REHABILITACIÓN BIMAXILAR GUIADA CON REDUCCIÓN DEL ESPACIO PROTÉSICO INTERMAXILAR: REPORTE DE UN CASO
Resumen
La rehabilitación con prótesis implantosoportadas puede ser un reto en casos donde el espacio entre las arcadas dentales es insuficiente, requiriendo un aumento en la dimensión vertical de oclusión (VDO) mediante osteotomía para la colocación de la prótesis. Este reporte de caso tiene como objetivo describir el caso clínico de un paciente de 65 años con espacio intermaxilar reducido, en quien se realizó rehabilitación bimaxilar de arcada completa mediante asistencia virtual. Se emplearon métodos de diagnóstico y planificación, incluyendo tomografía computarizada, radiografías cefalométricas, fotografías e impresiones. Se fabricaron guías quirúrgicas con base en la planificación virtual. Se colocaron seis implantes Grand Morse Helix Acqua en el maxilar superior y se realizó osteotomía en la mandíbula, seguida de la colocación de cuatro implantes Grand Morse Helix Acqua (Neodent, Curitiba, Brasil). Este reporte de caso destaca que la rehabilitación bimaxilar representa un desafío; sin embargo, con la implementación de una planificación virtual adecuada, este desafío puede ser superado con éxito.
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