Severely resorbed maxillas present with multiple challenges. Due to the decreased availability of bone for implant placement and the Pneumatisation of the maxillary sinuses, the anteroposterior spread of the implants can be compromised. This can lead to the ultimate failure of the restoration.
Zygomatic implants can in many occasions provide sufficient antero-posterior spread to restore the case. The use of anterior implants in the pyriform rim or naso-palatine canal, and Pterygoid implants can also assist in providing sufficient spread to restore the case.
Guided implant placement can also improve the accuracy of the planning.
Anteroposterior spread of implant position has a direct correlation with long-term restoration success. These concepts can be readily implemented in the treatment of severely resorbed maxillas.
Dr. Carlos Letelier has a passion for excellence that is reflected in his distinguished background and education credentials. He began his dentistry studies in Chile where he earned a DDS degree and then enrolled in Tufts University School of Dental Medicine, in Boston Massachusetts, where he graduated Summa Cum Laude with a DMD degree. He went on to complete his surgical residency and graduate from UCLA Medical School, in Los Angeles California, with both an MD and OMFS degree. He then did a cosmetic surgery fellowship with the American Academy of Cosmetic Surgery. In addition to becoming Board Certified in both Oral and Maxillofacial Surgery and Cosmetic Surgery, Dr. Letelier has taught in the OMFS residency program at Fresno’s University Medical Center in California, USA.
Dr. Letelier’s expertise covers a wide range of procedures from wisdom tooth extraction and dental implants to facial and dental trauma. He is well known and highly regarded for his treatment of patients with missing teeth and severe bone loss.
Dr. Letelier continues to expand his knowledge and skills by regular participation in specialty courses throughout the USA and other global locations.