Odovtos - International Journal of Dental Sciences ISSN Impreso: 1659-1046 ISSN electrónico: 2215-3411

OAI: https://revistas.ucr.ac.cr/index.php/Odontos/oai
Nasal Wall Oriented Implants for All-on-4 Fix-Detachable Maxillary Reconstruction


Dental implant; Dental materials; Dental Prosthesis; Immediate dental implant loading; Tooth loss; Torque.
Implante dental; Materiales dentales; Prótesis dental; Carga inmediata de implantes dentales; Pérdida de dientes; Esfuerzo de torsión.

How to Cite

Uhlendorf, J., Cartelli, C. A., Trojan, L. C., Thomé, G., & Moura, M. B. (2020). Nasal Wall Oriented Implants for All-on-4 Fix-Detachable Maxillary Reconstruction. Odovtos - International Journal of Dental Sciences, 24(1), 16–25. https://doi.org/10.15517/ijds.2021.43916


Immediate loading of full-arch prostheses on dental implants in the upper arch is challenging, as the bone is of low quality and obtaining sufficient torque may be difficult. The purpose of this case report is to describe the rehabilitation of a full-arch by means of placement of four internal tapered connection tilted implants and immediate loading. A 65-year-old man sought dental care with a partially edentulous upper arch. The teeth presented mobility and were extracted. In a second step, two conventional-length implants were placed in the anterior region and two tilted and nasal wall–directed extra-long implants in the posterior region. The insertion torques of 60 N.cm allowed the installation of an immediate prosthesis (hybrid). The clinical case report suggests that the placement of tilted and extra-long implants in the paranasal bone and immediate loading may be a viable option for rehabilitation of the edentulous upper arch.



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