Figure 7 Last intraoral see after dental implant rehabilitation. Discussion The possibilities out there to the surgeon to accurate the shortage of bone within the severely atrophic maxilla are maxillary osteogenic distraction, interposition bone grafts, alloplastic materials, and maxillary osteotomy. General, our remedy objectives are to proper the vertical, sagittal, and horizontal discrepancies consequently reaching class I skeletal profile. So, we favor the strategy working with Le Fort I maxillary osteotomy, both a typical Le Fort I or a horseshoe osteotomy exactly where the challenging palate stays pedicled over the nasal septum and vomer. The maxilla fragments were transposed inferiorly and anteriorly and stabilized with interpositional bone grafts (5).

5 Obtainable donor web pages for getting interpositional grafts are both the cranial vault or iliac crest.two,3,6 Though the grafts are positioned within a steady place, they can be susceptible to mobilization throughout the repositioning and fixation of maxillary plates and screws. This steady motion in the grafts requires an increasement with the operation time, a harder surgical strategy, and insufficient graft stability. This very simple and novel thought was created for the sake of steering clear of the errors in complicated bone graft substitute for the duration of maxillary reposition, and it permits a typical Le Fort I fixed with secure bone grafts. Moreover, it aids in simplifying osteotomy fixation. Additionally, bone grafting among the osteotomy fragments serves as an osteoconductor, which promotes postoperative stability and avoids relapse.

The primary concern with mixing titanium and stainless steel is definitely the fear of galvanic corrosion, which occurs when products of different electrochemical probable are placed in near proximity in an electrolytic natural environment. Galvanic likely resulting from metal mixing may possibly negatively influence the implants by hastening their fretting corrosion, ending in serious issues this kind of as aseptic loosening from the implants and mechanical failure (fatigue breaking). In spite of this theoretical danger, several in vitro studies have shown that neither stainless steel nor titanium is a lot more vulnerable to corrosion when examined in close contact than when tested individually, and that galvanic corrosion will not perform a significant purpose when combining these two metallic components.

7,8 Conclusion Including further wire anchorage all-around the bone graft enormously improves our results fee and lowers our operative time. Bone grafting concurrently with Le Fort I osteotomy lets an quick effect in enhancing the facial skeletal profile. Our novel approaches are comparatively uncomplicated and will be conveniently picked up by youthful surgeons.
Background and Objectives The best line of osteosynthesis in mandibular angle fractures indicates that a plate might be placed both along or just under the external oblique ridge.