102 Revista Română de Anatomie funcţională şi clinică, macro- şi microscopică şi de Antropologie Vol. XV – Nr. 1 – 2016 CLINICAL ANATOMY EvALuATION Of CLINICAL REsuLTs Of skY fAsT & fIxEd sYsTEM IN MAxILLA Mihaela Mitrea 1 , Anca Rusu 3 , Dorelia Lucia Călin 2 “Gr.T. Popa” University of Medicine şi Pharmacy, Iaşi 1. Discipline of Anatomy 2. Discipline of Cariology and Restorative Odontotherapy 3. Private Dental Office “dr. Anca Rusu”, Bucureşti EVALUATION OF CLINICAL RESULTS OF SKY FAST & FIXED SYSTEM IN MAXILLA (Abstract): Sky Fast & Fixed system is a simple, fast and minimally invasive treatment for achiev- ing dental reconstruction procedures, it is designed for total and subtotal edentation. The aim of this study is to present the clinical results of SKY fast & fixed system in maxilla, the potential postoperative complications as well as the level of satisfaction of patients. Material and method: this study involved 13 patients between the ages of 45-53 years who introduced themselves at Dental Private Office “Dr. Anca Rusu” with aesthetic, mastication, phonation disorders, changing in vertical dimension and profile induced by the maxillary subtotal edentation. Maxillary subtotal edentation was restored using SKY fast & fixed system of Bredent (Germany), by inserting of six implants (4 axial and 2 angulated) and fixing a temporary prosthesis and at 4 months was achieved the final prosthesis Results:At the radiographic control carried out at 4 months postoperatively was found that the implants were stable and radiologically around implants there was no bone loss. Patients were overall very satisfied about the appearance of the prosthesis, phonetic and masticatory functions. There were no other complications after one year of monitoring. Prosthetic restoration success rate was 100%. Conclusions: Sky Fast & Fixed System provides immediate esthetics and functional rehabilitation with a positive impact on the welfare and quality of life. Angulated im- plants avoid the maxillary sinus and enable a smaller number implants to support the same pros- thesis. key words: SKY FAST & FIXED SYSTEM, MAXILLA, ANGULATED IMPLANT INTROduCTION From a historical perspective, the tradition- al option of treatment for edentulous maxilla was the total dentures. This is usually the most popular solution due to its low cost and wide availability. Most dentists agree that a remov- able prosthesis is a poor substitute for natural dentition but becomes an acceptable substitute, compared to a life without teeth. However, few patients would opt for this type of removable prosthesis when they must make the choice between this and a fixed prosthesis. Most prac- titioners involved in the treatment edentulous patient using traditional complete denture were confronted with lesions caused by removable dentures, with the lack of stability and retention of the prosthesis and the inability to chew ef- fectively. An alternative to the mobile prosthesis is a prosthetic work fixed to implants. Long term clinical studies have shown that this type of restoration can be successful for many years (1,2). The use of fixed or removable prosthesis on the implant provides a better result of treat- ment with a significant improvement in oral function and quality of life (3). Prosthetic rehabilitation in the upper jaw was found to be more difficult with the dental implants. Anatomic structures such as the floor of the nasal fossa and sinuses, limit the capac- ity to place implants in a vertical position. Since 1993, the use of tilted dental implants in the posterior region of the maxilla has been demonstrated as an alternative to bone grafting. Traditionally, masticatory forces should be oriented along the longitudinal axis of the tooth