Anchorage possibilities in maxillary trauma using the concep
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The present case has been reported in the National Journal of Maxillofacial Surgery.

Trauma, surgical defects secondary to malignant tumors, and genetic causes can result in facial disfigurement and dysfunction. Poor quality or insufficient quantity of hard and soft tissues often influence the number of treatment options. If significant parts of the mandible or the maxilla are missing, treatments with conventional dental implants are often not possible or require tremendous surgical efforts to rebuild the bone foundations for these surgical alternatives.

Conventionally, patients with extensive defects of the maxilla are treated with obturator prostheses or undergo extensive bone graft procedures with various results. Since prosthetic restorations are very important in terms of rehabilitation of those patients, appropriate retention, stability, and support of the prosthesis must be provided to achieve a successful outcome and reasonable life quality.

The present article describes the treatment method applied to a patient who suffered from a multiple fracture of the right maxilla, as a result of an accident that happened to him at an early age. The main consequence of this injury was an inhibited growth of the maxillary bone segment due to the lack of functional stimulus.

The treatment consisted of four phases: the removal of all the teeth in the upper right maxilla, the immediate restoration with bicortical implants, the immediate prosthetic rehabilitation, and closing the oroantral communication.

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