Journal of Prosthetic Dentistry
Volume 103, Issue 3 , Pages 133-138 , March 2010

Treatment of a severely atrophic maxilla using an immediately loaded, implant-supported fixed prosthesis without the use of bone grafts: A clinical report

  • Jeffrey S. Sherry, DDS, MSD

      Affiliations

    • Private practice, Douglasville, Ga.
  • ,
  • Thomas J. Balshi, DDS

      Affiliations

    • Private practice, Fort Washington, Pa.
    • Corresponding Author InformationCorresponding author: Mr Stephen F. Balshi, PI Dental Center, Institute for Facial Esthetics, 467 Pennsylvania Ave, Ft. Washington, PA 19034, Fax: 215-643-1149
  • ,
  • Lawrence O. Sims, DDS

      Affiliations

    • Private practice, Atlanta, Ga.
  • ,
  • Stephen F. Balshi, MBE

      Affiliations

    • Private practice, Fort Washington, Pa; dental laboratory, Mahwah, NJ.

References 

  1. Carlsson GE , Bergman B , Hedegård B . Changes in contour of the maxillary alveolar process under immediate dentures. A longitudinal clinical and x-ray cephalometric study covering 5 years . Acta Odontol Scand . 1967;25:45–75
  2. Tallgren A . The continuing reduction of the residual alveolar ridges in complete denture wearers: a mixed-longitudinal study covering 25 years . J Prosthet Dent . 1972;27:120–132
  3. Carlsson GE . Responses of jawbone to pressure . Gerodontology . 2004;21:65–70
  4. Gomes KU , Carlini JL , Biron C , Rapoport A , Dedivitis RA . Use of allogeneic bone graft in maxillary reconstruction for installation of dental implants . J Oral Maxillofac Surg . 2008;66:2335–2338
  5. Trombelli L , Farina R , Marzola A , Itro A , Calura G . GBR and autogenous cortical bone particulate by bone scraper for alveolar ridge augmentation: a 2-case report . Int J Oral Maxillofac Implants . 2008;23:111–116
  6. Barone A , Aldini NN , Fini M , Giardino R , Calvo Guirado JL , Covani U . Xenograft versus extraction alone for ridge preservation after tooth removal: a clinical and histomorphometric study . J Periodontol . 2008;79:1370–1377
  7. Norton MR , Odell EW , Thompson ID , Cook RJ . Efficacy of bovine bone mineral for alveolar augmentation: a human histologic study . Clin Oral Implants Res . 2003;14:775–783
  8. Moses O , Nemcovsky CE , Langer Y , Tal H . Severely resorbed mandible treated with iliac crest autogenous bone graft and dental implants: 17-year follow-up . Int J Oral Maxillofac Implants . 2007;22:1017–1021
  9. Güven O . Rehabilitation of severely atrophied mandible using free iliac crest bone grafts and dental implants: report of two cases . J Oral Implantol . 2007;33:122–126
  10. Brånemark PI , Hansson BO , Adell R , Breine U , Lindström J , Hallén O , et al.   Osseointegrated implants in the treatment of the edentulous jaw. Experience from a 10-year period . Scand J Plast Reconstr Surg Suppl . 1977;16:1–132
  11. Brånemark PI , Adell R , Albrektsson T , Lekholm U , Lundkvist S , Rockler B . Osseointegrated titanium fixtures in the treatment of edentulousness . Biomaterials . 1983;4:25–28
  12. Hallman M , Mordenfeld A , Strandkvist T . Bone replacement following dental trauma prior to implant surgery–status . Dent Traumatol . 2009;25:2–11
  13. Del Fabbro M , Rosano G , Taschieri S . Implant survival rates after maxillary sinus augmentation . Eur J Oral Sci . 2008;116:497–506
  14. Babbush CA , Kent JN , Misiek DJ . Titanium plasma sprayed (TPS) screw implants for the reconstruction of the edentulous mandible . J Oral Maxillofac Surg . 1986;44:274–282
  15. Schnitman PA , Wöhrle PS , Rubenstein JE , DaSilva J , Wang NH . Ten-year results for Brånemark implants immediately loaded with fixed prostheses at implant placement . Int J Oral Maxillofac Implants . 1997;12:495–503
  16. Becker W , Becker BE , Israelson H , Lucchini JP , Handelsman M , Ammons W , et al.   One-step surgical placement of Brånemark implants: a prospective clinical multicenter study . Int J Oral Maxillofac Implants . 1997;12:454–462
  17. Tarnow DP , Emtiaz S , Classi A . Immediate loading of threaded implants at stage 1 surgery in edentulous arches: ten consecutive case reports with 1- to 5-year data . Int J Oral Maxillofac Implants . 1997;12:319–324
  18. Balshi TJ , Wolfinger GJ . Immediate loading of Brånemark implants in edentulous mandibles: a preliminary report . Implant Dent . 1997;6:83–88
  19. Jaffin RA , Berman CL . The excessive loss of Branemark fixtures in type IV bone: a 5-year analysis . J Periodontol . 1991;62:2–4
  20. Friberg BS , Jemt T , Lekholm U . Early failures in 4,641 consecutively placed Brånemark dental implants: a study from stage I surgery to the connection of the completed prostheses . Int J Oral Maxillofac Implants . 1991;6:142–146
  21. Truhlar RS , Orenstein IH , Morris HF , Ochi S . Distribution of bone quality in patients receiving endosseous dental implants . J Oral Maxillofacial Surg . 1997;55(12 Suppl 5):38–45
  22. Balshi SF , Wolfinger GJ , Balshi TJ . Analysis of 164 titanium oxide-surface implants in completely edentulous arches for fixed prosthesis anchorage using the pterygomaxillary region . Int J Oral Maxillofac Implants . 2005;20:946–952
  23. Aghabeigi B , Bousdras VA . Rehabilitation of severe maxillary atrophy with zygomatic implants. Clinical report of four cases . Br Dent J . 2007;202:669–675
  24. Peñarrocha-Diago M , Uribe-Origone R , Guarinos-Carbó J . Implant-supported rehabilitation of the severely atrophic maxilla: a clinical report . J Prosthodont . 2004;13:187–191
  25. Balshi TJ , Wolfinger GJ , Petropoulos VC . Quadruple zygomatic implant support for retreatment of resorbed iliac crest bone graft transplant . Implant Dent . 2003;12:47–53
  26. Valerón JF , Valerón PF . Long-term results in placement of screw-type implants in the pterygomaxillary-pyramidal region . Int J Oral Maxillofac Implants . 2007;22:195–200
  27. Davo R , Malevez C , Rojas J . Immediate function in the atrophic maxilla using zygoma implants: a preliminary study . J Prosthet Dent . 2007;97(6 Suppl):S44–S51
  28. Tulasne JF . Implant treatment of missing posterior dentition . In:  Albrektsson T ,  Zarb GA editor. The Brånemark osseointegrated implant . Chicago: Quintessence; 1989;p. 103–115
  29. Bedrossian E , Rangert B , Stumpel L , Indresano T . Immediate function with the zygomatic implant: a graftless solution for the patient with mild to advanced atrophy of the maxilla . Int J Oral Maxillofac Implants . 2006;21:937–942
  30. Bedrossian E , Sullivan RM , Fortin Y , Malo P , Indresano T . Fixed-prosthetic implant restoration of the edentulous maxilla: a systematic pretreatment evaluation method . J Oral Maxillofac Surg . 2008;66:112–122
  31. Bedrossian E , Stumpel L , Beckely ML , Indresano T . The zygomatic implant: preliminary data on treatment of severely resorbed maxillae. A clinical report . Int J Oral Maxillofac Implants . 2002;17:861–865
  32. Bedrossian E , Stumpel LJ . Immediate stabilization at stage II of zygomatic implants: rationale and technique . J Prosthet Dent . 2001;86:10–14
  33. Kahnberg KE , Henry PJ , Hirsch JM , Ohrnell LO , Andreasson L , Brånemark PI , et al.   Clinical evaluation of the zygoma implant: 3-year follow-up at 16 clinics . J Oral Maxillofac Surg . 2007;65:2033–2038
  34. Balshi SF , Wolfinger GJ , Balshi TJ . A retrospective analysis of 110 zygomatic implants in a single-stage immediate loading protocol . Int J Oral Maxillofac Implants . 2009;24:335–341
  35. Wehrbein H . Bone quality in the midpalate for temporary anchorage devices . Clin Oral Implants Res . 2009;20:45–49
  36. Jacobs R , Adriansens A , Verstreken K , Suetens P , van Steenberghe D . Predictability of a three-dimensional planning system for oral implant surgery . Dentomaxillofac Radiol . 1999;28:105–111
  37. van Steenberghe D , Naert I , Andersson M , Brajnovic I , Van Cleynenbreugel J , Suetens P . A custom template and definitive prosthesis allowing immediate implant loading in the maxilla: a clinical report . Int J Oral Maxillofac Implants . 2002;17:663–670
  38. van Steenberghe D , Ericsson I , Van Cleynenbreugel J , Schutyser F , Brajnovic I , Andersson M . High precision planning for oral implants based on 3-D CT scanning. A new surgical technique for immediate and delayed loading . Appl Osseoint Res . 2004;4:27–30
  39. Brånemark PI , Albrektsson T , Zarb GA . In: Tissue-integrated prostheses . Chicago: Quintessence; 1985;p. 211–212
  40. van Steenberghe D , Glauser R , Blombäck U , Andersson M , Schutyser F , Pettersson A , et al.   A computed tomographic scan-derived customized surgical template and fixed prosthesis for flapless surgery and immediate loading of implants in fully edentulous maxillae: a prospective multicenter study . Clin Implant Dent Relat Res . 2005;7(Suppl 1):S111–S120
  41. Balshi SF , Wolfinger GJ , Balshi TJ . Guided implant placement and immediate prosthesis delivery using traditional Brånemark System abutments: a pilot study of 23 patients . Implant Dent . 2008;17:128–135
  42. Balshi TJ . The Biotes conversion prosthesis: a provisional fixed prosthesis supported by osseointegrated titanium fixtures for restoration of the edentulous jaw . Quintessence Int . 1985;16:667–677

PII: S0022-3913(10)00032-6

doi: 10.1016/S0022-3913(10)00032-6

Journal of Prosthetic Dentistry
Volume 103, Issue 3 , Pages 133-138 , March 2010