Full-arch rehabilitation of severely atrophic maxilla with additively manufactured custom-made subperiosteal implants: A multicenter retrospective study

J Craniomaxillofac Surg. 2024 Sep;52(9):991-998. doi: 10.1016/j.jcms.2024.06.016. Epub 2024 Jun 10.

Abstract

The aim of this retrospective study was to analyze a series of patients who underwent full-arch rehabilitation of the atrophic maxilla using additively manufactured subperiosteal implants, between August 2018 and January 2023, at the Universities of Sassari and Poznan. In total, 36 patients and 72 implants were included, with no implants lost during follow-up, and a success rate of 90.3%. Seven (9.7%) of the implants showed class 1 exposure. Bleeding on probing was detected in 10.4% of the abutments at 6 months, 7.9% at 1 year, 10% at 2 years, 7% at 3 years, and 11.4% at 4 years. No significant bone resorption under the abutments was detected during the whole observation period. Based on the findings from this study, additively manufactured subperiosteal implants could represent a safe and reliable technique for full-arch rehabilitation in patients with severe maxillary atrophy.

Keywords: Alveolar bone loss; Atrophic jaws; Dental implant; Maxillary atrophy; Maxillofacial surgery; Oral surgery; Subperiosteal implant; Subperiosteal implantation.

Publication types

  • Multicenter Study

MeSH terms

  • Adult
  • Aged
  • Atrophy*
  • Dental Implantation, Endosseous / methods
  • Dental Implants*
  • Dental Prosthesis Design
  • Female
  • Humans
  • Male
  • Maxilla* / surgery
  • Middle Aged
  • Retrospective Studies
  • Treatment Outcome

Substances

  • Dental Implants