Complete rehabilitation for edentulism without bone grafting: a solution for a 70-year-old patient

  1. A 70-year-old patient contacted with complaints of partial edentulism and poor retention of removable dentures. This is a typical situation in which quality of life is significantly reduced: chewing, speech and self-confidence are all compromised.
  1. Following a comprehensive clinical and radiographic examination, a decision was made to proceed with complete rehabilitation: extraction of the remaining teeth and placement of implants followed by prosthetic restoration.
  1. Special attention was paid to the anatomical conditions of the upper jaw – moderate bone atrophy and pneumatization of the maxillary sinuses were noted. In such cases, the classic approach often requires a sinus lift and bone grafting which increases the duration and cost of treatment.
  1. We chose more modern and minimally invasive strategy: • 2 implants in the anterior area • 1 angled implant on the left • 1 zygomatic implant on the right • 2 pterygoid implants in the area of the maxillary tuberosities This approach allowed us to: • completely avoid a sinus lift • shorten the treatment duration • reduce costs by eliminating the need for bone grafting
  1. The surgery was performed under general anesthesia and took around 5 hours. The entire surgical stage was completed during this time.
  1. Within a week, the patient was fitted with two FP-3 temporary prostheses, color A2, with artificial gums and anatomically calibrated teeth. At this stage, the patient: • strictly follows recommendations • regularly attends follow-up checkups • notes a significant improvement the quality of life
  1. A significant aesthetic and functional result were achieved – chewing efficiency, diction, and self-confidence were restored.
  1. We chose more modern and minimally invasive strategy: • 2 implants in the anterior area • 1 angled implant on the left • 1 zygomatic implant on the right • 2 pterygoid implants in the area of the maxillary tuberosities This approach allowed us to: • completely avoid a sinus lift • shorten the treatment duration • reduce costs by eliminating the need for bone grafting
A 70-year-old patient contacted with complaints of partial edentulism and poor retention of removable dentures. This is …
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