Rehabilitación de atrofia posterior del maxilar con injerto de calota creal. A propósito de un caso

Abstract

lntroduction. The lack of maxilla bone volume makes the implant treatment difficult. In arder to make the implant rehabilitation possible a certain hight is required, which is not enough in this particular case. Therefore a regular sinus lift with lateral approach. Currently, the use of implants is the most demanded option for rehabilitation, but for this minimum magnitudes are necessary and in cases that do not occur, bone regeneration techniques must be performed in arder for the treatment to be viable. Clinical case. Male 65 years old patient, arrived at the Oral Surgery service at the Virgen de la Paloma Hospital. No medica! ar family record of interest. Diagnosed seven years ago with a periodontal chronic disease. After a period of not taking care of it, he returned a few months ago with severe tooth mobility and bone loss, for a full rehabilitation valuation.A meticulous oral inspection was performed. As additional tests, a panoramic radiograph was performed as well as a tomographic test. As a result it was confirmed that the maxilla bone volume was not enough to develop any implant treatment. Therefore it was decided to perform a bilateral sinus lift via a calvarial graft mixed with platelet rich plasma at in hospital environment. Conclusion. The sinus lift treatment via craneal calvarial graft combined with platelet-rich plasma is an option to keep in mind for the full implant rehabilitation of the upper dental arch.