Reliability of Four Zygomatic Implant-Supported Prostheses for the Rehabilitation of the Atrophic Maxilla: A Systematic Review

Wang, Feng; Monje, Alberto; Lin, Guo‐Hao; Wu, Yiqun; Monje, Florencio; Wang, Hom‐Lay; Davó, Rubén

doi:10.11607/jomi.3691

Cited by 61 publications

(53 citation statements)

References 19 publications

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“…The decision was then made fill-up the anterior space using acrylic resin even though the access at mucosal interface to fulfill hygienic demands had become more difficult. As cleaning is more difficult on the palatal side requiring reinforcement and modification of plaque control and home care maintenance [4]. Therefore, it was explained to the patient that this modification would require more effort in hygiene maintenance and more frequently periodic visits would be required…”

Section: Discussionmentioning

confidence: 99%

“…Zygomatic implants have been indicated for severely atrophic maxilla and have shown promising outcomes [1] [3] [4] [5] allowing anchorage and stability in the zygomatic bone, that is characterized by a cortical bone with a dense trabecular structure [6]. Zygomatic implant placement is a less invasive technique when compared to bone grafting.…”

Section: Introductionmentioning

confidence: 99%

“…Zygomatic implant placement is a less invasive technique when compared to bone grafting. The grafting procedures increase the number of surgical procedures, overall cost, and treatment duration, causing severe discomfort for the patients [4] [7] [8].…”

Section: Introductionmentioning

confidence: 99%

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Zygomatic Implant-Supported Prosthesis: When the Prosthetic Rehabilitation Affects the Function: A Case Report

Matsumoto¹,

Antunes²,

Trivellato³

et al. 2017

OJST

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The oral rehabilitation of edentulous patients can be done in different ways depending on the alveolar ridge morphology and patient expectations. The objective of this clinical case was to report prosthetic and functional adaptation difficulties when conventional complete denture was changed to a zygomatic implant-supported prosthesis. We report a 52-year-old male singer with an atrophic maxilla who was rehabilitated with zygomatic implant-supported prosthesis using 4 implants. However, the thickness of the prosthesis in the palatal region and the space between the prosthesis and soft tissue caused difficulty in speaking and singing. The palatal region of the prosthesis was trimmed and the anterior region of the prosthesis was relined. These procedures were performed to make room for the tongue and minimize the passage of air during speech. Adaptations in the shape of the prosthesis must be made to enable its use, without compromising its strength.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Zygomatic Implant-Supported Prosthesis: When the Prosthetic Rehabilitation Affects the Function: A Case Report

Matsumoto¹,

Antunes²,

Trivellato³

et al. 2017

OJST

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“…Wang et al [19], in a recent systematic review, observed a zygomatic implant survival rate weighted mean of 96.7 %, with a 95 % confidence interval of 92.5-98.5 %, and reported orbital perforation to be the most significant complication, despite being infrequent. Davó and Pons [20] have reported several complications for ZIs supportedfixed prostheses, such as penetration of the orbital cavity during the drilling protocol, infection following fistula, sinusitis, fracture of the abutment screw and fracture of the prosthesis.…”

Section: Discussionmentioning

confidence: 99%

Endoscopically-Assisted Zygomatic Implant Placement: A Novel Approach

González-García

Monje

Moreno-García

et al. 2015

J. Maxillofac. Oral Surg.

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Background Zygomatic implants (ZIs) have been proposed as a valid alternative to advance bone-grafting procedures in the rehabilitation of the severe atrophied upper maxilla, with a reported overall success rate of more than 95 %. Otherwise, the use of the endoscope has been described for the treatment of maxillofacial trauma, orthognatic surgical procedures, sinonasal pathology, salivary gland disease, and TMJ internal derangement. A careful identification of anatomical landmarks is of utmost importance while trying to avoid potential complications during the insertion of ZIs. Several approaches for ZI insertion have been reported, such as the classical approach; the sinus slot technique; and the exteriorized approach. Materials and MethodsThe authors first introduce in the literature the endoscopically-assisted approach for the insertion of ZIs in the extremely severe atrophic maxilla.Results Optimal results in terms of ZIs positioning with no damage to surrounding structures were obtained. Conclusions By means of this new technique the surgeon may minimize the risk of complications related to the damage of neighbouring anatomic structures, such as orbital disruption or infraorbitary nerve damage, while ensuring an adequate drill positioning and angulation for the placement of one or two implants into the zygomatic bone.

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“…In addition, patients with edentulous upper and lower arch have a loss of vertical dimension of face with aged expression. Many surgical techniques have been proposed to increase the bone volume, height and thickness, such as Le Fort I osteotomy, bone grafts and insertion of dental implants (23)(24)(25)(26)(27)(28)(29)(30)(31)(32). The project of these surgical procedures is complex, because it is not possible to reproduce the displacements of osteotomized bone segments and condilar movements in three planes of space (7,8).…”

Section: Introductionmentioning

confidence: 99%

Surgiplanner: A New Method for One Step Oral Rehabilitation of Severe Atrophic Maxilla

Busato

Vismara

Grecchi

et al. 2017

ORL

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SUMMARYThe implant-prosthetic rehabilitation of edentulous upper jaws has always been complex for surgeons and dentists. The lack of bone in both vertical and horizontal dimension does not allow the correct insertion of dental implants. In addition, patients with edentulous upper and lower arch have a loss of vertical dimension of the face and an aged expression. Many surgical techniques have been proposed to increase the bone volume, height and thickness, such as the Le Fort I osteotomy, the bone grafts and the placement of dental implants. Planning these surgical procedures is difficult, because it is not possible to reproduce the movements of osteotomized bone segments in three planes of space. This article describes the treatment of severe atrophy maxilla with a new approach using a new instrument named "Surgiplanner". Surgiplanner is a method that, only using a computerized axial tomography (CAT), allows to obtain a totally predetermined therapeutic result from both an aesthetic and functional point of view, with surgery of severe resorbed jaws. Surgiplanner allows repositioning of segment of the skeleton of the patient's face in a predetermined and controlled way for the best implant-supported oral rehabilitation.

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Reliability of Four Zygomatic Implant-Supported Prostheses for the Rehabilitation of the Atrophic Maxilla: A Systematic Review

Cited by 61 publications

References 19 publications

Zygomatic Implant-Supported Prosthesis: When the Prosthetic Rehabilitation Affects the Function: A Case Report

Zygomatic Implant-Supported Prosthesis: When the Prosthetic Rehabilitation Affects the Function: A Case Report

Endoscopically-Assisted Zygomatic Implant Placement: A Novel Approach

Surgiplanner: A New Method for One Step Oral Rehabilitation of Severe Atrophic Maxilla

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