{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T23:01:03Z","timestamp":1793055663097,"version":"4.5.0"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T00:00:00Z","timestamp":1759968000000},"content-version":"vor","delay-in-days":9,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,9,30]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>The treatment of cleft lip and cleft palate patients typically involves numerous surgeries, often including the replacement of missing teeth and endosseous dental implants are often utilized in this context. Endosseous dental implants require adequate bone volume for placement, and in this patient cohort this often requires an initial alveolar bone graft. Technological advancements can now harness computer-aided design and computer-aided manufacturing (CAD-CAM) to produce modern custom subperiosteal implants that utilize the available bone surface, thus providing an alternative treatment for patients unable to have conventional dental implants. We report the case of a 72-year-old male cleft palate patient who failed a combination of both regular endosseous and zygomatic implants and was left with both hard and soft tissue defects, such that he was not a candidate for further conventional implant placement. Using CAD-CAM technology, custom subperiosteal implants were created to successfully treat his atrophic and severely deformed edentulous maxilla.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf319","type":"journal-article","created":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T19:16:18Z","timestamp":1760037378000},"source":"Crossref","is-referenced-by-count":3,"title":["Custom subperiosteal implants used to rehabilitate the atrophic edentulous maxilla following multiple failures of both conventional as well as zygomatic implants: a case report"],"prefix":"10.1093","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-2045-5336","authenticated-orcid":false,"given":"Lara","family":"Wirth","sequence":"first","affiliation":[{"name":"Melbourne Medical School , Ground Floor, Medical Building, Cnr Grattan Street & Royal Parade, University of Melbourne, VIC 3010 ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Spencer","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Royal Melbourne Hospital , 300 Grattan St, Parkville, VIC 3050,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Larry","family":"Benge","sequence":"additional","affiliation":[{"name":"Next Smile Australia , 455 Auburn Road, Hawthorn, VIC 3122,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Dimitroulis","sequence":"additional","affiliation":[{"name":"MAXONIQ , Melbourne Connect, Tenancy D, Level 5\/700 Swanston St, Carlton, VIC 3053,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,10,9]]},"reference":[{"key":"2025100915161173500_ref1","doi-asserted-by":"publisher","volume-title":"Global Oral Health Status Report: Towards Universal Health Coverage for Oral Health by 2030","year":"2022","DOI":"10.1016\/S0140-6736(22)02322-4"},{"key":"2025100915161173500_ref2","doi-asserted-by":"publisher","first-page":"565","DOI":"10.1016\/j.coms.2014.08.007","article-title":"Management of cleft lip and palate and cleft orthognathic considerations","volume":"26","author":"James","year":"2014","journal-title":"Oral Maxillofac Surg Clin North Am"},{"key":"2025100915161173500_ref3","doi-asserted-by":"publisher","first-page":"130","DOI":"10.1111\/idh.12385","article-title":"Are there any solutions for improving the cleft area hygiene in patients with cleft lip and palate? A systematic review","volume":"17","author":"Rodrigues","year":"2019","journal-title":"In J Dent Hyg"},{"key":"2025100915161173500_ref4","doi-asserted-by":"publisher","first-page":"197","DOI":"10.11138\/orl\/2017.10.2.197","article-title":"A new surgical and technical approach in zygomatic implantology","volume":"10","author":"Grecchi","year":"2017","journal-title":"Oral Implantol (Rome)"},{"key":"2025100915161173500_ref5","doi-asserted-by":"publisher","first-page":"69","DOI":"10.1007\/s10006-022-01044-3","article-title":"The atrophic edentulous alveolus. A preliminary study on a new generation of subperiosteal implants","volume":"27","author":"Dimitroulis","year":"2023","journal-title":"Oral Maxillofac Surg"},{"key":"2025100915161173500_ref6","doi-asserted-by":"publisher","first-page":"2089","DOI":"10.3390\/jpm12122089","article-title":"Current concepts and challenges in the treatment of cleft lip and palate patients - a comprehensive review","volume":"12","author":"Paradowska-Stolarz","year":"2022","journal-title":"J Pers Med"},{"key":"2025100915161173500_ref7","doi-asserted-by":"publisher","first-page":"108","DOI":"10.1034\/j.1600-0501.2000.011S1108.x","article-title":"Management of the edentulous patient","volume":"11","author":"Mericske-Stern","year":"2000","journal-title":"Clin Oral Implants Res"},{"key":"2025100915161173500_ref8","doi-asserted-by":"publisher","first-page":"3582","DOI":"10.3390\/jcm13123582","article-title":"The evolution of custom subperiosteal implants for treatment of partial or complete edentulism in patients with severe alveolar ridge atrophy","volume":"13","author":"\u0141oginoff","year":"2024","journal-title":"J Clin Med"},{"key":"2025100915161173500_ref9","doi-asserted-by":"publisher","first-page":"15390","DOI":"10.1038\/s41598-021-94980-1","article-title":"Improvement of an additively manufactured subperiosteal implant structure design by finite elements based topological optimization","volume":"11","author":"Carnicero","year":"2021","journal-title":"Sci Rep"},{"key":"2025100915161173500_ref10","doi-asserted-by":"publisher","first-page":"163","DOI":"10.1016\/j.coms.2024.09.006","article-title":"Long-term survival of subperiosteal implants: meta-analysis and current status of subperiosteal implants for dental rehabilitation","volume":"37","author":"Gellrich","year":"2025","journal-title":"Oral Maxillofac Surg Clin North Am"},{"key":"2025100915161173500_ref11","doi-asserted-by":"publisher","first-page":"1063","DOI":"10.1007\/s10006-024-01249-8","article-title":"Subperiosteal implants constructed with digital technology: a systematic review","volume":"28","author":"El-Sawy","year":"2024","journal-title":"Oral Maxillofac Surg"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/10\/rjaf319\/64602415\/rjaf319.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/10\/rjaf319\/64602415\/rjaf319.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T19:16:19Z","timestamp":1760037379000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaf319\/8280158"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,30]]},"references-count":11,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2025,9,30]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaf319","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,10]]},"published":{"date-parts":[[2025,9,30]]},"article-number":"rjaf319"}}