Results of Maxilla Implants in Children

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The vertical growth of the maxilla exceeds all other dimensions of growth in this region; therefore, premature implant placement can result in the repetitive need to lengthen the transmucosal implant connection resulting in poor implant-to-prosthesis ratio and the potential for load magnification.
--Premature placement of an implant near the midline can create a mesiodistal spatial disharmony secondary-to-median sutural growth, which accelerates at puberty.
--The placement of implants in the anterior maxillary region before age 15 in female patients and age 17-25 in male patients should be attempted only to achieve unique treatment planning goals and with particular emphasis on the determination of skeletal age, informed consent and the possibility of future implant replacement.
 Posterior maxilla6, 9
Large number of variations exist in the amount and direction of both sagittal and vertical growth, and the unpredictability of the growth pattern adds to the difficulty of deciding when it is safe to insert implants in that area.. Since the vertical growth occurs by apposition on the alveolar aspect and resorption on the nasal or maxillary sinus area, an implant placed early could be submerged oclusally and penetrate the sinus or nasal cavity. In partial edentulism, implant infraocclusion may lead to long term esthetic problems for the implant and periodontal damage around the adjacent teeth. So, implant placement can be recommended only after the cessation of growth. Placement of osseointegrated dental implants in the maxillary posterior quadrant is best delayed until age 15 in females and age 17(17-25) in males. Particular care must be exercised when placing implants before skeletal maturity because of the appositional and resorpt...

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...imal way to restore function. Definitive orthodontics, oral surgery to reshape the dental arches, alveolar bone grafting, selective tooth extraction, and periodontal surgery should be considered to meet the needs of the particular patient. The prostheses and restorations, which were part of earlier treatment, should be reevaluated. If complete dentures are contemplated, both maxillary and mandibular prostheses are recommended since opposing dentures improve both function and esthetics. Rigid fixed prostheses are appropriate since craniofacial growth is complete. Comprehensive orthodontic tooth movement and selective extraction of teeth will allow optimal prosthetic therapy. Implants may be used anywhere in the dental arches and, if necessary, bone grafting prior to implants is appropriate. General anesthesia is not recommended routinely for individuals in this group.

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