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Year : 2020  |  Volume : 10  |  Issue : 2  |  Page : 507-511

The role of custom-made subperiosteal implants for rehabilitation of atrophic jaws - A case report

1 Instituto Português da Face - Rua Tomás Ribeiro; Universidade de Lisboa, Faculdade de Medicina – Avenida Professor Egas Moniz, Lisboa, Portugal
2 Universidade de Lisboa, Faculdade de Medicina – Avenida Professor Egas Moniz, Lisboa, Portugal

Correspondence Address:
Prof. David Faustino Angelo
Instituto Português da Face, No 71, 5th Floor. 1050-227 Lisbon
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DOI: 10.4103/ams.ams_263_20

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Rehabilitation of atrophic jaws with conventional endosseous implant-supported overdentures and immediate loading protocols still presents a challenge nowadays. Custom-made implants with immediate loading overdenture are emerging as a solution for atrophic jaws rehabilitation. The authors describe the case of a 44-year-old male with a history of congenital dental agenesis. A previous oral rehabilitation with an all-on-6 type, implant-fixed mandibular overdenture, had failed due to peri-implantitis. The patient was successfully treated with bimaxillary custom-made subperiosteal implants with an innovative design, combining subperiosteal and endosseous support. The authors consider custom-made subperiosteal implants, in selected patients, present several advantages over classic bone-grafting plus endosseous implant-placement techniques such as (1) possibility of a single-stage procedure with immediate loading in atrophic jaws; (2) possible primary option to approach atrophic jaws as a simpler and less time-consuming technique; and (3) a valid rescue option for failed endosseous implants. More long-term studies with large samples of patients will be necessary to confirm previous assumptions.

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