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Based on the aforementioned article, Dr. Manuel Chamorro Pons, with more than 30 years of experience as a doctor specialising in oral and maxillofacial surgery, gives us his more holistic focus on how customised subperiosteal implants are an alternative for the complete restoration of atrophic maxillae in patients for whom the usual endosseous implants are complex or unviable. Severe bone atrophy.
We would like to thank him in advance for his time, dedication and courtesy in caring for and improving the health of his patients.
Dr. Chamorro tells us of the importance of understanding that severe atrophy of the maxilla is such that there is both vertical and horizontal bone loss. In this situation, the best solution is currently a customised subperiosteal implant.
Manuel Chamorro Pons, Javier Arias Gallo, Luis Margarit Pérez, Gastón Demaría Martinez and Ángel Cidad Vicario are from the oral and maxillofacial surgery and odontology department, and in the SECOM CyC paper present 8 consecutive cases of patients with superior maxillary bone atrophy.
Dr. Chamorro states that the success of these cases is linked to the digital improvements in the design and manufacture of the implants, providing a perfect fit with the patient's bone structure and connections with sufficient prosthetic space. He also mentions the quality of the Avinent engineers' work during the joint design, as an essential factor in the success of these treatments.
The design characteristics that stand out for a
predictable result in periosteal
implants may be the fine thickness of the structure perfectly
adapted to the bone and with a perfect fixing, specified Dr. Chamorro.
Similarly, it is essential to have optimum
mucous membrane cover for implant placement. This means that
the soft tissues
need to be treated with great care during surgery. A good adhered gum is very
important.
In addition, the low rate of complications in
this case study is also due to the perfect preparation of these cases, the quality of the surgery carried
out and the excellent care by the whole team, both during the procedure as well
as in the post-operative period and consultation.
The SECOM CyC paper states that: “The accurancy of the structure was in all cases deemed impecable. The stability of the osteosynthesis screws was appropriate in all cases”
The Doctor also maintains that being able to use a 3D anatomical model of the case and an implant replica in polyamide makes it possible to try the insertion and check if the detachment of the soft tissues is sufficient, likewise preparing the provisional prosthesis.
“The 8 patients treated with custom subperiosteal implants, designed in collaboration with Avinent, completed all the treatment stages and have been rehabilitated with the definitive prosthesis”
Extracted from the SECOM CyC paper.
We want to offer a custom solution for the case you are preparing, so we know that the Biomimetic Iceberg implant is the solution you were looking for in single-stage treatments or those with a delicate restoration stage.
Dr. Chamorro, content with the good results of the cases, tells us that the patient satisfaction was very high: “They went from having severe bone atrophy or complex situations to recovering the ability to chew and their facial aesthetics in a relatively short time and with only one surgical intervention.”
In short, restoration with subperiosteal implants is a good solution for patients with severe bone atrophy.