REABILITAÇÃO BIMAXILAR GUIADA COM REDUÇÃO DO ESPAÇO PROTÉTICO INTERMAXILAR: RELATO DE CASO
Resumo
A reabilitação com próteses implantossuportadas pode ser um desafio nos casos em que não há espaço entre as arcadas dentárias, exigindo um aumento na dimensão vertical de oclusão (DVO) por meio de osteotomia para a instalação da prótese. Este relato de caso tem como objetivo descrever o caso clínico de um paciente de 65 anos com espaço intermaxilar reduzido, no qual foi realizada reabilitação bimaxilar de arco completo assistida virtualmente. Para tanto, foram empregados métodos de diagnóstico e planejamento, como tomografia, radiografias cefalométricas, fotografias e moldagens. Guias cirúrgicos foram confeccionados com base no planejamento virtual. Foram instalados seis implantes Grand Morse Helix Acqua na maxila e realizada osteotomia na mandíbula, seguida da instalação de quatro implantes Grand Morse Helix Acqua (Neodent, Curitiba, Brasil). Este relato de caso evidencia que a reabilitação bimaxilar representa um desafio; entretanto, com a implementação de um planejamento virtual adequado, esse desafio pode ser superado com sucesso.
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