Rehabilitation of a Patient With Severely Resorbed Maxilla Using IPS® Implants and Full Arch Prosthesis; A Clinical Report.

 

Abstract: 

 Subperiosteal implants have been present for almost 80 years. However, they declined in popularity due to the high complexity, complications, and advancement in bone grafting procedures. The advancements in CAD-CAM technology, CBCTs, and custom-made medical devices provide more treatment alternatives for this population of patients.

Intial presentation: 

 -A 67-year-old female with terminal dentition and a severely resorbed maxilla.

-CC: “I have been seen by multiple dental specialists,I got referred here”.

-Generalized bone resorption, significantly pneumatized sinuses, and thin zygomatic arches.

Diagnostic tools:

-Comprehensive examination and medical history.

-Intra-oral scans and photographs.

-CBCT imaging.

-Mounted cast.

-Treatment plan, review, consent.

 

Treatment plan:

 Extraction of remaining maxillary dentition, IPS® maxillary implant, and a full arch prosthesis.

 

IPS advantages:

-Customization of implants. This patient is provided with an efficient, precise, and more predictable option than conventional endosseousor zygomatic options.

-Predictable planning. The patient was able leave with an interim denture the day of the surgery.