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Berge C, Raoul G, Antunes D, Nicot R, Lauwers L. Severe oligodontia: Towards fully planned pre-prosthetic surgery. JOURNAL OF STOMATOLOGY, ORAL AND MAXILLOFACIAL SURGERY 2023; 124:101573. [PMID: 37562712 DOI: 10.1016/j.jormas.2023.101573] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/19/2023] [Accepted: 07/24/2023] [Indexed: 08/12/2023]
Affiliation(s)
- Charlotte Berge
- Oral Surgery Department, Reims University Hospital, Maison Blanche Hospital, 45 Rue Cognacq-Jay, 51092 Reims France.
| | - Gwenaël Raoul
- Univ. Lille, CHU Lille, INSERM, Department of oral and maxillofacial surgery, U1008 - Advanced Drug Delivery Systems, F-59000 Lille France
| | - David Antunes
- Oral Surgery Department, Reims University Hospital, Maison Blanche Hospital, 45 Rue Cognacq-Jay, 51092 Reims, France
| | - Romain Nicot
- Univ. Lille, CHU Lille, INSERM, Department of oral and maxillofacial surgery, U1008 - Advanced Drug Delivery Systems, F-59000 Lille, France
| | - Ludovic Lauwers
- Univ. Lille, CHU Lille, Department of oral and maxillofacial surgery, URL 2694 - METRICS, F-59000 Lille, France
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Lauwers L, Raoul G, Lauwers R, Antunes D, Bovis M, Nicot R. Pre-implant and implant management of oligodontia patients: A 10-year retrospective study. JOURNAL OF STOMATOLOGY, ORAL AND MAXILLOFACIAL SURGERY 2023; 124:101425. [PMID: 36796638 DOI: 10.1016/j.jormas.2023.101425] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/05/2023] [Revised: 02/09/2023] [Accepted: 02/13/2023] [Indexed: 02/17/2023]
Abstract
INTRODUCTION the aim of this study was to report and assess the management and implant rehabilitation of oligodontia patients since its recognition in 2012 by french authorities in the nomenclature. MATERIAL AND METHODS we conducted a retrospective study in the Maxillofacial Surgery and Stomatology Department of the Lille University Hospital between January 2012 and May 2022. Patients had to present an oligodontia recognized under the ALD31 in adulthood, and to have benefited from a pre-implant/implant surgical treatment in the unit. RESULTS a total of 106 patients were included in the study. The mean number of agenesis was 12 per patient. The most missing teeth are the ones at the end of the series. After a pre-implant surgery phase including orthognathic surgery and/or bone grafting, 97 patients benefited from implant placements. The mean age for this phase was 19.38. A total of 688 implants were placed. The median number of implants placed was 6 per patient and 5 patients presented implant failures after or during the osseointegration phase (16 implants lost). The implant success rate was 97.6%. 78 patients benefited from rehabilitations by fixed implant-supported prostheses and 3 by implant-supported mandibular removable prostheses. DISCUSSION The described care pathway seems to us adapted to the patients followed in our department, with good functional and esthetic results. It would be necessary to evaluate on a national scale to adapt the management process.
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Affiliation(s)
- Ludovic Lauwers
- Univ. Lille, CHU Lille, Department of oral and maxillofacial surgery, URL 2694 - METRICS, F-59000 Lille, France.
| | - Gwénaël Raoul
- Univ. Lille, CHU Lille, INSERM, Department of oral and maxillofacial surgery, U1008 - Controlled Drug Delivery Systems and Biomaterial, F-59000 Lille, France
| | | | - David Antunes
- Univ. Lille, CHU Lille, Department of oral and maxillofacial surgery, F-59000 Lille, France
| | - Marine Bovis
- Univ. Lille, CHU Lille, Department of oral and maxillofacial surgery, F-59000 Lille, France
| | - Romain Nicot
- Univ. Lille, CHU Lille, INSERM, Department of oral and maxillofacial surgery, U1008 - Controlled Drug Delivery Systems and Biomaterial, F-59000 Lille, France
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Thuaire A, Nicot R, Raoul G, Lauwers L. Surgical bone augmentation procedures for oral rehabilitation of patients with oligodontia: A review with a systematic approach. JOURNAL OF STOMATOLOGY, ORAL AND MAXILLOFACIAL SURGERY 2023; 124:101370. [PMID: 36567052 DOI: 10.1016/j.jormas.2022.101370] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/21/2022] [Revised: 12/12/2022] [Accepted: 12/20/2022] [Indexed: 12/24/2022]
Abstract
Oligodontia is a developmental dental anomaly defined by the absence of 6 or more permanent teeth, excluding the third molars. We performed a review with a systematic approach and proposed a guideline for the choice of the bone augmentation surgery. The different bone augmentation technique terms were searched in the PubMed and Science Direct database. Clinical studies were eligible if they reported on pre-implant surgery in patients with oligodontia. The database search yielded 400 studies after duplicates removed. Thirty studies were finally included, involving 410 patients. Sixty-three sinus lifts were performed in 37 patients with no failure. Thirteen out of 33 patients with iliac bone transplantation and two out of 24 with parietal bone transplantation had resorption, one out of 4 patients who received allogeneic bone block had complete failure. Seventy-eight patients underwent guided bone regeneration, none had bone loss. No failure was found with the alveolar distraction osteogenesis technique. Four out of thirteen patients developed permanent hypoesthesia after inferior alveolar nerve transposition. The cumulative implant survival rate was 94.4% after bone augmentation procedures. Extensive edentulous areas should be grafted with parietal bone, as iliac grafts present a greater risk of resorption. Smaller edentulous areas should be treated by endobuccal harvesting or guided bone regeneration. Osteogenesis distraction and nerve transposition are effective surgeries for medium-to-large mandibular edentulous spaces. The implant survival rate is not significantly different between implants placed in grafted and nongrafted bone, the appropriate choice of bone augmentation technique can reduce the risk of peri‑implant bone resorption.
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Affiliation(s)
- Antoine Thuaire
- University Lille, CHU Lille, Department of Oral and Maxillofacial Surgery, F-59000 Lille, France.
| | - Romain Nicot
- University Lille, CHU Lille, INSERM, Department of Oral and Maxillofacial Surgery, U1008 - Controlled Drug Delivery Systems and Biomaterial, F-59000 Lille, France
| | - Gwénaël Raoul
- University Lille, CHU Lille, INSERM, Department of Oral and Maxillofacial Surgery, U1008 - Controlled Drug Delivery Systems and Biomaterial, F-59000 Lille, France
| | - Ludovic Lauwers
- University Lille, CHU Lille, Department of Oral and Maxillofacial Surgery, URL 2694 - METRICS, F-59000 Lille, France
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Laventure A, Lauwers L, Nicot R, Kyheng M, Ferri J, Raoul G. Autogenous bone grafting with conventional implants vs zygomatic implants for atrophic maxillae: a retrospective study of the oral health-related quality of life. JOURNAL OF STOMATOLOGY, ORAL AND MAXILLOFACIAL SURGERY 2022; 123:e782-e789. [PMID: 35817319 DOI: 10.1016/j.jormas.2022.06.028] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/01/2022] [Revised: 06/19/2022] [Accepted: 06/20/2022] [Indexed: 11/24/2022]
Abstract
INTRODUCTION Autogenous bone grafting (ABG)-combined or not with Le Fort I osteotomy (LFIO)-and zygomatic implants (ZI) are two reliable techniques for the fixed rehabilitation of atrophic maxillae. ZI allow a reduced treatment duration with no need to graft, immediate loading and in principle less morbidity. The aim of this retrospective study was to compare these two protocols on oral health-related quality of life (OHRQoL). We also discussed implant and prosthetic survival rates, and biological complications. MATERIAL AND METHODS All patients who benefited from ZI or ABG with conventional implants (CI) for a fixed maxillary rehabilitation, from November 2011 to April 2019, were included: 21 patients in the ABG group and 22 in the ZI group. OHRQoL was evaluated postoperatively by OHIP-14 questionnaire. RESULTS OHIP-14 median scores were respectively 6.5 (interquartile range [IQR] 2.0-13.0) and 6.0 (IQR 3.0-10.0) without significant difference (p = 0.97). Implant/prosthetic survival rates were 97.9%/100% and 97.1%/95.5%. Biological complications rates were 33.3% and 36.4% without significant difference (p = 0.83). DISCUSSION The type of surgery or prosthesis does not seem to affect final OHRQoL, implant and prosthetic survival rates or biological complications rates.
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Affiliation(s)
- Alexandre Laventure
- University of Lille, F-59000 Lille, France; Department of oral and maxillofacial surgery, Roger Salengro hospital, Lille university hospital, Boulevard du Professeur Émile Laine, F-59000 Lille, France.
| | - Ludovic Lauwers
- University of Lille, F-59000 Lille, France; Department of oral and maxillofacial surgery, Roger Salengro hospital, Lille university hospital, Boulevard du Professeur Émile Laine, F-59000 Lille, France; University of Lille, Lille university hospital, ULR 2694 - METRICS: évaluation des technologies de santé et des pratiques médicales, F-59000 Lille, France
| | - Romain Nicot
- University of Lille, F-59000 Lille, France; Department of oral and maxillofacial surgery, Roger Salengro hospital, Lille university hospital, Boulevard du Professeur Émile Laine, F-59000 Lille, France; Inserm, U1008, Controlled Drug Delivery Systems and Biomaterials, F-59000 Lille, France
| | - Maéva Kyheng
- University of Lille, F-59000 Lille, France; University of Lille, Lille university hospital, ULR 2694 - METRICS: évaluation des technologies de santé et des pratiques médicales, F-59000 Lille, France; Lille university hospital, department of biostatistics, F-59000 Lille, France
| | - Joël Ferri
- University of Lille, F-59000 Lille, France; Department of oral and maxillofacial surgery, Roger Salengro hospital, Lille university hospital, Boulevard du Professeur Émile Laine, F-59000 Lille, France; Inserm, U1008, Controlled Drug Delivery Systems and Biomaterials, F-59000 Lille, France
| | - Gwénaël Raoul
- University of Lille, F-59000 Lille, France; Department of oral and maxillofacial surgery, Roger Salengro hospital, Lille university hospital, Boulevard du Professeur Émile Laine, F-59000 Lille, France; Inserm, U1008, Controlled Drug Delivery Systems and Biomaterials, F-59000 Lille, France
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Schlund M, Meeus J, Politis C, Ferri J. Management of sinus graft infection-a systematic review. Int J Oral Maxillofac Surg 2021; 51:690-698. [PMID: 34556376 DOI: 10.1016/j.ijom.2021.09.007] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2021] [Revised: 07/06/2021] [Accepted: 09/09/2021] [Indexed: 12/18/2022]
Abstract
Sinus graft infections are rare but serious complications, as they are associated with significant morbidity and sinus graft loss. The aim of this study was to systematically review the management of sinus graft infection in order to define which protocols should be implemented. The terms searched in each database were "sinus graft infection management", "maxillary sinus lift infection", "maxillary sinus graft infection", "maxillary sinus elevation infection", and "maxillary sinus augmentation infection". The management of the sinus graft infection was assessed. The outcomes evaluated were maxillary sinus health and dental implantation results. The initial search yielded 1190 results. Eighteen articles were included, reporting a total of 3319 patients and 217 sinus graft infections. Drainage was performed with an intraoral approach in 13 studies, an endoscopic approach in two studies, and a combined approach in three studies. In every study, a disease-free sinus was finally obtained in all patients, but the outcomes of the graft and the dental implant were more varied. It is not possible to define the best treatment protocol for sinus graft infections based on the published data, since the level of evidence is poor. Management is very heterogeneous. This review highlights the necessity of surgical treatment associated with antibiotic therapy.
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Affiliation(s)
- M Schlund
- Université de Lille, CHU Lille, INSERM, Service de Chirurgie Maxillo-Faciale et Stomatologie, U1008 - Controlled Drug Delivery Systems and Biomaterial, Lille, France.
| | - J Meeus
- OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, KU Leuven and Department of Oral and Maxillofacial Surgery, University Hospitals Leuven, Leuven, Belgium
| | - C Politis
- OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, KU Leuven and Department of Oral and Maxillofacial Surgery, University Hospitals Leuven, Leuven, Belgium
| | - J Ferri
- Université de Lille, CHU Lille, INSERM, Service de Chirurgie Maxillo-Faciale et Stomatologie, U1008 - Controlled Drug Delivery Systems and Biomaterial, Lille, France
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Bokobza A, Lauwers L, Raoul G, Nicot R, Ferri J. Implant repositioning with segmental osteotomy. JOURNAL OF STOMATOLOGY, ORAL AND MAXILLOFACIAL SURGERY 2021; 123:2-8. [PMID: 33706026 DOI: 10.1016/j.jormas.2021.02.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/14/2020] [Revised: 01/11/2021] [Accepted: 02/22/2021] [Indexed: 11/29/2022]
Abstract
INTRODUCTION The aim of this study is to assess a pioneering technique for atrophic premaxilla restoration. The objective is to reposition an implant reconstruction zone into a position both anatomically and physiologically suitable for occlusal function. Indeed, unlike the other few articles published on the correctional osteotomy of the implant in an inadequate situation, we have planned here an initially «unsuitable» insertion in order to benefit of the available bone mass. MATERIAL AND METHOD 3 patients aged 14-20 years old (1 woman and 2 men) were operated on at the maxillo-facial department of Lille 2 University Hospital for partial implant-prosthetic rehabilitation on atrophic maxillary and/or mandibular sector. 13 implants were seated (85% in the maxilla) in the native bone then moved subsequently by segmental osteotomy. RESULTS The patients were assessed both clinically and radiologically according to the functional and aesthetic criteria of implant-prosthetic restoration. Functionally, a biomechanically favourable implant/number of teeth ratio (80%) was achieved, with consistent occlusal relationships (centric positioning of the midline point and absence of crossbite) in 100% of cases. Aesthetically, the screw access hole is systematically non-apparent (100%) but has a prosthetically substituted reduced gingivo-alveolar architecture. DISCUSSION These observations suggest that implant repositioning with segmental osteotomy allows for atrophic premaxilla restoration in implanted bone volume whatever the initial angulation. Peri-implant aesthetic difficulties are not specific to the technique suggested here but are quite common to all premaxilla reconstruction techniques. Lastly, this group of three patients is not enough to be conclusive, and a larger group would be necessary to validate this type of management.
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Affiliation(s)
- Allan Bokobza
- Univ. Lille, Department of Oral and Maxillofacial Surgery, CHU Lille, F-59000 Lille, France.
| | - Ludovic Lauwers
- Univ Lille, CHU Lille, CERIM EA2694, Department of Oral and Maxillofacial Surgery, F-59000 Lille, France
| | - Gwénaël Raoul
- Univ. Lille, CHU Lille, Inserm, Department of Oral and Maxillofacial Surgery, U 1008 - Controlled Drug Delivery Systems and Biomaterials, F-59000 Lille, France
| | - Romain Nicot
- Univ. Lille, CHU Lille, Inserm, Department of Oral and Maxillofacial Surgery, U 1008 - Controlled Drug Delivery Systems and Biomaterials, F-59000 Lille, France
| | - Joël Ferri
- Univ. Lille, CHU Lille, Inserm, Department of Oral and Maxillofacial Surgery, U 1008 - Controlled Drug Delivery Systems and Biomaterials, F-59000 Lille, France
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Mavriqi L, Lorusso F, Conte R, Rapone B, Scarano A. Zygomatic implant penetration to the central portion of orbit: a case report. BMC Ophthalmol 2021; 21:121. [PMID: 33676433 PMCID: PMC7936463 DOI: 10.1186/s12886-021-01846-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2020] [Accepted: 02/04/2021] [Indexed: 11/24/2022] Open
Abstract
Background Zygomatic implants have been proposed in literature for atrophic maxillary fixed oral rehabilitations. The aim of the present research was to evaluate, by a clinical and tomography assessment, a surgical complication of a zygomatic implant penetration to the orbit. Case presentation A 56 year-old female patient was visited for pain and swelling in the left orbit after a zygomatic implant protocol. The orbit invasion of the zygomatic implant screw was confirmed by the CBCT scan. The patient was treated for surgical implant removal and the peri- and post-operative symptoms were assessed. No neurological complications were reported at the follow-up. The ocular motility and the visual acuity were well maintained. No purulent secretion or inflammatory evidence were reported in the post-operative healing phases. Conclusion The penetration of the orbit during a zygomatic implant positioning is a surgical complication that could compromise the sight and movements of the eye. In the present case report, a zygomatic implant removal resulted in an uneventful healing phase with recovery of the eye functions.
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Affiliation(s)
- Luan Mavriqi
- University of Albania University, Tirana, Albania
| | - Felice Lorusso
- Department of Innovative Technologies in Medicine & Dentistry, University of Chieti-Pescara, Chieti, Italy
| | - Roberto Conte
- Department of Basic Medical Sciences, Neurosciences and Sense Organs, "Aldo Moro" University of Bari, 70121, Bari, Italy
| | - Biagio Rapone
- Department of Basic Medical Sciences, Neurosciences and Sense Organs, "Aldo Moro" University of Bari, 70121, Bari, Italy
| | - Antonio Scarano
- Department of Innovative Technologies in Medicine & Dentistry, University of Chieti-Pescara, Chieti, Italy. .,Department of Medical, Oral and Biotechnological Sciences and CAST, University G. D'Annunzio of Chieti-Pescara, Via dei Vestini, 31-66100, Chieti, CH, Italy.
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Staged autogenous calvarial bone grafting and dental implants placement in the management of oligodontia: a retrospective study of 20 patients over a 12-year period. Int J Oral Maxillofac Surg 2021; 50:1511-1520. [PMID: 33648816 DOI: 10.1016/j.ijom.2021.01.014] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2020] [Revised: 11/30/2020] [Accepted: 01/21/2021] [Indexed: 11/22/2022]
Abstract
Oligodontia demands multidisciplinary management due to its repercussions on dentofacial growth. To place implants to realize implant-borne fixed denture, preimplant surgery may be necessary if bone volumes are insufficient. Our aim was to assess bone increase following autogenic bone grafting and to discuss prosthetic options. Twenty patients followed for oligodontia, who underwent bone grafting, were treated from 2008 to 2019. Transversal and vertical bone levels were measured pre- and postoperatively to assess alveolar ridge augmentation. Mean horizontal grafting increase was 4.60 mm [standard deviation (SD) 0.79 mm], mean sinus lift increase was 9.95 mm (SD 2.35 mm). Mean implants placed per patient was 9, mean implants placed on grafted site was 5 per patient. Overall implant survival rate was 100%. All patients benefited from prosthetic procedures when it was planned to perform implant-borne fixed dentures. Within the framework of a complete treatment plan (involving paediatric dentistry, dentofacial orthopaedics, oral and maxillofacial surgery, and prosthodontics), autologous bone grafting combined or not with orthognathic surgery is fully adapted to patients with oligodontia. It allows reconstruction of favourable bone volumes for placement of implants to realize implant-borne fixed dentures, with high implant survival rates and great improvements to quality of life.
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Kämmerer PW, Wolf JM, Dau M, Staedt H, Al-Nawas B, Frerich B, Ottl P. Orthognathic Surgery for Correction of Skeletal Class III Malocclusion Using Osseointegrated Dental Implants: A Clinical Case Letter. J ORAL IMPLANTOL 2020; 46:146-152. [PMID: 31905053 DOI: 10.1563/aaid-joi-d-19-00113] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Affiliation(s)
- Peer W Kämmerer
- Department of Oral, Maxillofacial and Facial Plastic Surgery, University Medical Centre Mainz, Mainz, Germany.,Department of Oral, Maxillofacial and Facial Plastic Surgery, University Medical Centre Rostock, Rostock, Germany
| | - Jens M Wolf
- Department of Prosthodontics and Materials Science, University Medical Centre Rostock, Rostock, Germany
| | - Michael Dau
- Department of Oral, Maxillofacial and Facial Plastic Surgery, University Medical Centre Rostock, Rostock, Germany
| | - Henning Staedt
- Department of Prosthodontics and Materials Science, University Medical Centre Rostock, Rostock, Germany
| | - Bilal Al-Nawas
- Department of Oral, Maxillofacial and Facial Plastic Surgery, University Medical Centre Mainz, Mainz, Germany
| | - Bernhard Frerich
- Department of Oral, Maxillofacial and Facial Plastic Surgery, University Medical Centre Rostock, Rostock, Germany
| | - Peter Ottl
- Department of Prosthodontics and Materials Science, University Medical Centre Rostock, Rostock, Germany
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Rehabilitation of an Extremely Edentulous Atrophic Maxilla with a Pseudoskeletal Class III Relationship. Case Rep Dent 2019; 2019:5696837. [PMID: 31179133 PMCID: PMC6501258 DOI: 10.1155/2019/5696837] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2018] [Accepted: 04/01/2019] [Indexed: 11/24/2022] Open
Abstract
The skeletal class III relationship presents complex dentoalveolar problems, requiring multidisciplinary treatment. In edentulous people, severe atrophy of the jawbone simulates the clinical appearance of a skeletal class III relationship (pseudoskeletal class III), which presents major problems for rehabilitation. This article describes the rehabilitation of a 67-year-old patient with a pseudoskeletal class III relationship. The mandible was restored with two implant-supported bar-retained overdentures using clips for retention. The extremely atrophic maxilla was restored with a combination of sinus augmentation, implant placement, and classic prosthodontic treatment using an electroformed mesostructured overdenture with swivel lock attachments on an implant-supported bar. By performing minimal augmentative and implant surgeries and using the possibilities and advantages of classic prosthetic dentistry, the clinical situation described here could be managed and the atrophic maxilla could be rehabilitated.
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