Segmental osteotomy of the maxilla in the aesthetic area to enable rehabilitation with dental implants: case report

Authors

DOI:

https://doi.org/10.33448/rsd-v9i9.7525

Keywords:

Dental implantation; Maxillary osteotomy; Dental esthetics; Oral surgery; Oral surgical procedures.

Abstract

Currently, the success of rehabilitation with implants has aroused in patients the interest and hope to smile again after having undergone tooth extractions in the past, and for the fact of not adapting to the use of conventional dental prostheses for a long time. The segmental maxillary osteotomy procedure is a viable treatment proposal for patients who present a decrease in the anterior vertical dimension of the maxilla, due to the chronic resorptive process in the region, making implant-supported rehabilitation more satisfactory. In view of the need to correct maxillary discrepancies in a single surgical procedure, some aspects must be taken into account, such as: patient selection, surgical and prosthetic planning and the determination of a more predictable type of treatment, from the patient's perspective. The objective of this work is to report a clinical case of a patient who underwent segmental osteotomy en bloc of the anterior region of the maxilla, prior to implant-supported rehabilitation. A female patient came to the service complaining of discomfort due to using dental prosthesis for a long time. Upon initial clinical and imaging examination, the need to increase bone height in the anterior region of the maxilla was found. It was proposed for the case to perform a segmental osteotomy of the anterior region of the maxilla to gain bone height in the region that allowed a functional and aesthetic rehabilitation for the patient. With this case, it can be concluded that the block segmental osteotomy procedure of the anterior region of the maxilla for aesthetic correction is effective and requires adequate planning to obtain satisfactory aesthetic results.

References

Baptista, J. M. (2004). Ortodontia personalizada. São Paulo: Ed. Santos.

Freitas, A. & Ottoboni, T. Elementos Constituintes do Sorriso e PlanejamentoReverso (2017). In: Sato, C. & Sapata, A. (Org.). Simple: Uma Abordagem Simples em Resinas Compostas (Anatomia, Escultura e Protocolos Clínicos) (v. 1, p. 40-61). São Paulo: Napoleão Livros.

Hämmerle, C. H., Araújo, M. G., Simion, M., & Osteology Consensus Group 2011. (2012). Evidence‐based knowledge on the biology and treatment of extraction sockets. Clinical oral implants research, 23, 80-82.

Huynh‐Ba, G., Pjetursson, B. E., Sanz, M., Cecchinato, D., Ferrus, J., Lindhe, J., & Lang, N. P. (2010). Analysis of the socket bone wall dimensions in the upper maxilla in relation to immediate implant placement. Clinical oral implants research, 21(1), 37-42.

Júnior, A. C. F., Goiato, M. C., Pellizzer, E. P., Rocha, E. P., & de Almeida, E. O. (2010). Aesthetic approach in single immediate implant-supported restoration. Journal of Craniofacial Surgery, 21(3), 792-796.

Kamal, D., Abida, S., Jammet, P., Goudot, P., & Yachouh, J. (2009). Outcome of oral implants after autogenous bone reconstruction. Revue de Stomatologie et de Chirurgie Maxillo-faciale, 110(2), 86.

Maior, B. S. S., Maior, H. F. S., & Oliveira, R. G. (2003). Enxerto ósseo autógeno em seio maxilar com implantes imediatos: uma alternativa terapêutica para maxilas atróficas. Estação Ciência, 1-9.

Margoni Neto, O. (2012). Osteotomia segmentar de maxila caso clínico. Dissertação (Mestrado em Ortodontia), Universidade Metodista de São Paulo, São Bernardo do Campo, SP, Brasil.

Mazzoretto, R., Passeri, L. A., Moreira, R. W. F., & Scheidegger Silva, L. (2000). Avaliação da eficácia de enxertos de sínfise mandibular na reconstrução de defeitos ósseos em região anterior de maxila: estudo por meio de tomografia convencional linear. Rev. bras. implantodontia, 6 (1):19-22.

Miguel Junior, H., Beltrão, C. F., Furlani, J. C., Kassardjian, F., Mugayar, L. R., & Genovese, W. J. (2016). Enxerto ósseo em bloco autógeno na maxila: relato de caso clínico. Revista da Associacao Paulista de Cirurgioes Dentistas, 70(2), 198-203.

Molon, R. S., de Ávila, É. D., de Melo, W. M., Filho, V. A. P., & Hochuli-Vieira, E. (2009). Reconstrução de maxila atrófica utilizando enxerto ósseo homógeno. Rev. Cir. Traumatol. Buco-Maxilo-fac., 9(4), 25-30.

Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Metodologia do trabalho científico. [e-Book]. Santa Maria. Ed. UAB/NTE/UFSM. Available at: https://repositorio. ufsm. br/bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica. pdf.

Salgado, D. J. R. (2012). Reabilitação com implantes de maxila atrófica-Implantes zigomáticos VS implantes curtos. Monografia (Graduação em Medicina Dentária), Universidade do Porto, Porto, Portugal.

Salmen, F. S., Oliveira, M. R., Gabrielli, M. A. C., Piveta, A. C. G., Pereira Filho, V. A., & Gabrielli, M. F. R. (2017). Enxerto ósseo para reconstrução óssea alveolar. Revisão de 166 casos. Revista do Colégio Brasileiro de Cirurgiões, 44(1), 33-40.

Satpathy, A., Porwal, A., Bhattacharya, A. & Sahu, P.K., 2011. Patient awareness, acceptance and perceived cost of dental Implants as a treatment modality for replacement of missing teeth: A survey in Bhubaneswar and Cuttack. Int J Public Health Dent, 2(1), 1-7.

Silva, T. J. A. (2018). Enxertos e implante na região anterior da maxila. Especialização em Implantodontia. Faculdade de Sete Lagoas, Sete Lagoas – MG.

Slagter, K. W., den Hartog, L., Bakker, N. A., Vissink, A., Meijer, H. J., & Raghoebar, G. M. (2014). Immediate placement of dental implants in the esthetic zone: a systematic review and pooled analysis. Journal of periodontology, 85(7), e241-e250.

Published

30/08/2020

How to Cite

SILVA, R. A. R. da .; ALMEIDA NETO, L. F. de; MARCELINO, K. P.; CARDOSO, L. C. L. .; DANTAS, E. M. .; BARBOSA, G. A. S. .; MACÊDO, F. C. de; GONDIM, A. L. M. F. . Segmental osteotomy of the maxilla in the aesthetic area to enable rehabilitation with dental implants: case report. Research, Society and Development, [S. l.], v. 9, n. 9, p. e594997525, 2020. DOI: 10.33448/rsd-v9i9.7525. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/7525. Acesso em: 22 nov. 2024.

Issue

Section

Health Sciences