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Management of the severely resorbed maxilla using Le Fort I osteotomy
J N Gil1, J D P Claus, F E B Campos
1Department of Oral and Maxillofacial Surgery, University Hospital, College of Dentistry, Santa Catarina Federal University, Florianopolis, Brazil. gil@ccs.ufsc.br
Abstract:
The severely resorbed maxilla poses difficulties for patient rehabilitation. This condition is characterized by the absence of bone for implant therapy and a reversed maxillomandibular relationship. Treatment for this condition is well established, but the correct time for reconstruction, implant therapy and Le Fort I osteotomy may vary. This paper describes a three-step procedure for the management of the severely resorbed maxilla. The three steps are: maxillary bone reconstruction; implant placement and building a fixed prosthesis in class III occlusion; followed by orthognathic surgery.
