Are Zygomatic Implants Associated With Maxillary Sinusitis?

D’Agostino, Antonio; Trevisiol, Lorenzo; Favero, Vittorio; Pessina, Mattia; Procacci, Pasquale; Nocini, Pier Francesco

doi:10.1016/j.joms.2016.03.014

Cited by 39 publications

(33 citation statements)

References 24 publications

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“…According to a clinical report by Pu et al, 35 10 cigarettes a day. 25,36 In this study, smoking did not have any significant effect on the failures and complications, however smoking should always be considered as a critical risk factor.…”

Section: Discussionmentioning

confidence: 57%

“…Several complications related to ZIs were described in literature such as fracture of the zygomatic bone, paresthesia of the infraorbital or zygomatic and facial nerves, formation of oroantral fistula, and implant failures. [10][11][12]22,25 The surgeon performing the surgery should be able the of temporary paresthesia, complete recovery was seen approximately after 6 months of ZI surgery. All the complications explained above were resolved without any major problems.…”

Section: Discussionmentioning

confidence: 99%

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Clinical outcome of 302 zygomatic implants in 110 patients with a follow‐up between 6 months and 7 years

Göker

Grecchi

Fabbro

et al. 2020

Clin Implant Dent Rel Res

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Background: Zygomatic implant surgery is considered as a safe and successful alternative to the conventional implant surgery with bone grafts for patients with severe atrophic maxilla. Purpose: The aim of this retrospective clinical case series was to report clinical outcome of zygomatic implants with a follow-up between 6 months and 7 years. Materials and methods: A total of 110 patients with 302 zygomatic implants were included in this study. The intra and postoperative complications and survival rate of zygomatic implants were evaluated. Results: The study included 110 consecutively treated patients with an age range of 21 to 76 years (mean 57.35 years, SD 10.42). The overall zygomatic implant survival rate was 98.34%. There were five implant failures in four patients. One intraoperative and 17 postoperative complications developed in 18 patients. There were no dropouts and the median follow-up of the patients was 41.75 months (with a range of 6-89 months). Conclusions: According to the results, in cases of severely atrophic posterior maxilla, zygomatic implant surgery can be considered as an effective and safe alternative to conventional implants and bone grafting procedures.

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Section: Discussionmentioning

confidence: 57%

Section: Discussionmentioning

confidence: 99%

Clinical outcome of 302 zygomatic implants in 110 patients with a follow‐up between 6 months and 7 years

Göker

Grecchi

Fabbro

et al. 2020

Clin Implant Dent Rel Res

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“…Patients with extremely atrophic upper posterior maxilla require major surgical sinus lift procedures [1] or even zygomatic implants to be successfully restored and then recover their oral function [2–5]. These options are clinically challenging, because of the increased patient morbidity and also the greater chance of intra- and postoperative complications [6, 7]. Likewise, the development of innovative implant designs and surface textures in cases of intermediate atrophy suggests the use of short implants as minimally invasive treatment options in these cases [8].…”

Section: Introductionmentioning

confidence: 99%

Cumulative Success Rate of Short and Ultrashort Implants Supporting Single Crowns in the Posterior Maxilla: A 3-Year Retrospective Study

Lombardo

Pighi

Marincola

et al. 2017

International Journal of Dentistry

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Aim To determine cumulative success rate (CSR) of short and ultrashort implants in the posterior maxilla restored with single crowns. Patients and Methods We performed a retrospective study in 65 patients with 139 implants. 46 were ultrashort and 93 short. Implants were placed with a staged approach and restored with single crowns. Success rate, clinical and radiographic outcomes, and crown-to-implant ratio (CIR) were assessed after three years. Statistical analysis was performed by descriptive and inferential statistics. A log-binomial regression model where the main outcome was implant success was achieved. Coefficients and 95% confidence intervals were reported. Analyses were performed with Stata 13.2 for Windows. Results 61.54% of patients were female and mean overall age was 51.9 ± 11.08 years old. Overall CSR was 97.1% (95% CI: 92.4–98.9): 97.9 and 95.1% for short and ultrashort, respectively (P value: 0.33). Four implants failed. Covariates were not associated with CSR (P value > 0.05). Regression model showed coefficients correlated with implant success for ultrashort implants (0.87) and most of covariates but none were statistically significant (P values > 0.05). Conclusions Our results suggest that short and ultrashort implants may be successfully placed and restored with single crowns in the resorbed maxillary molar region.

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“…Even though these implants often pass through the maxillary sinus before engaging the body of the zygoma, they are rarely associated with significant sinus problems after placement. In their retrospective cohort study, D'Agostino et al [10] concluded that placement of zygomatic implants does not seem to be associated with severe rhinosinusitis complications. This underscores the point that immobilized foreign bodies that protrude into the maxillary sinus are not likely to cause significant sinus problems as long as there is no oral-antral communication.…”

Section: Discussionmentioning

confidence: 99%

Success Rate of Dental Implants Placed in the Atrophic Posterior Maxilla with Intentional Sinus Floor Perforation in Lieu of Indirect Sinus Augmentation: A Retrospective Report of 26 Consecutive Patients and Literature Review

Shahzad¹,

Madson²,

Shipp³

et al. 2017

OJST

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Purpose: To assess surgical success rate of placing dental implants in the atrophic posterior maxilla engaging the maxillary sinus floor in patients with inadequate posterior maxillary alveolar bone height (PMABH). Methods: 26 patients with PMABH of 7 -10 mm had 39 implants placed between July 2012 and June 2014. These implants were placed protruding apically 1 -3 mm into the maxillary sinus engaging the sinus floor. At stage one, implants and cover screws were placed, followed by stage two, 5 -6 months later. The implants were considered osseo-integrated in the absence of symptoms, mobility and inflammation. Periapical radiographs were taken to rule out peri-implant radiolucency. Restorative treatment was completed 2 months thereafter. Patients were scheduled to have a dental exam (6 -12 months after delivery of prosthesis) and the implants were evaluated clinically and radiographically. A retrospective review was conducted to assess the surgical success rate of this treatment modality. Clinic charts, radiographs and digital implant log were reviewed for all patients with PMABH of 7 -10 mm who received dental implants in the posterior maxilla to determine the success rate of this treatment modality. Results: 26 patients who had 39 implants placed were included in the study. All implants (100%) were osseo-integrated at the time of uncovering (stage 2). None of the implants (0%) had mobility or inflammation around them. Stage 2 was successfully performed on all 39 implants (100%). All implants (100%) in these patients had been restored, and were in good condition 114without mobility or inflammation, and had been functioning well 6 -12 months after restoration. Conclusion: This study suggests that a high success rate can be attained placing dental implants in the posterior maxilla while perforating and engaging the cortical maxillary sinus floor. A future prospective study that compares this technique with the internal sinus lift would likely help elucidate this suggestion.

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Are Zygomatic Implants Associated With Maxillary Sinusitis?

Cited by 39 publications

References 24 publications

Clinical outcome of 302 zygomatic implants in 110 patients with a follow‐up between 6 months and 7 years

Clinical outcome of 302 zygomatic implants in 110 patients with a follow‐up between 6 months and 7 years

Cumulative Success Rate of Short and Ultrashort Implants Supporting Single Crowns in the Posterior Maxilla: A 3-Year Retrospective Study

Success Rate of Dental Implants Placed in the Atrophic Posterior Maxilla with Intentional Sinus Floor Perforation in Lieu of Indirect Sinus Augmentation: A Retrospective Report of 26 Consecutive Patients and Literature Review

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