Rehabilitation of Atrophic Jaws with Customized Subperiosteal Implants: Advances and Perspectives in Modern Dentistry

Severe maxillary atrophy and edentulism have been recurring challenges in oral and maxillofacial dentistry, requiring increasingly innovative and personalized approaches for effective oral rehabilitation. A significant advance in this area is customized subperiosteal implants, which offer a highly effective solution for patients suffering from atrophic bone deficiencies, especially in the maxillary and mandibular regions.

This article explores recent advances in the use of customized subperiosteal implants, highlighting their biocompatibility, technical precision and promising results in the treatment of patients with severe maxillary atrophy. The analysis is based on a clinical study conducted by Pedro H. Santiago, Marconi G. Tavares and Ricardo Grillo1, which presents robust and encouraging results for this approach.

In recent years, modern dentistry has provided innovative solutions for the rehabilitation of patients with severe bone atrophy. Subperiosteal implants have emerged as an efficient alternative when traditional methods, such as endosseous implants, are not viable due to the lack of adequate bone. These implants are positioned below the periosteum, using the remaining bone structure to ensure a solid base for the installation of dental prostheses.

Pedro H. Santiago, Marconi G. Tavares and Ricardo Grillo (2024) documented in their clinical study the use of customized sintered implants, designed through computer-aided planning (CAP) technology. This customization not only improves the success rate of the procedure, but also offers faster and more accurate recovery, minimizing postoperative complications.

Case Study: A Practical View of the Results

The study carried out by Santiago, Tavares and Grillo (2024) involving three patients with severe maxillary atrophy demonstrated promising clinical results. The analysis of pre- and post-surgical radiographic images, combined with computer-assisted planning, showed that sintered subperiosteal implants had a high success rate, with excellent functional and aesthetic recovery, without significant postoperative complications.

This study reinforces the effectiveness of using customized implants in the oral rehabilitation of patients with complex clinical conditions, such as severe maxillary atrophy, becoming a reference for professionals in the field.

Final Considerations: Implications for Oral and Maxillofacial Clinical Practice

The results presented by Santiago, Tavares and Grillo (2024) indicate that customized subperiosteal implants are an advanced and efficient solution for the rehabilitation of atrophic jaws. The use of computer-assisted planning, associated with implant customization, offers a safe and effective treatment, with superior results in terms of surgical success and patient satisfaction.

For oral and maxillofacial dentistry professionals, it is essential to understand the benefits of this technique and consider its application in complex cases of severe bone atrophy. The adoption of this innovative approach can significantly improve patients’ quality of life, restoring their masticatory function and facial aesthetics.

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Reference: SANTIAGO, Pedro H.; TAVARES, Marconi G.; GRILLO, Ricardo. Personalized rehabilitation of customized subperiosteal implants for atrophic jaws. Journal of Craniofacial Surgery, [S.l.], v. 35, n. 6, p. 1799-1805, 2024. DOI: 10.1097/SCS.0000000000010681.

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