Implante Transsinusal com Carga Imediata em Reabilitação de Arco Total

This case report describes the rehabilitation of an atrophic maxilla in a 67-year-old male patient with a history of osseointegration failure of previous implants. After clinical and tomographic evaluation, two implants were placed: a conventional implant in the region of tooth 22 and a long transsinus implant in the region of tooth 24, due to significant bone loss. The procedure involved the use of angled implants with immediate loading, followed by bone grafting in the maxillary sinus. A fixed prosthesis was installed two days after surgery. After 18 months of follow-up, the implants showed primary stability, bone levels remained stable, and no complications were observed. This case demonstrates that the angled implant technique, including the transsinus approach, with immediate loading, can be an effective alternative for the rehabilitation of atrophic maxillae.