Santos Pâmela Leticia Dos, Silva Gustavo Henrique Souza, da Silva Raquel Damazia, Da Silva Pereira Fernanda Rayssa, Gulinelli Jéssica Lemos
*Assistant Professor, Department of Postgraduation, Universidade do Sagrado Coração (USC), Irmã Arminda, Bauru, Brazil. †Departament of Oral and Maxillofacial Surgery, Professor, Universidade São Leopoldo Mandic, R. Dr. José Rocha Junqueira, Campinas, Brazil. ‡Departament of Post Graduate, Student of Dentistry, Universidade do Sagrado Coração (USC), Bauru, Brazil. §Assistant Professor, Department of Postgraduation, Universidade do Sagrado Coração (USC), Bauru, Brazil.
Implant Dent. 2017 Apr;26(2):324-327. doi: 10.1097/ID.0000000000000562.
This study aimed to describe the clinical case of implant placement in the nasopalatine canal as an aid for atrophic maxilla rehabilitation.
The surgical procedure was carried out in 2 stages, the first part consisted of a surgery to lift the maxillary sinus membrane associated with the xenogeneic bone placement and the second part consisted of the surgery for the implants placement, both under local anesthesia. A number of seven osseointegrated implants were placed in the maxilla, one was anchored in the nasopalatine canal region after having its neurovascular content emptied by means of the use of drill threads of the implant system. After 5 months, the implant reopening was carried out, followed by the molding, manufacturing and placement of the protocol-type prosthesis. The case has a 4-year follow-up without any painful symptomatology.
The implant placed in the nasopalatine canal region is a viable option to assist in the rehabilitation with implant-supported prostheses in atrophic maxilla.
本研究旨在描述在鼻腭管植入种植体以辅助上颌骨萎缩修复的临床病例。
手术分两个阶段进行,第一部分包括上颌窦提升术并植入异种骨,第二部分为种植体植入术,均在局部麻醉下进行。在上颌骨植入了7枚骨整合种植体,其中1枚在通过种植体系统的钻螺纹排空其神经血管内容物后,锚固于鼻腭管区域。5个月后,进行种植体再开放,随后进行义齿基托的塑形、制作和安装。该病例随访4年,无任何疼痛症状。
在鼻腭管区域植入种植体是辅助上颌骨萎缩患者进行种植支持式义齿修复的可行选择。