Alternatives to bone grafting for dental implants

There are several alternatives to bone grafting for dental implants, particularly for patients with insufficient bone volume. Some of these alternatives include:

1. Short Implants:
   • Instead of traditional implants, shorter implants can be used in certain cases where bone height is limited. These implants are designed to engage with available bone without the need for extensive grafting.
2. Zygomatic Implants:
   • Zygomatic implants are longer implants that anchor into the zygomatic (cheek) bone. They are an alternative for individuals with severe maxillary (upper jaw) atrophy and can provide stable support for dental prosthetics.
3. All-on-4 or All-on-6 Technique:
   • These techniques involve placing a full set of teeth on just four or six strategically positioned implants. They optimize available bone and minimize the need for extensive grafting procedures.
4. Sinus Lift and Augmentation:
   • In cases where there is insufficient bone in the upper jaw due to sinus expansion, a sinus lift can be performed to create space for bone grafting. Augmentation procedures, such as ridge expansion, may also be used to increase bone width.
5. Computer-Guided Implant Placement:
   • Advanced imaging and computer-guided implant placement techniques allow for precise planning, ensuring that implants are placed in the areas of the jaw with the most available bone.
6. Laser Therapy:
   • Laser technology is sometimes used to stimulate bone growth and enhance healing after implant placement. It can be particularly beneficial in promoting osseointegration.
7. Autogenous Bone Marrow Aspiration Concentrate (BMAC):
   • BMAC involves withdrawing a small amount of a patient’s own bone marrow, concentrating the growth factors, and then injecting it into the surgical site. This can enhance the healing process and stimulate bone formation.
8. Distraction Osteogenesis:
   • This surgical technique involves gradually separating bone segments, allowing new bone to form in the gap. It is occasionally used to augment bone volume in specific cases.

It’s crucial to note that the suitability of these alternatives depends on the individual patient’s case, and a thorough evaluation by a dental professional is necessary to determine the most appropriate approach. The choice of technique will depend on factors such as the location of the implant, the extent of bone loss, and the patient’s overall health.

The Innovative Solution for Bone Atrophy: Galileus Cerclage Sinus®

Today, we often hear that when a person has minimal bone in the posterior maxillary areas for dental implants, they should undergo a series of complex techniques listed on the page. What if I told you about a surgical technique that, in just 2 hours, can address severe atrophy with bone loss, placing dental implants in the posterior areas where you need solid support for your dental prosthesis and correct chewing in the deep molars?

Galileus Cerclage Sinus®: Cutting-Edge Technique

Galileus Cerclage Sinus® relies on the basal corticoplastic bones posterior to the upper maxilla, particularly the palatine pterygoid bone. This exceptionally durable and resistant tissue becomes the strategic point for implant placement: 18/28 implants in the posterior zone and 15/25 transversal nasal implants of 18/19 mm. This technique not only definitively resolves upper maxillary atrophy in the posterior zones but also creates two pillars of resistance supporting the dental prosthesis for the next 20/30 years.

Specialized Execution in Padua, Italy

Galileus Cerclage Sinus® is exclusively performed by Prof. Roberto Conte at his specialized center in Padua, Italy. The finalization of this technique is entrusted to the collaborator and skilled artisan Patrizio Marcato, who handcrafts a fixed ceramic prosthesis tailored to the patient’s anatomy. Known as the “circular,” this artifact provides an aesthetically extraordinary smile with 14 teeth, ensuring complete chewing down to the deep posterior molars.

A Smile That Lasts a Lifetime

The circular, without false gums, is a prosthetic masterpiece crafted with passion, adapting to the patient’s physiognomy and anatomy. It delivers exceptional aesthetic results, even for patients with atrophy and minimal bone. When patients see themselves in the mirror, they often can’t believe that the reflected smile is theirs. It takes a moment of emotion to realize that the smile is authentic.

Your Investment in the Future of Smiles

Considering that this denture will be your companion for the next 20/30 years, investing time in its creation at our center in Padua becomes a precious gesture. If you’re interested in these solutions without grafts or lifts, contact us via WhatsApp. We’ll respond within 24 hours, and if you decide to visit us, we’ll take care of everything: travel, accommodation, shuttle, transportation, and a personal interpreter. Send an overview with WhatsApp for an initial indicative consultation.

The proprietary surgical technique of Galileus Cerclage Sinus® provides an innovative alternative to address bone atrophy in the posterior maxillary areas without the need for bone grafts or lifts, avoiding invasive surgical procedures. Here’s how this technique overcomes these challenges:

1. Utilization of Posterior Corticoplastic Basal Bones: The technique relies on the use of corticoplastic basal bones located in the posterior part of the upper jaw, particularly the pterygoid palatine bone. These bones are characterized by remarkable hardness and durability, providing a strategic area for implant insertion.
2. Strategic Implant Placement: Dental implants are strategically placed in the posterior zones, using the corticoplastic basal bones as anchor points. This targeted placement overcomes the lack of bone in the posterior areas without resorting to grafts.
3. Avoiding Grafts and Lifts: Thanks to the specific approach of the Galileus Cerclage Sinus® technique, there’s no need for invasive procedures like bone grafts or lifts of the maxillary sinuses. The technique leverages existing bone resources in the jaw, avoiding additional complexity and the healing period associated with such interventions.
4. Creation of Pillars of Resistance: In addition to addressing bone atrophy, the Galileus Cerclage Sinus® technique creates two pillars of resistance in the most posterior atrophic areas of the jaw. These pillars provide solid support for future dental prosthetics, ensuring effective and lasting chewing.

In summary, the Galileus Cerclage Sinus® technique represents an advanced and less invasive option for those facing bone atrophy issues in the posterior maxillary areas, offering a comprehensive solution without the need for bone grafts or lifts. The key to success lies in the targeted approach and in-depth knowledge of the patient’s anatomical characteristics by the experienced surgeon performing the procedure.

The surgery of Galileus Cerclage Sinus® holds a distinctive position when it comes to treating atrophic patients in need of dental implants for a fixed dentition. Compared to other techniques, Galileus Cerclage Sinus® stands out in several aspects:

1. Minimal Invasiveness: The Galileus Cerclage Sinus® technique is designed to be less invasive than some other procedures. It relies on the use of posterior corticoplastic basal bones in the upper jaw, reducing the need for bone grafts or lifts of the maxillary sinuses, which are often associated with more invasive procedures.
2. Reduced Intervention Time: The Galileus Cerclage Sinus® procedure can be completed in just two hours. This is a significant advantage compared to more complex and prolonged procedures, reducing overall time in the operating room and discomfort for the patient.
3. Strategic Implant Placement: The technique involves strategically placing dental implants in the posterior zones, utilizing corticoplastic basal bones. This overcomes the lack of bone in critical areas and provides stable anchorage for dental prosthetics.
4. Creation of Pillars of Resistance: In addition to addressing bone atrophy, the procedure creates two pillars of resistance in the most posterior areas of the jaw. These pillars provide solid support for dental prosthetics, contributing to stability and long-term durability.
5. Aesthetics and Functionality: The Galileus Cerclage Sinus® technique is designed not only to address bone atrophy but also to offer exceptional aesthetic results. The custom-made ceramic fixed dental prosthesis provides a natural smile and complete chewing function.

Overall, Galileus Cerclage Sinus® surgery emerges as an advanced and effective option for atrophic patients seeking a solution for a fixed dentition, ensuring a less invasive approach, reduced intervention time, and lasting aesthetic and functional results.

A patient lacking bone in the posterior areas might prefer the established surgical technique of Galileus Cerclage Sinus® over autologous bone grafts and extensive lifts for several reasons:

1. Avoiding Complications: The Galileus Cerclage Sinus® technique is designed to be less invasive than bone grafts and lifts. This reduces the risk of complications associated with more invasive procedures, such as infections, bone rejection, or prolonged healing phases.
2. Immediate Benefits: With the Galileus Cerclage Sinus® procedure, immediate fixed implants can be achieved. This means that the patient can enjoy the benefits of a ceramic fixed prosthesis without having to wait for long healing periods.
3. Complete Chewing: The technique allows for a wide range of complete chewing, including posterior molar chewing. It is the only technique that offers complete chewing, both front and deep posterior, with all molars.
4. Natural Aesthetics: The custom-made ceramic fixed dental prosthesis, crafted by a master artisan, provides exceptional and natural aesthetic results. Without the need for a false gum, the end result is more akin to a natural dentition.
5. Long-term Stability: The Galileus Cerclage Sinus® technique involves the creation of resistance pillars in the posterior areas, providing long-term stability for the dental prosthesis. This contributes to the longevity and functionality of the dentition over time.

Overall, choosing the Galileus Cerclage Sinus® technique offers numerous advantages, including a less invasive procedure, immediate benefits, complete chewing, natural aesthetics, and long-term stability. This can make this option particularly attractive for patients lacking bone in the posterior areas who seek a reliable and durable solution for a fixed dentition.

the comparison between Galileus Cerclage Sinus® and traditional surgical techniques, such as Toronto prosthetics, all-on-4, all-on-6, and zygomatic implantology, is crucial to help atrophic patients without bone make an informed decision. Here are some considerations:

Galileus Cerclage Sinus®

• Less Invasive Approach: Galileus Cerclage Sinus® is designed to be less invasive than some traditional techniques, avoiding bone grafts and large lifts.
• Immediate Benefits: The technique allows for the immediate placement of fixed implants, reducing healing times and providing immediate benefits.
• Complete Chewing: The technique offers complete chewing, including that of molars, providing a more natural experience.
• Custom Aesthetics: The circular ceramic prosthesis, handmade and tailored, offers unparalleled aesthetics without false gums.

Traditional Surgical Techniques

• Bone Grafts and Large Lifts: Some techniques require bone grafts or large lifts, involving more invasive procedures and longer healing times.
• Toronto Prosthetics and All-on-4/6: These options can provide a solution but often require false gums, affecting natural aesthetics.
• Zygomatic Implantology: An option for more complex cases but may require additional procedures and has aesthetic limitations.

Best Choice for the Patient

The choice between Galileus Cerclage Sinus® and traditional techniques depends on the individual needs and preferences of the patient:

• If Aesthetic Priority: Galileus Cerclage Sinus® might be preferable for its custom prosthesis without false gums.
• If Priority is Speed: The technique offers immediate benefits.
• If Priority is Minimizing Invasiveness: It avoids more invasive procedures like bone grafts.
• If Case Complexity: Some cases might require our additional highly specialized surgical techniques such as pterigozygomatic implants, avoiding quad zygomatic implants.

If the main priority is surgical in nature, the choice between Galileus Cerclage Sinus® and traditional surgical techniques can be guided by various factors: Galileus Cerclage Sinus®

• Less Invasiveness: The technique is designed to be less invasive, avoiding bone grafts and large lifts.
• Accelerated Procedures: It offers immediate benefits with faster healing times compared to more invasive procedures.
• Lower Complexity: The procedure is less complex than techniques requiring grafts and lifts.

Traditional Surgical Techniques

• Bone Grafts and Lifts: Some techniques require more extensive procedures, such as bone grafts and large lifts.
• Greater Complexity: Traditional techniques can be more complex, especially in cases of significant atrophy.

Choice Based on Surgical Priority

If the priority is to minimize surgical complexity and ensure immediate results:

• Galileus Cerclage Sinus®: Favors a less invasive procedure, faster, and with fewer complications.

In conclusion, the choice depends on the specific needs of the patient. A consultation with Dr. Prof. Roberto Conte, the foremost expert in posterior atrophies of the upper jaw and the doctor with the most pterygoid dental implants inserted worldwide, with extensive surgical experience in palatine-pterigoid areas and the anatomically affected palatine fossa for fixed definitive rehabilitation, considering individual clinical conditions, will help determine the best option for achieving a aesthetically pleasing, functional, and long-term fixed dentition.

The Galileus Cerclage Sinus® technique is an innovative surgical procedure designed to address severe posterior atrophies of the upper jaw without resorting to invasive bone grafts. Here are the key details of this technique:

Implant Placement:

• Basal Bones: Implants are placed in the posterior cortical basal bones of the upper jaw, specifically in the palatine and pterygoid bones. These bones are extremely hard and resistant, providing a secure anchor for the implants.
• Type of Pterygoid Implants: Long 19/21 millimeter pterygoid implants are used to reach the cortical pterygoid laminae.
• Newton 100 Insertion (Section 18/28): Implants are inserted with a Newton force of 100, ensuring stability and safety in the 18/28 section of the upper jaw.
• Transverse Nasal Dental Implants: Transverse nasal dental implants with a length of 18/19 millimeters are inserted in the 15/25 sections of the jaw.

Positioning Strategy:

• V-shaped Encircling Positioning: Two transverse nasal dental implants are positioned opposite each other to form a V shape that encircles the maxillary sinus, ensuring its protection.
• Pillars of Resistance: This strategy creates two pillars of resistance that will support fixed prosthetics in the posterior areas of the jaw, allowing effective chewing.

Conclusion of the Technique:

• Frontal Inserts: The technique concludes with the frontal insertion of 2-4 transverse nasal implants in the residual bone zones of the frontal premaxilla.

Prosthetics Specifically for the Technique:

• Prototype with 14 Teeth: The fixed prosthesis created specifically for the Galileus Cerclage Sinus® technique stands out for its number of teeth, offering 14 teeth.
• 360-Degree Masticatory Support: The prosthesis provides complete 360-degree masticatory support across the entire perimeter of the upper jaw, evenly distributing masticatory forces.
• Impeccable Aesthetics without False Gums: The prosthesis offers impeccable comfort and aesthetics without the use of false gums, bringing joy to patients.

In conclusion, the Galileus Cerclage Sinus® technique offers an advanced solution for patients with posterior atrophies of the upper jaw, combining implant stability, complete masticatory functionality, and exceptional aesthetics.

Close-Up Comparison: Toronto Bridge vs. Galileus Cerclage Sinus® Ceramic Prosthesis

When it comes to choosing a fixed dental prosthesis, it’s crucial to understand the distinct differences between a Toronto Bridge with 12 composite teeth, supported by only four implants in the frontal premaxillary section, and a ceramic fixed prosthesis with 14 teeth, supported by the Galileus Cerclage Sinus® surgical technique.

Toronto Bridge (12 Composite Teeth, 4 Frontal Implants):

• Limited Masticatory Function: The Toronto Bridge provides reduced chewing functionality as it is supported only in the frontal premaxilla section, lacking support from posterior implants.
• Missing Posterior Implants: The absence of posterior implants compromises the support for molars and deep masticatory function.
• Functional Limitations: Mastication is sustained primarily in the frontal section, leading to functional limitations and potential challenges in daily activities.

Galileus Cerclage Sinus® Ceramic Prosthesis (14 Fixed Teeth):

• 360-Degree Support: This innovative technique offers comprehensive support with implants both in the frontal and deep posterior zones (18/28), providing unparalleled stability.
• Complete Masticatory Function: With implants strategically positioned in the deep posterior zone, the Galileus Cerclage Sinus® ensures full masticatory functionality, including support for molars.
• No Equal in Technique: The technique’s unique placement of implants in the deepest areas guarantees a mouth full of teeth and robust support, distinguishing it from other methods.

The Art of Aesthetics: Handcrafted Ceramic Perfection

• Tailored Aesthetics: The ceramic prosthesis, meticulously crafted by the master artisan prosthetist in Italy, adds a touch of sophistication and uniqueness to the solution.
• Italian Craftsmanship: The handcrafted and custom-designed ceramic prosthesis stands out as a solution for discerning patients who appreciate beauty and exceptional results.

In conclusion, the Galileus Cerclage Sinus® Ceramic Prosthesis surpasses the Toronto Bridge in terms of support, functionality, and aesthetics. The meticulous placement of implants and the artistic touch of the Italian master artisan ensure a complete and aesthetically pleasing solution for patients who value both beauty and results.