A prosthetic alternative for severely angled implants beneath a maxillary overdenture: a clinical report

Area of Science:

• Dentistry
• Oral Surgery
• Prosthodontics

Background:

• Implant-retained overdentures are a successful treatment, but severe bone resorption poses challenges.
• Anatomical limitations often contraindicate standard osseointegrated implant placement.
• Surgical augmentation is frequently required for patients with significant bone volume deficits.

Observation:

• This clinical report details a dental rehabilitation case in a patient with a severely resorbed edentulous maxilla.
• The patient presented with significant bone volume loss and anatomical limitations.
• Standard implant placement was not feasible without prior surgical intervention.

Findings:

• The use of angled implants provided a straightforward solution to overcome severe maxillary bone resorption.
• A combination of a bar on the right and individual pillars on the left side addressed implant inclination.
• This prosthetic solution achieved both functional and aesthetic outcomes for the patient.

Implications:

• Angled implants can be a valuable alternative to bone grafting procedures in severely atrophic maxillas.
• This technique expands treatment options for patients previously considered unsuitable for implant-retained overdentures.
• Achieving functional and aesthetic rehabilitation is possible even with significant anatomical challenges.