Remote Anchorage in the Severely Resorbed Atrophic Maxilla

– Epidemiological context of peri-implantitis and implant failure in severely resorbed edentulous maxillae
– General principles of graftless atrophic maxilla rehabilitation: patient selection, risk stratification, and prosthetic planning prior to surgical sequencing
– The PATZI protocol: systematic decision-making matrix based on residual bone anatomy
– Anterior nasal implants: nasal vomer anchorage, nasal spine, nasal floor engagement, and the trans-nasal approach
– Anatomy, technique, indications, and complications of trans-nasal implant approaches
– Pterygoid implants: three-dimensional angulation for cortical engagement of the pterygoid process
– Prosthetic implications and comparison of pterygoid implants with alternative posterior anchorage solutions
– Tilted implant strategies in intermediate resorption cases: M-technique and V-technique
– Long implants and palatal approach implants in graftless rehabilitation
– Trans-sinus implants: Bedrossian Zones I–IV and the ZAGA concept
– -Tilting strategies and the contributions of Maló, Aparicio, Bedrossian, and Davó
– Zygomatic implants: neck positioning in anterior, premolar, and molar zones
– Single vs. quad-zygoma configurations and indications for each strategy
– Integration of zygomatic implants into prosthetic design
– Combining remote anchorage techniques in hybrid full-arch configurations
– Load distribution principles and sequencing during the same surgical session.