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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.
Introduction:
With the advent of digital workflows, subperiosteal implants have experienced a resurgence. They offer a valuable solution for rehabilitating patients with severe maxillary atrophy. However, in cases involving an initial skeletal discrepancy, prosthetic compensation is often required. This report aims to minimize such compensation by combining subperiosteal implants with a Le Fort I osteotomy.
Technical Note:
Le Fort I osteotomy and subperiosteal implant placement were performed under general anesthesia. The implants were osteosynthesized following the osteotomy, while maintaining proper occlusion through guided positioning.
Conclusion:
This technique requires significant surgical expertise. The addition of a Le Fort I osteotomy reduces prosthetic compensation and effectively addresses the sagittal skeletal discrepancy.
