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The International Journal of Oral & Maxillofacial Implants



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Int J Oral Maxillofac Implants 28 (2013), No. 2     15. Mar. 2013
Int J Oral Maxillofac Implants 28 (2013), No. 2  (15.03.2013)

Online Article, Page 613, doi:10.11607/jomi.2575, PubMed:23527367

Online Article: Oral Rehabilitation of an Edentulous Patient Using Two-Segment Le Fort I Repositioning and Implant-Supported Fixed Prostheses
Abdel-Azim, Tamer / Fantuzzo, Joseph / Batalocco, Guido / Cho, Stephen / Ercoli, Carlo / Morton, Dean
Anteroposterior (AP) deficiencies present a restorative treatment challenge. Complex, multidisciplinary planning is necessary for the success of the treatment. This clinical report describes an approach to managing a complex complete oral rehabilitation of an edentulous patient with skeletal transverse and AP deficiencies with a history of facial trauma to the left zygomaticomaxillary complex. This was further complicated by a hopeless remaining dentition and pneumatization of the maxillary sinuses. Treatment included initial bony augmentation of the vertically and horizontally deficient maxilla, dental implant placement, provisional restoration in a Class III malocclusion with bilateral posterior crossbite, and Le Fort I osteotomy with transverse widening and advancement to correct the skeletal deficiency. Definitive restoration was accomplished with implant-supported fixed prostheses that provided ideal facial balance and occlusion.