Treatment of patients with maxillary and mandibular atrophy is a complex challenge in implant prosthetics. In his case report, Dr. Volker Bonatz describes the complete surgical and prosthetic reconstruction in a patient who had severely atrophied jaw anatomy and an insufficient number of residual teeth. Pilot guided surgery offered the greatest freedom. Based on the analysis of the anatomical structures, BioniQ implants with a diameter of 2.9 mm were used.
Complete case report “Implant prosthetics of the atrophied maxilla and mandible. Complex complete surgical-prosthetic treatment” was published in the renowned German magazine Implantologie Journal No. 11/24.
The patient came to the office of Dr. Volker Bonatz, M.Sc., M.Sc., with residual lower frontal teeth and a continuous maxillary bridge, approximately 35 years old and already disintegrated for a long time, fixed only on a few partially destroyed pillars. The masticatory ability was reduced and associated with pain. Due to significant atrophy, the goal was to achieve a removable solution on both the maxilla and the mandible.
The pilot guided surgery was chosen because the anatomical conditions made fully guided surgery impossible. The analysis showed that narrow diameter implants are advisable. A total of ten 2.9 mm diameter BioniQ S2.9 implants were placed. A fixed all-ceramic restoration could not be used. Telescopes in the maxilla and a bar in the mandible were the best possible options. In his expert contribution, Dr. Bonatz compares the selected solutions with other possible support elements, such as ball attachments.
You can read the full case report under this link.
Dr. Volker Bonatz holds an M.Sc. degree in implantology / oral surgery and an M.Sc. degree in the field of aesthetic reconstructive dentistry. He ran his private practice in Landau/Pfalz for 38 years. He is still engaged in oral surgery and implant prosthetics and is a lecturer on implantology at home and abroad.
