All-on-4 Hybrid with Extra-Long Transnasal Implants: Descriptions of the Technique and Short-Term Outcomes in Three Cases.

J Clin Med

CIIPO, Rua Germano Wendhausen, 203-3 andar-Centro, Florianópolis 88015-460, Brazil.

Published: June 2024

AI Article Synopsis

  • There is a growing need for new methods to rehabilitate patients with severely resorbed upper jaws (atrophic maxillae) who can't use standard implants.
  • This study explored the use of extra-long transnasal implants alongside zygomatic implants in three elderly female patients, all receiving full-arch fixed prostheses using the all-on-4 method.
  • Results showed no implant failures and only a minor complication (a temporary crown fracture), with generally good oral health outcomes during the follow-up, suggesting potential for further research in this technique.

Article Abstract

: There is a need for alternative approaches to full-arch rehabilitation of atrophic maxillae. The aim of this short case series was to describe the technique and assess the short term-outcomes of atrophic maxillae rehabilitation using transnasal implants in conjunction with zygomatic implants. : Three female patients (average age: 62 years) presenting comorbidities and atrophic maxillae preventing the insertion of standard maxillary anchored implants received a full-arch fixed prosthesis supported by transnasal implants together with zygomatic implants, using the all-on-4 concept. Patients were followed during the functional osseointegration period. Primary outcome measures were prosthetic and implant survival based on function. Secondary outcome measures were complication parameters (biological and mechanical), plaque and bleeding levels, and probing pocket depths > 4 mm. : No implant failures were registered, and all prostheses remained in function. The only complication was a fracture of a provisional crown that was resolved. Plaque and bleeding scores were mild during the follow-up period. : The present manuscript describes the use of extra-long transnasal implants in combination with zygomatic implants in immediate function for full-arch fixed prosthetic rehabilitation of atrophic maxillae, with the objective of promoting more research into this relatively recent technique. More studies are needed to validate the technique.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11172536PMC
http://dx.doi.org/10.3390/jcm13113348DOI Listing

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