PMC1774560_01
Preoperative 3D DVT-scan (digital volume tomography, New Tom 9000, New Tom Marburg, Germany), right view (left) and left view (right): initial bony situation: moderately severe atrophied mandible, severe posterior maxillary alveolar atrophy and skelettal class-III conditions due to cleft palate.
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F1
Preoperative clinical situation front view (left) and lateral view (right): noticeable class-III occlusion.
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F2
View from above to the grafted right maxillary sinus. Top of the former sinus augmentation (arrows)
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F3
The carefully downfractured maxilla allowed an unique view from above to the grafted sinuses (figure 3).
Preoperative (left) and postoperative (right) radiographs: improvement of the intermaxillary relationship after orthognathic surgery.
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F4
According to the preoperative planning the maxilla was placed in the new advanced position and then fixed with microplates (figure 4).
Postoperative clinical situation front view (left) and lateral view (right): noticeable class-I occlusion.
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F5
After placing definite abutments and removing the auxililary implants final restauration was placed (figure 5).