Treatment alternatives for the rehabilitation of the posterior edentulous maxilla

Periodontol 2000. 2023 Oct;93(1):183-204. doi: 10.1111/prd.12507. Epub 2023 Jul 24.

Abstract

Rehabilitation of the edentulous maxilla with implant-supported fixed dental prostheses can represent a significant clinical challenge due to limited bone availability and surgical access, among other factors. This review addresses several treatment options to replace missing teeth in posterior maxillary segments, namely the placement of standard implants in conjunction with maxillary sinus floor augmentation, short implants, tilted implants, and distal cantilever extensions. Pertinent technical information and a concise summary of relevant evidence on the reported outcomes of these different therapeutic approaches are presented, along with a set of clinical guidelines to facilitate decision-making processes and optimize the outcomes of therapy.

Keywords: dental implants; edentulous; maxilla; prosthodontics; rehabilitation.

Publication types

  • Review

MeSH terms

  • Dental Implantation, Endosseous
  • Dental Implants*
  • Dental Prosthesis Design
  • Dental Prosthesis, Implant-Supported
  • Humans
  • Jaw, Edentulous* / rehabilitation
  • Maxilla / surgery
  • Mouth, Edentulous* / surgery
  • Sinus Floor Augmentation*
  • Treatment Outcome

Substances

  • Dental Implants