Mission Impossible: Densah Bur Revolution in Treating Atrophic Maxilla

Abstract

Atrophic maxilla is a condition that compromises the bone density of the jaws. The three-dimensional remodeling of bones makes it more difficult to plan rehabilitation. Bone density plays a key role in implant placement, but in the case of the atrophic maxilla, placement of an implant with conventional burs is difficult and often leads to a failed implant prosthesis. To overcome this complication, Densah burs emerged as a solution for such a challenging situation. In this article, we reported a case of a 55-year-old male patient presented with the posterior atrophic maxilla. Preoperative radiological assessment was done using cone beam computed tomography (CBCT) to evaluate the bone density. Densah bur at an rpm of 700 and a toque of 45 Ncm were used for implant placement. The primary stability of the implants placed using Densah was comparatively higher than that of implants placed using conventional drills. Postoperatively, an orthopantomogram (OPG) was taken to assess the implant position and adjacent bone. The patient was reviewed periodically, healing was satisfactory, and prosthetic rehabilitation was proceeded later.