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Posterior maxillary ostectomy for mandibular implant insertion

S Basa1, E Belli

  • 1Department of Oral and Maxillofacial Surgery, University of Marmara Dental Faculty, Istanbul, Turkey.

The International Journal of Adult Orthodontics and Orthognathic Surgery
|January 1, 1995
PubMed
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Posterior maxillary ostectomy successfully created needed space for a dental implant in the jaw. This surgical technique addressed extruded molars, enabling implant placement in the posterior mandibular ridge.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Implant Dentistry
  • Restorative Dentistry

Background:

  • Extrusion of maxillary molars into the edentulous mandibular region presents a challenge for prosthetic rehabilitation.
  • Limited interarch space due to extruded teeth complicates implant placement and restoration.

Observation:

  • A patient presented with left maxillary molars extruded into the opposing edentulous mandibular area.
  • The extruded molars occupied the space intended for a mandibular implant restoration.

Findings:

  • Posterior maxillary ostectomy was performed to vertically reposition the maxillary molars.
  • The ostectomy effectively gained sufficient interarch space for prosthetic rehabilitation.
  • A single screw implant was successfully placed in the edentulous posterior mandibular ridge simultaneously.

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Implications:

  • Posterior maxillary ostectomy is an effective surgical option for managing extruded molars in implant dentistry.
  • This procedure facilitates predictable implant placement and restoration in challenging edentulous spaces.
  • Simultaneous implant placement after ostectomy can streamline treatment for complex dental cases.