Intra-sinusal bone ring concomitant with Le Fort 1 osteotomy: description of a technique
T Gellee1, M Samama2, P Goudot2
1Sorbonne Universite, APHP, Hopital Pitie-Salpetriere, Service de Stomatologie et Chirurgie Maxillo-faciale, 75013 Paris, France; Universite Paris-Est Creteil - APHP, Hopital Pitie-Salpetriere, Service de Chirurgie Maxillo-Faciale, F-75013, Paris, France.
Aim:
To present a technical note on intra-sinusal bone ring concomitant with Le Fort 1 osteotomy.
Material And Method:
A 57-year-old man was referred to our Department for full-mouth rehabilitation. Oral examination identified: uncompensated multiple tooth loss and a class 3 skeletal malocclusion. The treatment plan consisted in a Le Fort 1 osteotomy and short-arch dental implant rehabilitation. Intra-sinusal bone ring technique associated with Le Fort 1 osteotomy were carried out under general anaesthesia.
Result:
High primary retention was clinically observed of both the implant and the bone graft. Radiographic follow-up demonstrated satisfactory healing of the graft and implant osseointegration.
Conclusion:
Bone ring technique concomitant with Le Fort 1 osteotomy seems to be appropriate to correct jaw discrepancy associated to a single tooth loss of the upper molar region with residual bone height of at least 3 mm to ensure implant primary stability.
