Reconstruction of the atrophic maxilla combining Le Fort I osteotomy, sinus augmentation and titanium mesh guided bone regeneration: a technical note
Abstract
Severe atrophy of the edentulous maxilla poses a significant surgical challenge. This technical note presents a novel approach combining Le Fort I osteotomy, bilateral sinus augmentation, and titanium mesh guided bone regeneration. Preoperative prosthetic planning allows accurate maxillary repositioning to restore a skeletal Class I relationship and enable an implant-supported prosthesis without prosthetic gingiva. The titanium mesh provides stable, three-dimensional support for uniform ridge reconstruction, enabling ideal implant placement. This technique offers a reproducible and less invasive alternative to conventional autogenous grafting in pre-implant reconstructions.
Fields of Study & Subjects
Dental Implant Techniques and Outcomes
Orthodontics and Dentofacial Orthopedics
Nasal Surgery and Airway Studies
Publication details
- Journal / source
- International Journal of Oral and Maxillofacial Surgery
- Volume
- 55
- Issue
- 7
- Pages
- 836–844
- Publication date
- 28 January 2026
- Language
- EN