Virtual Implant Rehabilitation of the Severely Atrophic Maxilla: A Radiographic Study

Autor: Michele Manacorda, Bianca Poletti de Chaurand, Alberto Merlone, Giulia Tetè, Francesca Mottola, Raffaele Vinci
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Dentistry Journal, Vol 8, Iss 1, p 14 (2020)
Druh dokumentu: article
ISSN: 2304-6767
DOI: 10.3390/dj8010014
Popis: Background: Advanced maxillary atrophy is one of the most common clinical scenarios where implant placement could become difficult. Nevertheless, a volumetric evaluation using a suitable diagnostic software could facilitate the implant planning. The purpose of the present study is to suggest the potential application of the maxillary retro-canine area as the designated location for virtual tilted implants. Methods: A sample of Cone Beam Computed Tomography (CBCT) images from the Department of Dentistry (IRCSS San Raffaele, Milan, Italy) was evaluated. After a 3D anatomical evaluation, tilted implants were virtually positioned in the retro-canine regions. All the implants were inserted using the same procedure at 30° and 45° degrees of tilting. The length, palatal angulation and diameter of the placed implant were identified. Results: A total of 220 tilted implants were placed. An average implant measurement of 13.51 mm in length and 3.42 mm in diameter were calculated. Additionally, an average buccal−palatal angulation of 6° was identified. Upon statistical analysis, the implant length was found to be significantly higher at 45° degrees of mesio-distal angulation than at 30° degrees (
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