Surgical split-mouth approach with single implants in different maxillary zones: a case report

Authors

  • Blendow Félix de Melo Pereira Faculdade do Amazonas - IAES Author
  • Márcio Langbeck Castelo Branco Faculdade do Amazonas - IAES Author
  • Fernando dos Santos Gonçalves Junior Faculdade do Amazonas - IAES Author
  • Alberto Tadeu do Nascimento Borges Faculdade do Amazonas - IAES Author
  • Zobélia Maria de Souza Lopes Faculdade do Amazonas - IAES Author

DOI:

https://doi.org/10.70614/agnmgd69

Keywords:

Osseointegration, Dental implantation endosseous, Dental implants, Sinus floor augmentation, Platelet-rich fibrin

Abstract

In contemporary implantology, technical variations in placing implants in the maxilla reflect advancements aimed at predictability, functionality, and aesthetics. The choice of technique depends on local anatomy, systemic conditions, and the quantity and quality of the patient’s bone. Osseointegration occurs on average between two and three months, followed by prosthetic installation. A single implant is indicated for replacing a single tooth, preserving adjacent structures. In selected situations, the implant can be placed immediately after tooth extraction. When there is bone deficiency, grafting procedures are necessary to ensure stability. Sinus lift is indicated in posterior regions with significant bone loss. The use of PRF can promote healing and bone integration. Systemic conditions, such as hypertension and sinusitis, increase the risk of surgical complications. However, the aim of this work was to report a challenging case, highlighting the importance of an accurate diagnosis and appropriate treatment, demonstrating the technical variations and surgical skill as determinants of therapeutic success.

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Published

2026-02-20