A treatment plan that involves minimal time loss is greatly appreciated by today's dental patients, because it satisfies a great need for business and socially active persons.1 If nontraumatic surgery without flaps and sutures can be performed, minimal inflammation and discomfort will result. If patients are never without teeth during the surgical and restorative procedures, changes in appearance and disruption of nutritional needs would be minimized. Being without teeth for even a short period of time can cause patients to withdraw further and further from society.2 A technique that can fulfill these requirements and deal with severe maxillary resorption is presented.
The first stage involves the insertion of screw implants in the tuberosity regions (Figure 1). The remaining compromised teeth (and failing implants if present) are extracted at the second stage (4–6 months later). Usually local anesthesia is adequate, although sedative agents should be available for...
