Peer-reviewed veterinary case report
Reconstruction of the atrophic maxilla combining Le Fort I osteotomy, sinus augmentation and titanium mesh guided bone regeneration: a technical note.
By Riehl F et al.·2026·Department of Oral and Maxillofacial Surgery, France·View original on Europe PMC →
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Plain-English summary
This study discusses a new surgical method for fixing a severely shrunk upper jaw (maxilla) in dogs that have lost their teeth. The approach combines several techniques: a specific type of jaw surgery (Le Fort I osteotomy), adding bone to the sinus areas, and using a titanium mesh to help guide new bone growth. By carefully planning before surgery, the jaw can be repositioned correctly, allowing for better placement of dental implants without needing extra gum tissue. This method is less invasive than traditional bone grafting and aims to provide a more reliable way to prepare the jaw for implants.
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.
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Search related cases →Original publication on Europe PMC: https://europepmc.org/article/MED/41611543