Stability, complications, implant survival, and patient satisfaction after Le Fort I osteotomy and interposed bone grafts: follow-up of 5-18 years

A. Soehardi*, G. J. Meijer, T. J. M. Hoppenreijs, J. J. A. Brouns, M. de Koning, P. J. W. Stoelinga

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

11 Citations (Web of Science)

Abstract

The results of a retrospective study on 24 patients who underwent a Le Fort I osteotomy to improve the condition for implant insertion are presented. They all had an edentulous maxilla, Cawood and Howell class VI. Bone grafts were taken from the anterior or posterior iliac crest and implants were placed between 3 and 6 months after the osteotomy. The follow-up period ranged from 5 to 18 years. Initial complications occurred in seven patients in whom small bony defects were present at the time of the implant insertion procedure. The position of the advanced and downward grafted maxilla remained stable over the years. A total of 135 implants were initially inserted, of which 34 failed over the years. Ten implants were inserted to compensate for lost ones, of which only one failed. The screw implants tended to do better than the cylindrical implants. Two patients lost all implants; they had undergone previous surgery affecting the sinus and were also heavy smokers. The remaining 22 patients were satisfied with their treatment as shown by visual analogue scale scores. The results presented are in keeping with those of other reports and underscore the viability of the procedure. International Association of Oral and Maxillofacial Surgeons.
Original languageEnglish
Pages (from-to)97-103
JournalInternational Journal of Oral and Maxillofacial Surgery
Volume44
Issue number1
DOIs
Publication statusPublished - Jan 2015

Keywords

  • edentulous atrophic maxilla
  • Le Fort I osteotomy
  • augmentation
  • dental implants

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