Reconstrução óssea 3D em região anterior de maxila: um relato de caso

Abstract

3D bone reconstruction in the anterior maxilla: a case report Rehabilitation with osseointegrated implants has been presented as one of the best alternatives to replace lost dental elements, however, the treatment presents threatening challenges to achieve success. The progressive loss of bone tissue after a tooth loss is one of the most challenging. Khoury et al. described the stabilization of autogenous split thin blocks, stabilized by micro screws and filled with particulate bone, with the objective of three-dimensional gains. The aim of this study is to review the literature about the use of three-dimensional surgical techniques and describe a clinical case of bone reconstruction in the anterior region of the maxilla, from planning to installation of osseointegrated implants using a variation of the Khoury technique and presenting their respective advantages and disadvantages. The treatment was carried out in 5 phases, in which, in addition to bone reconstruction, soft tissue gain techniques were performed, resulting in the feasibility of installing 4 osseointegrated implants for subsequent prosthetic rehabilitation.