{"id":11412,"date":"2024-11-04T09:06:38","date_gmt":"2024-11-04T08:06:38","guid":{"rendered":"http:\/\/www.avinent.com\/?p=11224"},"modified":"2025-03-20T09:41:29","modified_gmt":"2025-03-20T08:41:29","slug":"rehabilitation-with-custom-subperiosteal-implant-type-iv-atrophy","status":"publish","type":"post","link":"https:\/\/avinent.com\/en\/blog\/rehabilitation-with-custom-subperiosteal-implant-type-iv-atrophy\/","title":{"rendered":"Oral Rehabilitation with Customized Subperiosteal Implant in an edentulous maxilla with grade IV Atrophy"},"content":{"rendered":"\n<p>Las atrofias de los maxilares ed\u00e9ntulos son una condici\u00f3n evolutiva caracterizada por la p\u00e9rdida de volumen \u00f3seo, lo que dificulta la colocaci\u00f3n de implantes dentales end\u00f3seos de manera convencional.  Esta situaci\u00f3n puede ser resultado de diversos factores, como la p\u00e9rdida de dientes, enfermedades periodontales, traumatismos, cirug\u00edas oncol\u00f3gicas, reabsorci\u00f3n \u00f3sea progresiva asociada al Edentulismo de larga evoluci\u00f3n, o reabsorci\u00f3n \u00f3sea natural asociada al envejecimiento que pueden llevar consigo un importante d\u00e9ficit funcional, est\u00e9tico y foni\u00e1trico, con todas las implicaciones correspondientes a nivel psicol\u00f3gico.<\/p>\n\n<p>La \u00fanica manera posible para rehabilitar a los pacientes con atrofias severas (Cawood-Howell), caracterizadas por cresta \u00f3sea de altura y anchuras insuficientes, consiste en someterlos a largos y complicados procedimientos de regeneraci\u00f3n \u00f3sea.<\/p>\n\n<p>Pero gracias a las nuevas t\u00e9cnicas de diagn\u00f3stico por la imagen y los nuevos sistemas de dise\u00f1o 3D y fabricaci\u00f3n aditiva (CAD-CAM), los implantes subperi\u00f3sticos fijados en el maxilar se presentan como una alternativa viable para este tipo de atrofias. Ofreciendo, ajuste y estabilidad \u00f3ptima al ser un implante personalizado, adem\u00e1s de ser una t\u00e9cnica quir\u00fargica menos invasiva y que aporta al paciente confort y calidad de vida de forma temprana tras el procedimiento.<\/p>\n\n<p><strong>Presentaci\u00f3n de un caso<\/strong><\/p>\n\n<p>Paciente mujer de 65 a\u00f1os, ed\u00e9ntula total y sin antecedentes m\u00e9dicos de inter\u00e9s, con una atrofia maxilar grado IV, acudi\u00f3 a la consulta con la intenci\u00f3n de sustituir su pr\u00f3tesis completa removible superior por una rehabilitaci\u00f3n fija. Presentaba una pseudoclase III esquel\u00e9tica por atrofia anteroposterior del maxilar superior.<\/p>\n\n<p>Una vez estudiado meticulosamente y valoradas las diferentes alternativas de tratamiento, se le plante\u00f3 como la opci\u00f3n m\u00e1s id\u00f3nea y predictible la rehabilitaci\u00f3n mediante un implante subperi\u00f3stico personalizado (ISP) con pr\u00f3tesis completa atornillada inmediata.<\/p>\n\n<p>Para poder iniciar la planificaci\u00f3n del caso, son necesarias, como pruebas complementarias, el estudio radiol\u00f3gico del maxilar de la paciente, una prueba de posicionamiento en boca de la futura pr\u00f3tesis final y a poder ser unas impresiones digitales de los tejidos blandos. Con esta informaci\u00f3n se puede dise\u00f1ar la estructura del ISP, planificar las posiciones id\u00f3neas de fijaci\u00f3n de los tornillos de osteos\u00edntesis y dimensionar y posicionar las conexiones prot\u00e9sicas bas\u00e1ndose en el nivel de los tejidos blandos disponibles del paciente.<\/p>\n\n<p>Con la t\u00e9cnica de doble escaneado se realiz\u00f3 por una parte un TAC del paciente con la nueva prueba de pr\u00f3tesis completa colocada en boca (en oclusi\u00f3n y correctamente ajustada), con marcadores radiol\u00f3gicos (Composite\u00ae) en las posiciones donde se quer\u00edan las conexiones de la estructura. <\/p>\n\n<p>Los cortes tomogr\u00e1ficos del TAC deben tener un grosor entre 0.4 y 0.8 mm y el campo de exploraci\u00f3n debe incluir toda la arcada, la ATM y los arcos zigom\u00e1ticos. As\u00ed, se puede realizar el estudio lo m\u00e1s preciso posible de la simetr\u00eda facial del paciente y determinar los puntos de fijaci\u00f3n del ISP m\u00e1s adecuados por la disponibilidad \u00f3sea, dado que en la mayor\u00eda de estos casos las atrofias son extremas.<\/p>\n\n<p>Y,&#13;\npor otro lado, un segundo TAC solo de la pr\u00f3tesis, con los marcadores&#13;\nradiol\u00f3gicos en la misma orientaci\u00f3n.<\/p>\n\n<p>Los archivos radiol\u00f3gicos deben ser enviados en formato DICOM original para poder realizar la segmentaci\u00f3n y as\u00ed generar el el modelo 3D sobre el que se dise\u00f1ar\u00e1 el ISP.<\/p>\n\n<ul class=\"wp-block-gallery columns-3 is-cropped wp-block-gallery-1 is-layout-flex wp-block-gallery-is-layout-flex\"><li class=\"blocks-gallery-item\"><figure><img fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"400\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/1-4.jpg\" alt=\"\" data-id=\"11113\" data-link=\"https:\/\/www.avinent.com\/?attachment_id=11113\" class=\"wp-image-11113\"\/><figcaption>Imagen radiol\u00f3gica de los marcadores en boca y cortes de la zona anterior y posterior<br\/><\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/2-4.jpg\" alt=\"\" data-id=\"11114\" data-link=\"https:\/\/www.avinent.com\/?attachment_id=11114\" class=\"wp-image-11114\"\/><figcaption>Imagen radiol\u00f3gica de los marcadores en boca y cortes de la zona anterior y posterior <\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/3-3.jpg\" alt=\"\" data-id=\"11115\" data-link=\"https:\/\/www.avinent.com\/?attachment_id=11115\" class=\"wp-image-11115\"\/><figcaption>Imagen radiol\u00f3gica de los marcadores en boca y cortes de la zona anterior y posterior <\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/4-3.jpg\" alt=\"\" data-id=\"11116\" data-link=\"https:\/\/www.avinent.com\/?attachment_id=11116\" class=\"wp-image-11116\"\/><figcaption>Imagen radiol\u00f3gica de los marcadores en boca y cortes de la zona anterior y posterior <\/figcaption><\/figure><\/li><\/ul>\n\n<p>Se realiz\u00f3 la segmentaci\u00f3n del TAC con el software certificado para uso m\u00e9dico Mimics Medical de Materialise.<\/p>\n\n<ul class=\"wp-block-gallery columns-3 is-cropped wp-block-gallery-2 is-layout-flex wp-block-gallery-is-layout-flex\"><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/5-3.jpg\" alt=\"\" data-id=\"11117\" data-link=\"https:\/\/www.avinent.com\/?attachment_id=11117\" class=\"wp-image-11117\"\/><figcaption>Modelo 3D generado a partir de la segmentaci\u00f3n que permite la visualizaci\u00f3n de las caracter\u00edsticas \u00f3seas del maxilar.<\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/6-3.jpg\" alt=\"\" data-id=\"11118\" data-link=\"https:\/\/www.avinent.com\/?attachment_id=11118\" class=\"wp-image-11118\"\/><figcaption> <br\/>Modelo 3D generado a partir de la segmentaci\u00f3n que permite la visualizaci\u00f3n de las caracter\u00edsticas \u00f3seas del maxilar. <\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/7-3.jpg\" alt=\"\" data-id=\"11119\" data-link=\"https:\/\/www.avinent.com\/?attachment_id=11119\" class=\"wp-image-11119\"\/><figcaption> <br\/>Modelo 3D generado a partir de la segmentaci\u00f3n que permite la visualizaci\u00f3n de las caracter\u00edsticas \u00f3seas del maxilar. <\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/8-3.jpg\" alt=\"\" data-id=\"11120\" data-link=\"https:\/\/www.avinent.com\/?attachment_id=11120\" class=\"wp-image-11120\"\/><figcaption> <br\/>Modelo 3D generado a partir de la segmentaci\u00f3n que permite la visualizaci\u00f3n de las caracter\u00edsticas \u00f3seas del maxilar. <br\/><\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/9-3.jpg\" alt=\"\" data-id=\"11121\" data-link=\"https:\/\/www.avinent.com\/?attachment_id=11121\" class=\"wp-image-11121\"\/><figcaption> <br\/>Modelo 3D generado a partir de la segmentaci\u00f3n que permite la visualizaci\u00f3n de las caracter\u00edsticas \u00f3seas del maxilar. <br\/><\/figcaption><\/figure><\/li><\/ul>\n\n<p>Para el dise\u00f1o del implante se utiliz\u00f3 el software certificado para uso m\u00e9dico 3-Matic Medical de Materialise.<\/p>\n\n<p>Este ISP se dise\u00f1\u00f3 en dos piezas, evitando la zona de la premaxila donde existe m\u00e1s riego de exposici\u00f3n del material implantado y del canal nasoplatino. Para su fijaci\u00f3n, se buscaron \u00e1reas corticalizadas en los arbotantes \u00f3seos donde insertar los tornillos de osteos\u00edntesis.<\/p>\n\n<p>Con el objetivo de optimizar la adaptaci\u00f3n y&#13;\nasentamiento del ISP en las atrofias maxilares extremas, se ha definido un&#13;\nprotocolo de osteotom\u00edas guiadas previa a la colocaci\u00f3n del implante. Dichas&#13;\nosteotom\u00edas en forma de \u201ccaj\u00f3n\u201d permiten fijar el ISP con mayor estabilidad y&#13;\nal mismo tiempo sumergir la uni\u00f3n entre el implante y las conexiones en el&#13;\nhueso alveolar, minimizando as\u00ed el&#13;\nriesgo de dehiscencias en los tejidos blandos.<\/p>\n\n<ul class=\"wp-block-gallery columns-2 is-cropped wp-block-gallery-3 is-layout-flex wp-block-gallery-is-layout-flex\"><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/10-3.jpg\" alt=\"\" data-id=\"11122\" data-link=\"https:\/\/www.avinent.com\/?attachment_id=11122\" class=\"wp-image-11122\"\/><figcaption>Im\u00e1genes del dise\u00f1o virtual de ISP<\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/11-3.jpg\" alt=\"\" data-id=\"11123\" data-link=\"https:\/\/www.avinent.com\/?attachment_id=11123\" class=\"wp-image-11123\"\/><figcaption>Detalles de los tornillos de fijaci\u00f3n y la introducci\u00f3n de las conexiones en el marco \u00f3seo<\/figcaption><\/figure><\/li><\/ul>\n\n<p>Las gu\u00edas de corte fabricadas en Ti sinterizado se fijan mediante tornillos de osteos\u00edntesis y estos puntos de fijaci\u00f3n se utilizan tambi\u00e9n para la fijaci\u00f3n del ISP.<\/p>\n\n<ul class=\"wp-block-gallery columns-3 is-cropped wp-block-gallery-4 is-layout-flex wp-block-gallery-is-layout-flex\"><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/12-3.jpg\" alt=\"\" data-id=\"11124\" data-link=\"https:\/\/www.avinent.com\/?attachment_id=11124\" class=\"wp-image-11124\"\/><figcaption>Dise\u00f1o de la gu\u00eda de corte y comprobaci\u00f3n virtual del dise\u00f1o de la gu\u00eda y el implante<\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/13-3.jpg\" alt=\"\" data-id=\"11125\" data-link=\"https:\/\/www.avinent.com\/?attachment_id=11125\" class=\"wp-image-11125\"\/><figcaption>Dise\u00f1o de la gu\u00eda de corte y comprobaci\u00f3n virtual del dise\u00f1o de la gu\u00eda y el implante <\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/14-3.jpg\" alt=\"\" data-id=\"11126\" data-link=\"https:\/\/www.avinent.com\/?attachment_id=11126\" class=\"wp-image-11126\"\/><figcaption>Dise\u00f1o de la gu\u00eda de corte y comprobaci\u00f3n virtual del dise\u00f1o de la gu\u00eda y el implante <\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/15-3.jpg\" alt=\"\" data-id=\"11127\" data-link=\"https:\/\/www.avinent.com\/?attachment_id=11127\" class=\"wp-image-11127\"\/><figcaption>Dise\u00f1o de la gu\u00eda de corte y comprobaci\u00f3n virtual del dise\u00f1o de la gu\u00eda y el implante <\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/16-3.jpg\" alt=\"\" data-id=\"11128\" data-link=\"https:\/\/www.avinent.com\/?attachment_id=11128\" class=\"wp-image-11128\"\/><figcaption>Dise\u00f1o de la gu\u00eda de corte y comprobaci\u00f3n virtual del dise\u00f1o de la gu\u00eda y el implante <\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/17-1.jpg\" alt=\"\" data-id=\"11129\" data-link=\"https:\/\/www.avinent.com\/?attachment_id=11129\" class=\"wp-image-11129\"\/><figcaption>Dise\u00f1o de la gu\u00eda de corte y comprobaci\u00f3n virtual del dise\u00f1o de la gu\u00eda y el implante <\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/18-1.jpg\" alt=\"\" data-id=\"11130\" data-link=\"https:\/\/www.avinent.com\/?attachment_id=11130\" class=\"wp-image-11130\"\/><figcaption>Pr\u00f3tesis provisional digital conectada al ISP<\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/19-1.jpg\" alt=\"\" data-id=\"11131\" data-link=\"https:\/\/www.avinent.com\/?attachment_id=11131\" class=\"wp-image-11131\"\/><figcaption>Pr\u00f3tesis provisional digital conectada al ISP <\/figcaption><\/figure><\/li><\/ul>\n\n<p>El dise\u00f1o de todas las partes se resume en un informe final que debe ser revisado y aprobado por el cl\u00ednico antes de la fabricaci\u00f3n de las diferentes partes. En este documento tambi\u00e9n se detalla la longitud y di\u00e1metro de los tornillos de fijaci\u00f3n, adem\u00e1s de las posiciones planificadas.<\/p>\n\n<ul class=\"wp-block-gallery columns-2 is-cropped wp-block-gallery-5 is-layout-flex wp-block-gallery-is-layout-flex\"><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/20-1.jpg\" alt=\"\" data-id=\"11135\" data-link=\"https:\/\/www.avinent.com\/?attachment_id=11135\" class=\"wp-image-11135\"\/><figcaption>Informe final del caso<\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/21-1.jpg\" alt=\"\" data-id=\"11136\" data-link=\"https:\/\/www.avinent.com\/?attachment_id=11136\" class=\"wp-image-11136\"\/><figcaption>Informe final del caso<\/figcaption><\/figure><\/li><\/ul>\n\n<ul class=\"wp-block-gallery columns-3 is-cropped wp-block-gallery-6 is-layout-flex wp-block-gallery-is-layout-flex\"><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/22-1.jpg\" alt=\"\" data-id=\"11137\" data-link=\"https:\/\/www.avinent.com\/?attachment_id=11137\" class=\"wp-image-11137\"\/><figcaption>Modelos impresos del maxilar y la gu\u00eda de corte para la comprobaci\u00f3n del ajuste<\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/23-1.jpg\" alt=\"\" data-id=\"11138\" data-link=\"https:\/\/www.avinent.com\/?attachment_id=11138\" class=\"wp-image-11138\"\/><figcaption>Modelos impresos del maxilar y la gu\u00eda de corte para la comprobaci\u00f3n del ajuste <\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/24-1.jpg\" alt=\"\" data-id=\"11139\" data-link=\"https:\/\/www.avinent.com\/?attachment_id=11139\" class=\"wp-image-11139\"\/><figcaption>Modelos impresos del maxilar y la gu\u00eda de corte para la comprobaci\u00f3n del ajuste <\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/25-1.jpg\" alt=\"\" data-id=\"11140\" data-link=\"https:\/\/www.avinent.com\/?attachment_id=11140\" class=\"wp-image-11140\"\/><figcaption>Modelos impresos del maxilar y la gu\u00eda de corte para la comprobaci\u00f3n del ajuste <\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/26-1.jpg\" alt=\"\" data-id=\"11141\" data-link=\"https:\/\/www.avinent.com\/?attachment_id=11141\" class=\"wp-image-11141\"\/><figcaption>Modelos impresos del maxilar y la gu\u00eda de corte para la comprobaci\u00f3n del ajuste <\/figcaption><\/figure><\/li><\/ul>\n\n<p>La cirug\u00eda se realiz\u00f3 bajo anestesia&#13;\nlocal y sedaci\u00f3n consciente ambulatoria. Se realizo incisi\u00f3n crestal de&#13;\ntuberosidad a tuberosidad con descargas distales que nos permitieron exponer&#13;\nmediante un colgajo de espesor total ambos vest\u00edbulos nasales y arbotantes&#13;\nmalares.<\/p>\n\n<p>Siguiendo el protocolo quir\u00fargico, se posicion\u00f3 cuidadosamente la gu\u00eda de titanio encima de la cresta \u00f3sea y se comprob\u00f3 la estabilidad y el asentamiento pasivo antes de fijarla en el hueso mediante dos tornillos de osteos\u00edntesis.<\/p>\n\n<ul class=\"wp-block-gallery columns-2 is-cropped wp-block-gallery-7 is-layout-flex wp-block-gallery-is-layout-flex\"><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/27-1.jpg\" alt=\"\" data-id=\"11142\" data-link=\"https:\/\/www.avinent.com\/?attachment_id=11142\" class=\"wp-image-11142\"\/><figcaption>Incisi\u00f3n crestal y vista de la gu\u00eda de corte posicionada en el hueso maxilar<\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/28-1.jpg\" alt=\"\" data-id=\"11143\" data-link=\"https:\/\/www.avinent.com\/?attachment_id=11143\" class=\"wp-image-11143\"\/><figcaption>Incisi\u00f3n crestal y vista de la gu\u00eda de corte posicionada en el hueso maxilar <\/figcaption><\/figure><\/li><\/ul>\n\n<p>Se realizaron las osteotom\u00edas \u00f3seas guiadas seg\u00fan&#13;\nla planificaci\u00f3n mediante un Piezosurgery (Mectron\u00ae) con una microsierra de 0,25&#13;\nmm de espesor.<\/p>\n\n<ul class=\"wp-block-gallery columns-3 is-cropped wp-block-gallery-8 is-layout-flex wp-block-gallery-is-layout-flex\"><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/29.jpg\" alt=\"\" data-id=\"11144\" data-link=\"https:\/\/www.avinent.com\/?attachment_id=11144\" class=\"wp-image-11144\"\/><figcaption>Detalle de las osteotom\u00edas guiadas en forma de caj\u00f3n<\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/30-1.jpg\" alt=\"\" data-id=\"11145\" data-link=\"https:\/\/www.avinent.com\/?attachment_id=11145\" class=\"wp-image-11145\"\/><figcaption>Detalle de las osteotom\u00edas guiadas en forma de caj\u00f3n <\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/31.jpg\" alt=\"\" data-id=\"11146\" data-link=\"https:\/\/www.avinent.com\/?attachment_id=11146\" class=\"wp-image-11146\"\/><figcaption>Detalle de las osteotom\u00edas guiadas en forma de caj\u00f3n <\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/32.jpg\" alt=\"\" data-id=\"11147\" data-link=\"https:\/\/www.avinent.com\/?attachment_id=11147\" class=\"wp-image-11147\"\/><figcaption>Detalle de las osteotom\u00edas guiadas en forma de caj\u00f3n <\/figcaption><\/figure><\/li><\/ul>\n\n<p>Una vez creadas las osteotom\u00edas, se colocaron las dos piezas del implante personalizado de titanio sobre el hueso de cada cuadrante y una vez comprobado el ajuste pasivo y la estabilidad, se empez\u00f3 a fijar los tornillos distales en el \u00e1rea cigom\u00e1tica.<\/p>\n\n<ul class=\"wp-block-gallery columns-3 is-cropped wp-block-gallery-9 is-layout-flex wp-block-gallery-is-layout-flex\"><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/33-1.jpg\" alt=\"\" data-id=\"11148\" data-link=\"https:\/\/www.avinent.com\/?attachment_id=11148\" class=\"wp-image-11148\"\/><figcaption>Vistas frontal y lateral del implante colocado en boca y detalles de los &#8220;cajones \u00f3seos&#8221;<\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/34-1.jpg\" alt=\"\" data-id=\"11149\" data-link=\"https:\/\/www.avinent.com\/?attachment_id=11149\" class=\"wp-image-11149\"\/><figcaption>Vistas frontal y lateral del implante colocado en boca y detalles de los &#8220;cajones \u00f3seos&#8221; <\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/35.jpg\" alt=\"\" data-id=\"11150\" data-link=\"https:\/\/www.avinent.com\/?attachment_id=11150\" class=\"wp-image-11150\"\/><figcaption>Vistas frontal y lateral del implante colocado en boca y detalles de los &#8220;cajones \u00f3seos&#8221; <\/figcaption><\/figure><\/li><\/ul>\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/36-1.jpg\" alt=\"\" class=\"wp-image-11151\"\/><figcaption>Vista oclusal del ISP fijado<\/figcaption><\/figure>\n\n<p>Una vez terminada la fijaci\u00f3n de todos los tornillos, se&#13;\ncolocaron membranas LPRF entre las conexiones para mejora la&#13;\ncicatrizaci\u00f3n de los tejidos blandos y el hueso. Se sutur\u00f3 consiguiendo un&#13;\nbuen cierre para protecci\u00f3n del implante a la exposici\u00f3n al medio oral durante&#13;\nla fase de cicatrizaci\u00f3n.<\/p>\n\n<ul class=\"wp-block-gallery columns-3 is-cropped wp-block-gallery-10 is-layout-flex wp-block-gallery-is-layout-flex\"><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/37.jpg\" alt=\"\" data-id=\"11152\" data-link=\"https:\/\/www.avinent.com\/?attachment_id=11152\" class=\"wp-image-11152\"\/><figcaption>Obtenci\u00f3n de las membranas de LPRF y colocaci\u00f3n<\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/38.jpg\" alt=\"\" data-id=\"11153\" data-link=\"https:\/\/www.avinent.com\/?attachment_id=11153\" class=\"wp-image-11153\"\/><figcaption>Obtenci\u00f3n de las membranas de LPRF y colocaci\u00f3n <\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/39-2.jpg\" alt=\"\" data-id=\"11154\" data-link=\"https:\/\/www.avinent.com\/?attachment_id=11154\" class=\"wp-image-11154\"\/><figcaption> Obtenci\u00f3n de las membranas de LPRF y colocaci\u00f3n <\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/40-1.jpg\" alt=\"\" data-id=\"11155\" data-link=\"https:\/\/www.avinent.com\/?attachment_id=11155\" class=\"wp-image-11155\"\/><figcaption>Obtenci\u00f3n de las membranas de LPRF y colocaci\u00f3n <\/figcaption><\/figure><\/li><\/ul>\n\n<p>Una vez fijado el ISP, se colocaron&#13;\npilares de escaneado y se tomaron impresiones digitales en la misma sesi\u00f3n.&#13;\nEstas se mandaron al laboratorio prot\u00e9sico para que realizara una pr\u00f3tesis&#13;\nprovisional de resina sobre&#13;\nuna estructura interna met\u00e1lica de refuerzo que se coloc\u00f3 al&#13;\npaciente al d\u00eda siguiente.<\/p>\n\n<p>Cabe destacar que al haber planificado&#13;\nel implante y la pr\u00f3tesis virtualmente, el paralelismo y la distribuci\u00f3n de las&#13;\nconexiones era la id\u00f3nea y la pasividad de la pr\u00f3tesis \u00f3ptima.<\/p>\n\n<ul class=\"wp-block-gallery columns-2 is-cropped wp-block-gallery-11 is-layout-flex wp-block-gallery-is-layout-flex\"><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/41-1.jpg\" alt=\"\" data-id=\"11156\" data-link=\"https:\/\/www.avinent.com\/?attachment_id=11156\" class=\"wp-image-11156\"\/><figcaption>Imagen de la pr\u00f3tesis provisional<\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/42-1.jpg\" alt=\"\" data-id=\"11157\" data-link=\"https:\/\/www.avinent.com\/?attachment_id=11157\" class=\"wp-image-11157\"\/><figcaption>Imagen de la pr\u00f3tesis provisional <\/figcaption><\/figure><\/li><\/ul>\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/43-1.jpg\" alt=\"\" class=\"wp-image-11158\"\/><figcaption>Pr\u00f3tesis inmediata en boca<\/figcaption><\/figure>\n\n<p>Tras 6 meses se cambi\u00f3 la pr\u00f3tesis provisional por una&#13;\nestructura microfresada de cromo-cobalto (Avinent Implant System) con acabado&#13;\nen cer\u00e1mica IPS Style (Ivoclar&#13;\nVivadent) como pr\u00f3tesis definitiva, al mismo tiempo que&#13;\nse le realiz\u00f3 una f\u00e9rula oclusal para prevenir la aparici\u00f3n de complicaciones&#13;\nmec\u00e1nicas.<\/p>\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/44-1.jpg\" alt=\"\" class=\"wp-image-11159\"\/><figcaption>Estado de los tejidos en el momento de la colocaci\u00f3n de la rehabilitaci\u00f3n definitiva<\/figcaption><\/figure>\n\n<ul class=\"wp-block-gallery columns-3 is-cropped wp-block-gallery-12 is-layout-flex wp-block-gallery-is-layout-flex\"><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/45-1.jpg\" alt=\"\" data-id=\"11160\" data-link=\"https:\/\/www.avinent.com\/?attachment_id=11160\" class=\"wp-image-11160\"\/><figcaption>Pr\u00f3tesis definitiva en boca<\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/46.jpg\" alt=\"\" data-id=\"11161\" data-link=\"https:\/\/www.avinent.com\/?attachment_id=11161\" class=\"wp-image-11161\"\/><figcaption>Pr\u00f3tesis definitiva en boca <\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/47-1.jpg\" alt=\"\" data-id=\"11162\" data-link=\"https:\/\/www.avinent.com\/?attachment_id=11162\" class=\"wp-image-11162\"\/><figcaption>Pr\u00f3tesis definitiva en boca <\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/48.jpg\" alt=\"\" data-id=\"11163\" data-link=\"https:\/\/www.avinent.com\/?attachment_id=11163\" class=\"wp-image-11163\"\/><figcaption>Pr\u00f3tesis definitiva en boca <\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/49.jpg\" alt=\"\" data-id=\"11164\" data-link=\"https:\/\/www.avinent.com\/?attachment_id=11164\" class=\"wp-image-11164\"\/><figcaption>Pr\u00f3tesis definitiva en boca <\/figcaption><\/figure><\/li><\/ul>\n\n<p><strong>Conclusi\u00f3n<\/strong><\/p>\n\n<p>Los implantes subperi\u00f3sticos personalizados pueden ser una soluci\u00f3n a la hora de rehabilitar de manera fija pacientes con atrofias \u00f3seas extremas donde las t\u00e9cnicas de regeneraci\u00f3n \u00f3sea son poco predictibles. <\/p>\n\n<p>El dise\u00f1o personalizado de estos&#13;\nimplantes permite obtener un posicionamiento y paralelismo de las conexiones&#13;\nprot\u00e9sicas \u00f3ptimos, con lo que supone una mejor distribuci\u00f3n de las fuerzas&#13;\noclusales, adem\u00e1s de permitir una rehabilitaci\u00f3n inmediata predecible no&#13;\ndependiente del periodo de osteointegraci\u00f3n.<\/p>\n\n<p>La&#13;\nexperiencia cl\u00ednica con este tipo de implantes ha permitido crear un protocolo&#13;\nde osteotom\u00edas guiadas que permite sumergir las uniones entre el ISP y las&#13;\nconexiones prot\u00e9sicas, disminuyendo el riesgo de dehiscencias y perimplantitis.<\/p>\n\n<ul class=\"wp-block-gallery columns-3 is-cropped wp-block-gallery-13 is-layout-flex wp-block-gallery-is-layout-flex\"><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/1-5.jpg\" alt=\"\" data-id=\"11169\" data-link=\"https:\/\/www.avinent.com\/rehabilitacion-con-implante-subperiostico-personalizado-de-una-mandibula-superior-edentula-con-atrofia-tipo-iv\/1-83\/\" class=\"wp-image-11169\"\/><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/2-5.jpg\" alt=\"\" data-id=\"11170\" data-link=\"https:\/\/www.avinent.com\/rehabilitacion-con-implante-subperiostico-personalizado-de-una-mandibula-superior-edentula-con-atrofia-tipo-iv\/2-85\/\" class=\"wp-image-11170\"\/><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/3-4.jpg\" alt=\"\" data-id=\"11171\" data-link=\"https:\/\/www.avinent.com\/rehabilitacion-con-implante-subperiostico-personalizado-de-una-mandibula-superior-edentula-con-atrofia-tipo-iv\/3-91\/\" class=\"wp-image-11171\"\/><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/4-4.jpg\" alt=\"\" data-id=\"11172\" data-link=\"https:\/\/www.avinent.com\/rehabilitacion-con-implante-subperiostico-personalizado-de-una-mandibula-superior-edentula-con-atrofia-tipo-iv\/4-87\/\" class=\"wp-image-11172\"\/><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/5-4.jpg\" alt=\"\" data-id=\"11173\" data-link=\"https:\/\/www.avinent.com\/rehabilitacion-con-implante-subperiostico-personalizado-de-una-mandibula-superior-edentula-con-atrofia-tipo-iv\/5-73\/\" class=\"wp-image-11173\"\/><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/6-4.jpg\" alt=\"\" data-id=\"11174\" data-link=\"https:\/\/www.avinent.com\/rehabilitacion-con-implante-subperiostico-personalizado-de-una-mandibula-superior-edentula-con-atrofia-tipo-iv\/6-83\/\" class=\"wp-image-11174\"\/><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/7-4.jpg\" alt=\"\" data-id=\"11175\" data-link=\"https:\/\/www.avinent.com\/rehabilitacion-con-implante-subperiostico-personalizado-de-una-mandibula-superior-edentula-con-atrofia-tipo-iv\/7-63\/\" class=\"wp-image-11175\"\/><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/8-4.jpg\" alt=\"\" data-id=\"11176\" data-link=\"https:\/\/www.avinent.com\/rehabilitacion-con-implante-subperiostico-personalizado-de-una-mandibula-superior-edentula-con-atrofia-tipo-iv\/8-68\/\" class=\"wp-image-11176\"\/><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/9-4.jpg\" alt=\"\" data-id=\"11177\" data-link=\"https:\/\/www.avinent.com\/rehabilitacion-con-implante-subperiostico-personalizado-de-una-mandibula-superior-edentula-con-atrofia-tipo-iv\/9-56\/\" class=\"wp-image-11177\"\/><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/10-5.jpg\" alt=\"\" data-id=\"11178\" data-link=\"https:\/\/www.avinent.com\/rehabilitacion-con-implante-subperiostico-personalizado-de-una-mandibula-superior-edentula-con-atrofia-tipo-iv\/10-63\/\" class=\"wp-image-11178\"\/><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/11-5.jpg\" alt=\"\" data-id=\"11179\" data-link=\"https:\/\/www.avinent.com\/rehabilitacion-con-implante-subperiostico-personalizado-de-una-mandibula-superior-edentula-con-atrofia-tipo-iv\/11-60\/\" class=\"wp-image-11179\"\/><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/12-4.jpg\" alt=\"\" data-id=\"11180\" data-link=\"https:\/\/www.avinent.com\/rehabilitacion-con-implante-subperiostico-personalizado-de-una-mandibula-superior-edentula-con-atrofia-tipo-iv\/12-61\/\" class=\"wp-image-11180\"\/><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/13-4.jpg\" alt=\"\" data-id=\"11181\" data-link=\"https:\/\/www.avinent.com\/rehabilitacion-con-implante-subperiostico-personalizado-de-una-mandibula-superior-edentula-con-atrofia-tipo-iv\/13-71\/\" class=\"wp-image-11181\"\/><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/14-4.jpg\" alt=\"\" data-id=\"11182\" data-link=\"https:\/\/www.avinent.com\/rehabilitacion-con-implante-subperiostico-personalizado-de-una-mandibula-superior-edentula-con-atrofia-tipo-iv\/14-64\/\" class=\"wp-image-11182\"\/><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/15-4.jpg\" alt=\"\" data-id=\"11183\" data-link=\"https:\/\/www.avinent.com\/rehabilitacion-con-implante-subperiostico-personalizado-de-una-mandibula-superior-edentula-con-atrofia-tipo-iv\/15-53\/\" class=\"wp-image-11183\"\/><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/16-4.jpg\" alt=\"\" data-id=\"11184\" data-link=\"https:\/\/www.avinent.com\/rehabilitacion-con-implante-subperiostico-personalizado-de-una-mandibula-superior-edentula-con-atrofia-tipo-iv\/16-52\/\" class=\"wp-image-11184\"\/><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/17-2.jpg\" alt=\"\" data-id=\"11185\" data-link=\"https:\/\/www.avinent.com\/rehabilitacion-con-implante-subperiostico-personalizado-de-una-mandibula-superior-edentula-con-atrofia-tipo-iv\/17-52\/\" class=\"wp-image-11185\"\/><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/18-2.jpg\" alt=\"\" data-id=\"11186\" data-link=\"https:\/\/www.avinent.com\/rehabilitacion-con-implante-subperiostico-personalizado-de-una-mandibula-superior-edentula-con-atrofia-tipo-iv\/18-58\/\" class=\"wp-image-11186\"\/><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img 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patient.\t\t<\/p>\n","protected":false},"author":2,"featured_media":11204,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[35],"tags":[661,662],"profesional_medics":[178],"segment":[232],"class_list":["post-11412","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-clinical-cases","tag-dental-prosthesis","tag-subperiosteal-implant","profesional_medics-dr-carlos-rodado-en","segments-implants-en"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Customized Subperiosteal Implant Rehabilitation | Avinent Blog<\/title>\n<meta name=\"description\" content=\"Clinical case of an oral rehabilitation by means of a customized subperiosteal implant in an edentulous maxilla with grade IV atrophy.\" \/>\n<meta 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