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Riabilitazioni immediate parziali e totali sostenute da impianti assiali e inclinati a decorso intrasinusale studio clinico pilota

, : Riabilitazioni immediate parziali e totali sostenute da impianti assiali e inclinati a decorso intrasinusale studio clinico pilota. Italian Oral Surgery 11(5): 117-126

Scopo dell articolo la descrizione di una metodica per la funzionalizzazione immediata dei settori posteriori o dell intera arcata mascellare tramite impianti assiali e inclinati a decorso intrasinusale. Materiali e metodi Otto arcate complete e 1 settori latero-posteriori sono stati riabilitati tre ore dopo l inserimento degli impianti per mezzo di una struttura protesica avvitata totalmente in resina, sostituita sei mesi dopo con una struttura definitiva. Risultati Un totale di 52 impianti stato seguito con un follow-up medio di 24 mesi. Nessun impianto stato perso. Non sono state evidenziate differenze nel riassorbimento osseo marginale tra impianti assiali e inclinati. Conclusioni Questa tecnica pu essere un alternativa terapeutica nei casi di atrofia ossea con estesa pneumatizzazione delle cavit sinusali. of the article is the description of a treatment modality for the immediate fixed rehabilitation of partial and full maxillary arches with the use of axial implants and tilted fixtures with intrasinus insertion. Eight full arches and 1 posterior maxilla sectors have been treated for 3h after the surgery with a screw-retained acrylic resin prosthesis, substituted after six months by final restorations. A total of 52 implants have been followed for an average of 24 months. No implants were lost. No difference was reported in marginal bone loss between axial and tilted implants. This technique could be an alternative approach in case of maxillary bone atrophy with extensive pneumatization of sinus cavities.


DOI: 10.1016/j.ios.2012.03.005

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