Reconstrucción con injertos de la cresta iliaca y rehabilitación con implantes en atrofia del maxilar. Caso clínico

  1. Martínez Rodríguez, Natalia
  2. Martínez González, María José Sandra
  3. Martínez González, José María
  4. Santos Marino, Juan
  5. Barona Dorado, Cristina
  6. Martínez Domínguez, Lidia
Revista:
Científica dental: Revista científica de formación continuada

ISSN: 1697-6398 1697-641X

Any de publicació: 2014

Volum: 11

Número: 2

Pàgines: 57-62

Tipus: Article

Altres publicacions en: Científica dental: Revista científica de formación continuada

Resum

Introduction: In many cases, the rehabilitation of patients with severe atrophy maxillary is very difficult. In this situation, the use of autogenous bone entail some advantages due to their osteogenic, osteoconductive and osteoinductive potential, as well as being biologically compatible. The iliac crest is preferred where large amounts bone tissue are required. Objective: The objective of this article was to show a case of bone reconstruction with iliac crest grafts and posterior implant rehabilitation follow-up for more than ten years. Clinical case: A case is presented a 36 years old woman, who went to the consultation due to instability of the upper complete removable prosthesis. After the CT scan, anteroposterior severe atrophy was observed, so that the patient was informed of the possibility of bone augmentation by iliac crest grafts. The intervention was carried out and after 6 months the 6 implants were placed. After 4 months, implants were discovered and a overdenture was concocted. The first review was performed at six months and a year later, two and a half, five and ten years, where a satisfactory outcome was observed. Conclusions: The survival of the implants in reconstructed areas with iliac crest grafts is comparable to the survival of the implants in native bone.