- References : Maxillary segmental osteoperiosteal flap with simultaneous placement of dental implants: case report of a novel technique
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- Fig. 1. Edentulous site with supra-eruption of opposing dentition : Maxillary segmental osteoperiosteal flap with simultaneous placement of dental implant
- Fig. 2. Marked incision site for surgical access : Maxillary segmental osteoperiosteal flap with simultaneous placement of dental implant
- Fig. 3. Direct sinus lift with implant osteotomy preparation : Maxillary segmental osteoperiosteal flap with simultaneous placement of dental implant
- Fig. 4. Vertical repositioning of dental alveolus segment with placement of dental implants : Maxillary segmental osteoperiosteal flap with simultaneous placement of dental implant
- Fig. 5. Occlusal view of implants after vertical repositioning of the dental alveolus segment showing proper mesiodistal space and buccolingual spacing : Maxillary segmental osteoperiosteal flap with simultaneous placement of dental implant
- Fig. 6. Clinical picture 2 years after implant placement : Maxillary segmental osteoperiosteal flap with simultaneous placement of dental implant
- Fig. 7. Orthopantomograph 2 years after implant placement : Maxillary segmental osteoperiosteal flap with simultaneous placement of dental implant