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Maxillary Rehabilitation using subperiosteal implants associated with a Lefort 1 Osteotomy : a technical note.
C Debortoli1, O Rios1, S Latreche1
1Department of Oral and Maxillofacial Surgery, Head and Neck Institute, University Hospital of Nice, 30 Avenue Valombrose, 06100 Nice, France.
Journal of Stomatology, Oral and Maxillofacial Surgery
|July 17, 2025
Summary
This study combines subperiosteal implants with Le Fort I osteotomy to treat severe maxillary atrophy, reducing the need for prosthetic compensation in patients with skeletal discrepancies.
Area of Science:
- Oral and Maxillofacial Surgery
- Dental Implantology
- Orthognathic Surgery
Background:
- Subperiosteal implants are increasingly used for severe maxillary atrophy.
- Prosthetic compensation is often necessary for skeletal discrepancies.
- This technique aims to minimize prosthetic compensation.
Purpose of the Study:
- To present a surgical technique combining subperiosteal implants and Le Fort I osteotomy.
- To reduce prosthetic compensation in patients with severe maxillary atrophy and skeletal discrepancies.
Main Methods:
- Le Fort I osteotomy and subperiosteal implant placement performed under general anesthesia.
- Implants osteosynthesized following osteotomy with guided positioning for occlusion.
- Surgical expertise is required for this combined approach.
Main Results:
- The combined technique effectively addresses sagittal skeletal discrepancies.
- Reduced need for prosthetic compensation was observed.
- Successful rehabilitation of patients with severe maxillary atrophy.
Conclusions:
- Combining subperiosteal implants with Le Fort I osteotomy is a viable solution.
- This approach minimizes prosthetic compensation.
- It offers an effective treatment for severe maxillary atrophy with skeletal discrepancies.
