Fixed-prosthetic implant restoration of the edentulous maxilla: a systematic pretreatment evaluation method.

i b a t otential candidates for implant restoration of the ompletely edentulous maxilla may be interested in eceiving a fixed prosthesis as opposed to a removble overdenture. Multiple surgical approaches are vailable in order to provide this type of care. Graftess approaches such as the use of tilted implants ncluding the zygomatic implant, allow the surgeon to stablish adequate support for a fixed prosthesis withut bone grafting. Adjunctive procedures such as sius grafting, maxillary osteotomies as well as horizonal augmentations are also available for surgeons who ay prefer the grafting approach for the reconstrucion of this group of patients. The ability to determine arly in the consultation process the type of fixed prosheses necessary to provide the best functional and eshetic results is advantageous. This current therapy artile examines 3 critical factors; the nature of the patient’s ental condition and whether the residual ridge is isible in both the relaxed lip and smiling state, direct he choice of fixed dental prostheses. The presence r the absence of bone in the 3 radiographic zones,