GUIDED BIMAXILLARY REHABILITATION WITH REDUCED INTERMAXILLARY PROSTHETIC SPACE: A CASE REPORT
Abstract
Implant-supported prosthesis rehabilitation can be a challenge in cases where there is no space between the arches, requiring an increase in the vertical dimension of occlusion (VDO) through osteotomy to install the prosthesis. This case report describes a 65-year-old patient with a reduced intermaxillary space, in whom virtual-assisted bimaxillary full-arch rehabilitation was performed. To this end, diagnostic and planning methods were employed, including tomography, cephalometric radiographs, photographs, and impressions. Surgical guides were fabricated based on virtual planning. Six Grand Morse Helix Acqua implants were installed in the maxilla, and osteotomy was performed in the mandible, followed by the installation of four Grand Morse Helix Acqua implants (Neodent, Curitiba, Brazil). This case report highlights that bimaxillary rehabilitation is challenging; however, with the implementation of appropriate virtual planning, this challenge can be successfully overcome.
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