Dental Academy for Continuing Professional Development, Karlsruhe, Germany.
J Oral Implantol. 2024 Jun 1;50(3):173-177. doi: 10.1563/aaid-joi-D-23-00130.
This case report of a 45-year-old patient at initial presentation shows an illustration of the limitations of periodontal maintenance therapy and subsequent implant prosthetic therapy. In close consultation with the patient, treatment strategies were adopted to maximize the preservation of prognostically questionable teeth. Eight years later, the patient had a highly atrophied maxilla that could be successfully restored with implants. This was achieved with 2 zygoma implants and 2 anterior conventional implants, which were immediately loaded according to the All-on-4 concept and immediately provided with a definitive prosthetic restoration. The case report demonstrates to the general practitioner that using zygoma implants in such constellations may offer a solution to achieve a fixed, rapid, and financially acceptable prosthetic rehabilitation.
本病例报告介绍了一位 45 岁患者的初始表现，说明了牙周维护治疗和后续种植修复治疗的局限性。在与患者密切协商后，我们采取了治疗策略，以最大限度地保留预后有问题的牙齿。八年后，患者的上颌骨严重萎缩，但可以通过植入物成功修复。我们使用 2 颗颧骨种植体和 2 颗前常规种植体，根据“All-on-4”理念即刻负载，并立即提供了最终的修复体。本病例报告向全科医生展示了在这种情况下使用颧骨种植体可能是一种解决方案，可以实现固定、快速和经济上可接受的修复体。
