Initial Consultation for Galileus Cerclage Sinus® Technique
The process commences with a comprehensive consultation where the patient meets with the doctor within the laboratory. Prior to this, the patient has undergone a CT scan and panoramic X-ray, providing the doctor with a detailed view of their dental situation.
Seated across from the patient, the doctor opens their clinical folder and begins a meticulous examination of the current state of residual bone. During this phase, the doctor assesses masticatory height, observes fallen and fractured dental elements, and evaluates various areas of bone resorption.
Subsequently, the doctor examines the possibilities of utilizing residual bones for implant insertion. They carefully inspect the basal bones of the pterygopalatine region to verify their condition and assess the feasibility of placing pterygoid implants.
The focus then shifts to the premaxilla frontal area, where the doctor checks for the presence of bone remnants for the insertion of the transversal nasal implant, crucial for closing the figurative circle around the maxillary sinus. If this portion of bone is unusable, the doctor explores alternatives, identifying other paths or channels for inserting additional implants of varying sizes and inclinations, all serving the same function as the nasal implant.
At the end of this detailed visit, the doctor opens the patient’s clinical folder, containing the complete history of their dental health. During this phase, the doctor discusses with the patient the identified bone situations, the recommended technique, and the associated benefits and risks.
The doctor guides the patient through possible solutions during the treatment, outlining the types of dental prosthetics to be inserted in both the provisional and definitive phases, with the option to choose between prosthetics with or without false gums. After 6 months, the doctor explains the type of prosthesis that will be mounted and its specific characteristics. In short, after this visit, the patient gains a comprehensive understanding of their case and can make an informed decision on how to proceed in their therapeutic journey.
PterigoZygomatic Implantology vs Quad Implantology: Choosing the Best Solution for Severe Upper Jaw Atrophy
Introduction:
The choice between pterigozygomatic implantology and Quad implantology is crucial for patients suffering from severe atrophy in the posterior areas of the upper jaw. Let’s examine the key differences to enable an informed decision.
PterigoZygomatic Implantology: Effectively Resolving Severe Atrophies Key Features:
Complete Frontal and Posterior Chewing: Utilizing pterigoideal implants in the pterigoideal palatine area and in the sphenoid laminae, this technique offers full support both frontally and posteriorly, allowing complete chewing with 14 teeth.
Natural Aesthetics Without Wide False Gums: The circular ceramic prosthesis provides natural aesthetic results, avoiding the need for a wide false gum and enhancing the overall appearance.
Minimal Invasiveness: Avoiding Grafts and Lifts: Pterigozygomatic implantology is designed to address atrophy without the need for bone grafts and lifts, reducing the invasiveness of the procedure.
Quad Implantology: Limitations in Chewing and Aesthetics Key Limitations:
Limited Chewing and Frontal Support: The Quad technique may result in a predominantly frontal prosthesis, with limited chewing involving 10/12 teeth. Support is mainly provided by the zygomatic implants in the frontal area.
Wide False Gums and Aesthetic Compromises: The need to cover the zygomatic implant bodies can lead to the use of a wide false gum, compromising the natural appearance of the prosthesis.
Risk of Complexity with Grafts and Lifts: The Quad technique may require bone grafts and lifts, increasing the complexity and invasiveness of the procedure.
Conclusion: The Choice Depends on Individual Needs
The selection between pterigozygomatic implantology and Quad implantology should be based on the specific needs of the patient. While both offer valid solutions, pterigozygomatic implantology often emerges as a more versatile choice, ensuring superior aesthetic and functional results.
Your decision should be guided by considerations such as the completeness of chewing, desired aesthetics, and a preference for a less invasive procedure.
The handcrafted, custom-made ceramic fixed dental prosthesis with 14 teeth designed for the Galileus Cerclage Sinus® technique is crafted to provide an advanced aesthetic and functional solution for patients with severe atrophy of the upper jaw. Here are some key features of this prosthesis:
- Artisanal Craftsmanship: The prosthesis is handcrafted by specialized dental technicians in advanced implantology.
- Quality Material: The prosthesis is made from high-quality ceramic, ensuring natural aesthetics and durability.
- Number of Teeth: The prosthesis includes 14 teeth, covering the entire upper dental arch, including the posterior area managed by the pterygoids and nasal implant.
- Anatomical Adaptation: Each prosthesis is custom-designed to fit the specific anatomical characteristics of the patient, ensuring optimal comfort.
- Complete Chewing: The arrangement of teeth allows for complete chewing, providing necessary support both in the frontal and posterior areas.
- No Wide False Gingiva: Unlike some other techniques that require a wide false gingiva to cover implants, the Galileus Cerclage Sinus® prosthesis minimizes the use of false gingiva, offering a more natural appearance.
- Stability and Security: Thanks to the pterygoid implants and nasal implant, the prosthesis provides remarkable stability, avoiding the risk of undesirable movements.
- Advanced Aesthetics: The ceramic used enables achieving a highly natural aesthetic, contributing to restoring the beauty of the smile.
This prosthesis represents a complete and personalized solution for patients facing severe bone atrophy issues, offering an advanced and aesthetically pleasing alternative compared to other techniques.