Dental implants installation method with palatal exposure (vestibular bone shield) in several teeth absence in included and terminal defects with lateral atrophy of maxilla alveolar process

INTRODUCTION. Nowadays, we can see rapid development of world dental implantation, where there are various methods for repairing dental defects on artificial supports. Despite this, the problems of dental implantation in severe lateral atrophies of the alveolar process of the upper jaw remain unresolved. In this regard, there are researches aims at improving the surgical stage in complex clinical cases associated with a lack of bone tissue of the alveolar process of the upper jaw. Taking into account the above, we chose the topic of this research.

AIM. Purpose of the research is to increase efficiency of surgical and orthopedic stages of rehabilitation in the absence of several teeth in the form of included and terminal defects with lateral atrophy of the maxilla alveolar process by applying the developed method.

MATERIALS AND METHODS. The article presents the clinical results of the developed dental implantation method with palatal exposure (vestibular bone shield) in the absence of several teeth in included and terminal defects with lateral atrophy of the maxilla alveolar process (patent application No. 2025128342 dated 16.10.2025). A five-year analysis of the clinical effectiveness of the developed method in 136 clinical cases in patients in the age group from 41 to 69 years old was carried out. The obtained results were evaluated in MS Office Excel using standard methods.

RESULTS. The combination of the main features of the developed method contributes to a pronounced minimization of the invasiveness of interventions and a shorter rehabilitation period, which determine the safety and clinical effectiveness of the proposed method. As part of the developed method, the recommended dental implants with a milled and anodized neck provide optimal mucogingival consolidation from the exposed palatal side. This tactic excludes bone augmentation, including the use of bone substitutes and traumatic interventions to reduce the alveolar crest.

CONCLUSIONS. The clinical results of practical application of the developed dental implantation method with palatal exposure (vestibular bone shield) in the absence of several teeth in included and terminal defects with lateral atrophy of maxilla alveolar process characterize its efficiency due to low traumatism, pronounced reduction of duration of surgical and orthopedic treatment.

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