Abstract:
Introduction. Complete or partial maxillary posterior edentulism is frequently encountered in
dentistry. These conditions occur 35 times more frequently than complete mandibular edentulism
opposing maxillary teeth. Functional and aesthetic rehabilitation following tooth loss in the
posterior maxilla necessitating dental implant placement and implant-supported reconstructions
are widely accepted and well established in reconstructive dentistry.
Aim of the study. Optimization of implant-prosthetic rehabilitation of patients with severely
atrophic posterior edentulous regions of maxilla by elaborating minimal invasive procedures of
endosseous dental implant placement.
Materials and methods. Were examined 2 patients with severely atrophic posterior edentulous
regions of maxilla. The common complaints include difficulty during mastication, esthetic and
phonetic disorders. The clinical examination revealed the lack of teeth in the lateral areas of the
maxilla. The para-clinical examination was performed, including: panoramic radiographs and CT
scans, general and biochemical analysis of blood. Patients were treated using sinus grafting
procedure by lateral access with simultaneous implant placement.
Results. Creation of a new concept for protection of physiological reparatory forces in order to
facilitate the osseointegration process of implants.
Conclusions. Sinus augmentation surgery with simultaneous implant placement is a predictable
procedure that enables implant-prosthetic rehabilitation of the edentulous atrophic posterior
maxilla with a very high implant survival rate.
