July 2013

Objective: The aim of this paper is to report a clinical case of nasal floor elevation and simultaneous dental implant placement. Case report: The patient presented to the clinic of the Center of Education and Research on Dental Implants (CEPID) in the Department of Dentistry at the Federal University of Santa Catarina (UFSC, Florianópolis, Brazil), for follow-up for peri-implantitis control. After clinical and radiographic assessment, two of three implants on anterior maxilla were removed. A cone beam computed tomography (CBCT) scan revealed no bone height for conventional length implant insertion. Nasal floor elevation and simultaneous implant placement were performed, with nasal cavity augmentation carried out with bovine bone graft. After six months, the implants were reopened successfully. Conclusions: Nasal floor elevation proved to be a reliable method for dental implants insertion on the anterior atrophic maxilla when bone height reconstruction was necessary. The use of bovine bone substitutes for nasal cavity augmentation showed predictable results as well as simultaneous implant placement.