“Alternative Surgical Solution of Galileus Cerclage Sinus® for Atrophy of Alveolar Bone in the Upper Jaw”

When a patient presents total atrophy of the quality and quantity of alveolar bone in the upper jaw, the option of autologous bone grafting may be considered to allow for the placement of dental implants necessary to anchor and support a fixed dental prosthesis. Here are the typical steps associated with this procedure:

Consultation and Evaluation: After diagnosing alveolar bone atrophy, the patient should consult with an oral surgeon or implantologist for a detailed assessment of the situation. During this phase, the patient’s overall health conditions are examined, and possible solutions are planned.

Advanced Imaging: For accurate planning, advanced imaging such as computerized tomography (CT) or magnetic resonance imaging may be necessary to obtain a detailed view of the anatomy and bone atrophy.

Choice of Donor Area: In the case of autologous bone grafting, the surgeon must identify an area of the patient’s body from which to harvest the necessary bone. Common donor areas include the pelvis, iliac crest, or the jaw itself.

Surgical Planning: Once the donor area is chosen, detailed surgical planning takes place. This phase includes determining the amount of bone needed and defining the points for bone harvesting and implant placement.

Surgical Procedure: During the procedure, the surgeon harvests the bone from the chosen donor area and places it in the atrophic area of the upper jaw. Simultaneously, dental implants are inserted into the newly placed bone.

Healing Period: After the surgery, a healing period is necessary during which the harvested bone successfully integrates into the atrophic area, and the dental implants securely anchor.

Fixation of a Dental Prosthesis: Once healing is complete, a fixed dental prosthesis is attached over the dental implants. This prosthesis restores the patient’s chewing function.

Follow-Up and Ongoing Care: Regular post-operative check-ups are essential to monitor healing, implant integration, and prosthesis functionality. Continued oral care is crucial for long-term health maintenance.

It is crucial to thoroughly discuss the procedure with the dental health professional to fully understand the process, assess risks and benefits, as well as plan for the post-operative phase to ensure the success of the treatment.

When an atrophic patient undergoes a significant elevation of the maxillary sinuses, there are several aspects they can expect during and after the procedure. Here are some key points:

Initial Consultation: During the consultation phase, the doctor will discuss in detail with the patient the risks and benefits of the significant elevation of the maxillary sinuses. The patient’s overall health and specific conditions will also be evaluated.

Surgical Planning: The doctor will develop a detailed surgical plan, determining the amount of elevation required and the type of graft material that will be used.

Surgical Procedure: During the surgery, the doctor will make an incision in the gum to access the maxillary sinus area. Subsequently, they will gently lift the sinus membrane and insert the graft material to increase the thickness of the bone.

Healing Period: After the procedure, the patient will undergo a healing period. During this time, the graft material will fuse with the surrounding bone, creating a solid foundation for future dental implants.

Possible Post-Operative Symptoms: The patient may experience swelling, pain, and potential bruising in the treated area. The doctor will prescribe pain control medications and provide instructions for recovery.

Monitoring and Follow-Up: Regular check-ups are necessary after the surgery to monitor healing and assess the stability of the bone graft. The patient should follow the doctor’s instructions and attend all follow-up appointments.

Insertion of Dental Implants and Prosthetics: After the healing period, the doctor will proceed with the insertion of dental implants in the treated area. Subsequently, a dental prosthesis can be attached to the implants to restore chewing function.

It is important to emphasize that each patient may react differently to the procedure, and post-operative management may vary based on specific case conditions. Open communication with the doctor and strict adherence to post-operative instructions will contribute to ensuring optimal recovery.

1. Maxillary Sinus Lift Surgery: A Detailed Path

2. Initial Evaluation and Consultation: During the first visit, the surgeon evaluates the amount of bone in the maxillary sinus area and discusses with the patient the option of a large sinus lift.

3. Advanced Imaging: A CT scan or magnetic resonance imaging may be performed to obtain detailed images of the bone and structure of the maxillary sinus.

4. Consultation and Planning: In collaboration with the patient, the surgeon develops a personalized treatment plan, determining the amount of lift needed and the type of graft material to be used.

5. Donor Area Selection: For large lifts, graft material can come from various sources, such as the jawbone, other intraoral donor sites, or synthetic materials.

6. Surgical Planning: The surgeon develops a detailed surgical plan, considering the size of the graft, the placement of dental implants, and other crucial details.

7. Surgical Procedure: During the surgery, the surgeon makes an incision in the gum to access the maxillary sinus, gently lifts the sinus membrane, and places the graft material.

8. Healing Period: After the surgery, the patient undergoes a healing period during which the graft fuses with the existing bone, requiring several months.

9. Dental Implant Placement: Once the graft is securely integrated, dental implants are placed in the new bone area.

10. Osseointegration and Provisional Prosthesis Mounting: After implant placement, there is a period of osseointegration, during which the implants further fuse with the surrounding bone. Subsequently, a provisional prosthesis can be mounted.

11. Check-Up and Follow-Up: Regular check-ups are necessary to monitor healing, osseointegration, and implant stability. The surgeon may decide to replace the provisional prosthesis with a permanent one during the follow-up.

This numbered list provides a clear view of the stages involved in the Maxillary Sinus Lift Surgery.

1. Sinus Lift: Initial Evaluation and Consultation

During the initial phase of the Sinus Lift procedure, the surgeon carefully assesses the patient’s situation. This evaluation includes determining the amount of available bone in the maxillary sinus area and involves a detailed consultation with the patient to discuss the option of Sinus Lift.

In this early phase, the medical team also considers the need for any advanced imaging, such as a CT scan or magnetic resonance imaging, to obtain detailed images of the bone and structure of the maxillary sinus. The combination of this information helps precisely plan the approach for the subsequent lifting of the maxillary sinus.

This phase is crucial for customizing the treatment plan, determining the amount of sinus lift needed, and identifying the type of graft material most suitable for the specific conditions of the patient. Open communication and understanding the patient’s expectations are key elements in this initial phase, contributing to ensuring the overall success of the Sinus Lift procedure.

2. Sinus Lift Advanced Imaging:

In the phase of advanced imaging for Sinus Lift, the focus shifts to precision and detailed understanding of the maxillary sinus structure. This process is essential for obtaining advanced images using techniques such as CT scans or magnetic resonance imaging.

During this phase, the surgeon captures detailed images of the bone and the maxillary sinus membrane, allowing for a thorough assessment of the available space for bone grafting. These images provide clear guidance for the surgical plan, enabling the medical team to precisely identify the position of the maxillary sinus and assess the density of the surrounding bone.

The use of advanced imaging techniques is a crucial step in planning the Sinus Lift procedure, allowing the surgeon to make informed decisions and customize the surgical approach based on the specific characteristics of the patient. This precision contributes to maximizing the effectiveness of the procedure and ensuring optimal healing during the postoperative period.

3. Sinus Lift Consultation and Planning:

In the consultation and planning phase for Sinus Lift, the surgeon works closely with the patient to develop a personalized treatment plan. During this critical phase, the results of the initial evaluation and advanced imaging are thoroughly discussed.

In this stage, the surgeon and the patient collaboratively determine the specific amount of sinus lift needed and select the type of graft material most suitable for the individual needs of the patient. Open communication is crucial, allowing the surgeon to fully understand the patient’s expectations and ensuring that the treatment plan aligns with their needs and preferences.

Detailed surgical planning is a key element of this phase, including the choice of the donor area, the size of the graft, and the positioning of dental implants. Once this phase is complete, the personalized treatment plan provides precise guidance for the Sinus Lift procedure, ensuring a targeted approach and maximizing success in lifting the maxillary sinus.

4. Sinus Lift: Donor Area Selection

In Sinus Lift, the choice of the donor area is a crucial phase in the surgical process. During this stage, the surgeon and the medical team carefully examine available options for harvesting graft material.

For significant sinus lifts, graft sources may include the jawbone itself, other intraoral donor sites, or synthetic materials. The decision on the donor area depends on the required amount of graft material, the specific conditions of the patient, and the surgeon’s preference.

Accurate donor area selection is essential to ensure an adequate quantity of quality graft material, optimizing the healing process and bone integration. This phase significantly contributes to the overall success of the Sinus Lift procedure, providing the essential graft material needed for lifting the maxillary sinus.

5. Sinus Lift: Surgical Planning

Surgical planning in the context of Sinus Lift is a key step to ensure a precise and effective intervention. During this phase, the surgeon develops a detailed plan, taking into account various crucial factors for the operation’s success.

The size of the graft, the placement of dental implants, and other specific details are carefully considered during the planning. The surgeon uses information obtained from the initial evaluation, advanced imaging, and consultation with the patient to tailor the plan to the specific case needs.

This phase allows for the precise definition of the surgical approach, ensuring that every aspect of the intervention is carefully planned to maximize effectiveness and safety. Accurate surgical planning is fundamental to the success of the Sinus Lift procedure and contributes to ensuring an optimal postoperative process for the patient.

6. Sinus Lift Surgical Procedure:

During the surgical phase of Sinus Lift, the surgeon implements the previously planned strategy, carrying out the necessary procedures to lift the maxillary sinus and position the bone graft.

The surgeon begins by making an incision in the gum to gain access to the maxillary sinus area. Subsequently, with careful precision, they gently lift the sinus membrane, creating the necessary space to place the graft material. This material can come from sources such as the jawbone, other intraoral donor sites, or synthetic materials, depending on the specific surgical plan.

Throughout the procedure, the surgeon monitors the amount of graft needed and ensures the proper placement of dental implants, ensuring an optimal outcome. Precision and expertise during this phase are crucial for the long-term success of the Sinus Lift procedure and promoting swift postoperative healing.

7. Sinus Lift Healing Period:

After the Sinus Lift procedure, the patient enters a crucial healing phase. This period is essential to allow the bone graft to fully integrate with the existing bone in the maxillary sinus.

The patient is required to meticulously follow the postoperative instructions provided by the surgeon, which may include dietary restrictions, avoiding excessive exertion, and using prescribed medications to manage pain and prevent infections. Active collaboration from the patient during the healing period is vital to ensure optimal results.

This period can vary from several months depending on the specific conditions of the patient and the extent of the surgical intervention. During healing, the body completes the process of osseointegration, allowing the bone graft to securely fuse with the surrounding bone in the maxillary sinus.

A proper healing period is crucial for the long-term success of the procedure, providing a solid foundation for the placement of dental implants and ensuring the stability of the treated area.

8. Sinus Lift: Insertion of Dental Implants:

After the complete healing and osseointegration of the bone graft in the maxillary sinus, the patient is ready for the next phase of the Sinus Lift procedure: the insertion of dental implants.

During this phase, the surgeon precisely positions the dental implants in the new bone area created through the elevation of the maxillary sinus. Accurate surgical planning and the healing period have created an optimal environment for the stable placement of implants.

The insertion of dental implants is a key step in restoring chewing function and aesthetics. The surgeon, using their experience and expertise, strategically places the implants to ensure the necessary support for future dental prosthetics.

This phase represents a significant step toward completing the Sinus Lift process, bringing the patient closer to the full restoration of dental function.

8. Sinus Lift: Insertion of Dental Implants:

After the complete healing and osseointegration of the bone graft in the maxillary sinus, the patient is ready for the next phase of the Sinus Lift procedure: the insertion of dental implants.

During this phase, the surgeon precisely positions the dental implants in the new bone area created through the elevation of the maxillary sinus. Accurate surgical planning and the healing period have created an optimal environment for the stable placement of implants.

The insertion of dental implants is a key step in restoring chewing function and aesthetics. The surgeon, using their experience and expertise, strategically places the implants to ensure the necessary support for future dental prosthetics.

This phase represents a significant step toward completing the Sinus Lift process, bringing the patient closer to the full restoration of dental function.

10. Sinus Lift: Monitoring and Follow-Up:

The monitoring and follow-up phase are crucial steps in the Sinus Lift process to carefully track the patient’s progress after the insertion of implants and the fitting of temporary prosthetics.

During regular check-ups, the surgeon examines the treated area, assessing healing, implant osseointegration, and the stability of temporary prosthetics. These appointments allow for the early identification of any issues or complications and adjustment of the treatment plan if necessary.

In some cases, the surgeon may decide to replace temporary prosthetics with permanent ones, thus completing the treatment process. The decision to transition to permanent prosthetics depends on the success of the healing process and the achievement of solid implant integration.

Regular check-ups and ongoing follow-up are essential to ensure the long-term stability of the Sinus Lift treatment and the continuous well-being of the patient.

11. Risks Associated with Large Maxillary Sinus Lifts:

Procedures involving large maxillary sinus lifts, such as the Sinus Lift, are generally safe and well-tolerated. However, like any surgical procedure, there are associated risks. Some potential risks and complications include:

1. Infection:
   • Possibility of infection in the treated area, which may require antibiotic therapy.
2. Bleeding and Hematoma:
   • Risks of bleeding and hematoma formation in the immediate postoperative phase.
3. Pain and Swelling:
   • Pain and swelling are common after the procedure but are usually temporary.
4. Failure of Osseointegration:
   • Although rare, failure of osseointegration of dental implants may occur, requiring additional intervention.
5. Sinus Membrane Perforation:
   • During maxillary sinus elevation, there is a risk of perforating the sinus membrane, which may require attention and correction during the procedure.
6. Insufficient Lift:
   • In some cases, sinus lift may not be sufficient, necessitating additional procedures or modifications to the treatment plan.
7. Issues with Dental Implants:
   • Problems with dental implants, such as loss or loosening over time, can occur.
8. Adverse Reactions to Anesthesia:
   • Although rare, adverse reactions to the anesthesia used during the procedure may occur.

It is important to emphasize that these risks are generally low, and most patients undergoing large maxillary sinus lifts achieve positive outcomes. Thorough initial assessment, accurate planning, and strict adherence to postoperative instructions contribute to minimizing these risks. Patients should openly discuss specific risks associated with their case with their surgeon before deciding to proceed with the intervention.

12. Failure of Large Maxillary Sinus Lift: Causes and Remedial Actions

The failure of a large maxillary sinus lift can occur in rare cases and may be attributed to various factors. Some primary reasons include:

1. Infection:
   • If an infection occurs in the treated area, it can compromise healing and osseointegration of dental implants, leading to the failure of the lift.
2. Lack of Osseointegration:
   • If dental implants do not properly integrate with the surrounding bone during the healing period, the large maxillary sinus lift may not be successfully completed.
3. Insufficient Sinus Lift:
   • In some cases, despite meticulous planning, the sinus lift may be insufficient to provide a stable foundation for dental implants.
4. Sinus Membrane Perforation:
   • Significant perforation of the sinus membrane during the procedure may compromise the healing process and the effectiveness of the bone graft.
5. Issues with the Donor Area:
   • Problems with the donor area (where the graft material is harvested) or the provision of low-quality bone tissue may negatively impact the success of the intervention.

In the event of a failure in the large maxillary sinus lift, the surgeon may consider corrective actions. Options may include:

• Repeat the Procedure:
  • In some cases, repeating the procedure may address the causes of failure and improve the outcome.
• Modifications to the Treatment Plan:
  • The surgeon may make modifications to the treatment plan, such as using different materials or changing the surgical approach.
• Antibiotic Therapy:
  • If the failure is due to infections, the surgeon may prescribe appropriate antibiotic therapy.

It is important to emphasize that failure is rare, and each case is unique. Open communication with the surgeon and careful monitoring of the healing process are crucial to promptly address any issues and maximize the success of the treatment.

13. Guarantees in Large Maxillary Sinus Lifts (Sinus Lift):

Guarantees in large maxillary sinus lifts, such as the Sinus Lift procedure, can vary depending on the specific policies of the medical facility or the surgeon performing the intervention. However, it is crucial to understand that in medical practice, there are no absolute guarantees due to the complexity of individual responses to treatment and the unique variables of each patient.

Some important points to consider:

1. Initial Consultation:
   • During the initial consultation, the surgeon will openly discuss realistic expectations, potential risks, and the likelihood of intervention success with the patient.
2. Planning and Preoperative Assessment:
   • Thorough planning and a comprehensive preoperative assessment help maximize the success of the intervention. The surgeon will carefully examine the patient’s conditions and customize the treatment plan based on specific needs.
3. Postoperative Follow-Up:
   • After the intervention, the patient will undergo regular check-ups to monitor healing, osseointegration, and implant stability. These follow-ups are crucial to address any potential complications promptly.
4. Medical Facility Policies:
   • Medical facilities or surgical practices may have specific policies regarding guarantees or postoperative follow-ups. It is advisable to discuss in detail with the surgeon or medical staff the specific policies of the facility.

It is important to emphasize that the success of the intervention depends on individual variables, and guarantees may reflect the level of commitment of the surgeon or medical facility to ensuring quality care. Before proceeding with any intervention, it is advisable to have open discussions with the surgeon about expectations, risks, and specific postoperative policies.

If you are an atrophic patient without posterior upper jaw bone, we want to inform you that there is no longer a need for invasive surgeries involving autologous bone grafts—lengthy, costly, painful, and invasive, with no guarantee of success. Instead, you can benefit from an alternative surgical option called Galileus Cerclage Sinus®, a lesser-known surgery precisely by those who need it the most.

Dear Patient,

We understand your desire to achieve a new fixed set of teeth and how important it is for you to reach this goal. We would like to discuss a natural surgical option that could be advantageous for your specific situation: Galileus Cerclage Sinus®.

Your current atrophic condition without posterior upper jaw alveolar bone may present challenges, but Galileus Cerclage Sinus® offers an innovative and effective solution to overcome these obstacles. This surgical technique aims to immediately address atrophy in the posterior maxillary sinuses, avoiding the need for autologous grafts or extensive sinus lifts.

Here are some reasons why you might consider Galileus Cerclage Sinus® as your preferred option:

• Avoids Autologous Grafts and Extensive Lifts: Galileus Cerclage Sinus® allows you to overcome atrophy without resorting to autologous grafts, thus avoiding more invasive procedures and associated healing times.
• Immediate Loading: With this technique, immediate loading on dental implants is possible, allowing you to enjoy the benefits of a new fixed set of teeth sooner. (To obtain this option, a medical visit with Prof. Roberto Conte is required.)
• Maintains Full Chewing Function: Galileus Cerclage Sinus® offers an ideal distribution of chewing forces, ensuring complete and comfortable function in your new set of teeth.
• Stratospheric Aesthetics: The prosthesis created with this technique is custom-designed by an Italian master prosthetic craftsman, guaranteeing a stratospherically aesthetic and natural result.
• Avoids False Gum: Unlike other options, Galileus Cerclage Sinus® does not require a large frontal false gum, contributing to a more aesthetically pleasing solution. (To obtain this option, a medical visit with Prof. Roberto Conte is required.)
• Improved Occlusion and Comfort: Thanks to the customization of the prosthesis and optimization of occlusion, you can enjoy optimal comfort and efficient chewing.

We would like to discuss this option in more detail and answer all your questions. Your satisfaction and well-being are our priorities, and we are here to support you at every stage of this journey.

1. Cortical Basal Bones and Implant Anchors:

Cortical basal bones are regions of the maxillary bone characterized by significant density and strength, often classified as category D1 according to the Lekholm and Zarb bone classification, representing the highest level of density. These areas serve as robust support pillars within the human skull. In the surgical technique of Galileus Cerclage Sinus®, these cortical basal bones are utilized to anchor special dental implants, providing a solution without the need for bone grafts. The main categories of cortical basal bones include:

1. Zygomatic Cortical Basal Bones:
   • Located in the zygomatic region of the skull, these bones are remarkably robust and provide solid anchorage for dental implants.
2. Canines Cortical Basal Bones:
   • Situated in the canine region, near the canines teeth, these bones also exhibit high density, contributing to the stability of implants.
3. Pterygoid Palatine Cortical Basal Bones:
   • Found in the pterygoid region of the palate, these areas offer a resilient bone substrate, used to anchor implants, ensuring a solid foundation in the posterior part of the maxilla.

The specific approach of the Galileus Cerclage Sinus® surgical technique enables overcoming the challenges of maxillary atrophy, transforming anatomically problematic areas into strategic points for effective chewing and long-term stability of fixed dental prostheses. The robustness and strength of cortical basal bones are crucial elements for the success of the procedure, providing patients with a quick and durable solution for their dental conditions.

Certainly, I’m here to explain in detail how the Galileus Cerclage Sinus® surgical technique can be the optimal solution for your current condition, characterized by the lack of posterior alveolar bone in the upper jaw.

1. Utilization of the Pterygoid Bone: In the Galileus Cerclage Sinus® procedure, we utilize the pterygoid bone, an extremely hard and resistant portion, as an anchor for pterygoid implants. These implants, ranging from 19/21 mm in length, are inserted into the 18/28 zones of the jaw, effectively resolving atrophy in the most extreme and posterior areas.
2. Insertion of Nasal Implants: To complete the resolution of atrophy, two implants called nasal implants (length 18/19 mm) are inserted transversely, ascending the jaw to point 15/25 in the opposite direction. These implants encircle the maxillary sinuses, safeguarding and protecting them.
3. Posterior Pillars for Chewing Function: The insertion of these implants forms the four necessary posterior pillars to support a fixed dental prosthesis, ensuring efficient chewing function and long-term stability.
4. Avoidance of Autologous Grafts and Large Lifts: The Galileus Cerclage Sinus® procedure eliminates the need for autologous grafts and large lifts, offering a quicker and less invasive solution.
5. Insertion of Frontal Implants: In the frontal area (premaxilla), 2 to 4 regular dental implants are inserted, inclined or blade-shaped, depending on the conditions of the remaining bone. These implants complete the support structure for the fixed dental prosthesis.
6. Improved Chewing Force Distribution: Thanks to the optimal distribution of chewing forces across the entire peripheral arch of the jaw, Galileus Cerclage Sinus® supports a fixed zirconia ceramic prosthesis, including all missing molars in both the frontal and posterior regions.
7. Natural Aesthetics without Frontal Gum Prosthesis: The handcrafted and custom-made prosthesis not only provides complete and comfortable chewing but also achieves a stratospheric aesthetic result without the need for a large frontal gum prosthesis.
8. Long-term Satisfaction: This procedure not only resolves severe atrophies of the upper jaw but also offers a lasting solution, allowing you to fully enjoy your smile for many years to come.

If you would like further details or have specific questions, I am here to address any inquiries you may have.

“Circular Zirconia Masterpiece: Galileus Cerclage Sinus® Revolutionizing Aesthetics and Functionality in Dental Prosthetics”

The circular zirconia ceramic dental prosthesis with 14 teeth, devoid of false gum, is the pinnacle of an innovative surgical process like Galileus Cerclage Sinus®, expertly transforming a problematic atrophic area into a strategic support hub through the articulate placement of dental implants. Crafted by the inspired work of the master craftsman Patrizio Marcato, an Italian dental prosthetist, this prosthesis is a genuine masterpiece that seamlessly blends functionality and aesthetics into a sublime union.

1. Complete and Profound Chewing: With the skillful placement of dental implants and the circular structure of the prosthesis, not only complete but also profound chewing is realized. The previously critical area becomes a functional chewing perimeter that embraces the entire upper jaw arch.
2. Rediscovered Functionality: Once a problematic zone, it reinvents itself as a strategic support region through the ingenious placement of dental implants, offering the patient a rediscovered chewing functionality and tangibly improving the quality of life.
3. Correct Chewing and Good Digestion: The prosthesis facilitates correct chewing by wisely utilizing the area where maximum force is concentrated during the chewing process. This not only contributes to superior chewing but also promotes optimal and healthy digestion.
4. Custom-Made Fixed Prosthesis: Crafted with artisanal mastery by Italian dental prosthetist Patrizio Marcato, every detail of the prosthesis is modeled with meticulous precision, following a rigorous protocol. Customization ensures a flawless adaptation to the patient’s physiognomy.
5. Impeccable Functional Aesthetics: The aesthetics of the prosthesis are extraordinary, with the perfect combination of high-quality ceramics and zirconia. The functional aspect is equally impeccable, giving the smile a natural and harmonious appearance.
6. Trial Process and Final Baking: The patient is involved in all stages, from the initial trial to the final baking. The master craftsman incorporates the patient’s indications and preferences, ensuring a tailor-made prosthesis. The final baking provides strength and durability to the prosthesis.
7. Delivery Like a Jewel: The prosthesis is delivered in an exquisite black velvet box, sealing its status as a genuine jewel. This exclusive presentation reflects the uniqueness and value of the prosthesis, transforming it into a precious testimony of art and functionality.
8. Promise of Eternal Youth: Beyond being an extraordinary dental creation, the prosthesis represents a promise of eternal youth. The timeless reflection in the mirror gives the patient an ageless instant, leaving an indelible impression on anyone who beholds it.

In conclusion, the circular zirconia ceramic dental prosthesis is an eloquent symbol of surgical excellence and craftsmanship, offering the patient not only a functional solution but an authentic and enduring masterpiece in aesthetics.

We now present a highly atrophic clinical case. The patient who came to our attention had a severe lack of bone in the posterior alveolar areas of the upper jaw. Panoramic X-rays clearly show the absence of alveolar bone in these areas, beneath the maxillary sinuses. Despite visits to various specialized centers, no doctor or facility seemed capable of addressing this significant atrophy.

In one clinic, the option of undergoing a quad zygomatic implant surgery was offered, involving the placement of 4 zygomatic implants ranging from 35 mm to 55 mm. These would extend from the cheekbone into the oral cavity in the frontal area known as the premaxilla, providing immediate loading with a dental prosthesis that included a large frontal false gum to cover the body and path of these large dental implants.

Given the patient’s young age and her preference for a more aesthetically and functionally pleasing option, the response received was that unfortunately, there were no concrete and guaranteed alternatives unless the patient opted for autologous bone grafting or large maxillary sinus lifts. However, these options involved aspects such as waiting times, pain, invasiveness, and a lack of guarantees.

Fortunately, the patient was not persuaded and continued to seek alternative solutions to autologous bone grafts and large maxillary sinus lifts. During this search, she discovered our Galileus Cerclage Sinus® technique, designed to immediately address posterior atrophies of the maxillary sinuses, bypassing both grafts and sinus lifts.

After viewing some of our Galileus Cerclage Sinus® surgery videos, showing the insertion of pterygoid and nasal implants in the posterior pterygoid basal bones, the patient was definitively convinced. This surgical solution not only offers resolution without invasive procedures but also provides a complete fixed prosthesis with all posterior molars, ensuring complete masticatory function, ideal force distribution, and optimal occlusion.

With custom crafting by an Italian master prosthetist, the aesthetic result is extraordinary, without the need for a false gum, appearing very natural and fully satisfying the patient. After understanding, learning, and delving into the treatment plan, the patient accepted the Galileus Cerclage Sinus® intervention. Now, we invite you to watch the surgery and judge the results for yourselves from all these perspectives.