Cardoso Frederico Rodger Gomes Rodrigues, Grillo Ricardo
Department of Oral and Maxillofacial Surgery, Faculdade Patos de Minas, Brasília-DF, Brazil.
Department of Oral and Maxillofacial Surgery, Faculdade Patos de Minas, Brasília-DF, Brazil; Oral and Maxillofacial Surgery Training Program, Foundation of Dentistry - Fundecto, University of São Paulo, São Paulo-SP, Brazil.
J Stomatol Oral Maxillofac Surg. 2024 Nov 17;126(5):102154. doi: 10.1016/j.jormas.2024.102154.
Despite technological advancements, maxillary rehabilitation remains a significant challenge in Oral and Maxillofacial Surgery. This paper presents the case of a patient who underwent multiple previous procedures for prosthetic rehabilitation without achieving the desired results. The most recent intervention, which resulted in some sequelae, involved the placement of bilateral zygomatic implants. After unsuccessful attempts to maintain these implants, the decision was made to remove them and place a custom subperiosteal implant, produced via additive manufacturing. The patient has now been successfully rehabilitated with these implants for over a year, with no complaints and a notable improvement in her quality of life. The rehabilitation of severely atrophic maxillae using custom subperiosteal implants has proven to be an excellent alternative, offering predictability, the possibility of virtual planning and simulation, and the ability to rehabilitate extensive bone defects.
尽管技术不断进步，但在上颌骨修复方面，口腔颌面外科仍面临重大挑战。本文介绍了一名患者的病例，该患者此前接受了多次修复性手术，但均未取得理想效果。最近一次干预是植入双侧颧骨种植体，这导致了一些后遗症。在维持这些种植体的尝试失败后，决定将其取出，并植入通过增材制造生产的定制骨膜下种植体。该患者现已使用这些种植体成功修复一年多，没有任何不适，生活质量也有显著改善。事实证明，使用定制骨膜下种植体修复严重萎缩的上颌骨是一种极佳的选择，具有可预测性、虚拟规划和模拟的可能性，以及修复大面积骨缺损的能力。
