Abstract

VILLARREAL-RENEDO, Pedro et al. Simultaneous orthognathic surgery and implant-supported rehabilitation using customized subperiosteal or supraosseous implants. Rev Esp Cirug Oral y Maxilofac [online]. 2023, vol.45, n.1, pp.26-30.  Epub June 26, 2023. ISSN 2173-9161.  https://dx.doi.org/10.20986/recom.2023.1407/2022.

We present a clinical case in which, using subperiosteal or supraosseous implants, that is to say, three-dimensional personalized metallic titanium structures manufactured digitally, we have managed to achieve two objectives at the same time: 1) correction of a severe facial deformity, and 2) furnish the patient with fixations or implants for the implant-supported rehabilitation of her complete maxillary edentulism. We are not aware of any similar case published in the literature to date.

We believe that this new, relatively simple technique can be an alternative to complex surgeries that involve the use of complicated bone grafts, with the consequent savings in time and morbidity for patients who associate maxillary hypoplasia and edentulism with severe bone atrophy.

Keywords : Orthognathic surgery; subperiosteal implants; maxillary hypoplasia; atrophic maxilla; customized implants; facial deformity.

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