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Internal oblique line implants in severe mandibular atrophies
Argimiro Hernández-Suarez1, Luis-Guillermo Oliveros-López2, María-Ángeles Serrera-Figallo3
1DDS, OMS, MSc. PhD student at Dental School, University of Sevilla (Seville, Spain). Director of National Center of Oro-Maxillofacial Surgery and Implants CIBUMAXI, Caracas, Venezuela.
Journal of Clinical and Experimental Dentistry
|December 7, 2020
Summary
Dental implants can be successfully placed in severely atrophied mandibles without bone grafting. This approach restores function and aesthetics in patients with severe atrophy.
Area of Science:
- Oral and Maxillofacial Surgery
- Dental Implantology
- Periodontology
Background:
- Severe mandibular atrophy presents challenges for dental implant placement.
- Traditional methods involve bone grafting or guided bone regeneration.
- These techniques aim to restore bone volume for implant support.
Purpose of the Study:
- To evaluate the feasibility of placing dental implants in severely atrophied mandibles without bone augmentation.
- To assess the long-term outcomes of such implant placements.
Main Methods:
- Twenty-four implants were placed in the anterior sector and on the internal oblique line of six patients with severe mandibular atrophy.
- Patients received implant-supported prostheses.
- A 10-year monitoring period was established.
Main Results:
- All patients achieved successful prosthetic rehabilitation after 12 months.
- Mean marginal bone loss was minimal (+0.11 mm ± 0.53).
- Posterior implants showed slightly less bone loss (+0.06 mm ± 0.48) than anterior implants (+0.14 mm ± 0.57).
Conclusions:
- Dental implants can be effectively placed in the anterior zone and on the internal oblique line in cases of severe mandibular atrophy.
- Adapted implant diameter and length allow for successful prosthetic rehabilitation.
- This single-stage procedure restores phonetic, masticatory, and aesthetic functions with minimal morbidity.
