The use of zygomatic implant in the rehabilitation of the edentulous atrophic
maxilla
Fotios BOUNTANIOTIS, Fotios TZERBOS
Department of Oral and Maxillofacial Surgery (Head: Prof. I. Iatrou), School of Dentistry, National and Kapodistrian University of Athens, Greece
Hellenic Archives of Oral & Maxillofacial Surgery (2015) 3, 137-146
SUMMARY: Rehabilitation of the edentulous atrophic maxilla is usually very challenging for the surgeon. Advanced bone resorption in combination with the anatomical structures of this region render the use of alternative techniques, such as zygomatic implant, often necessary. Preliminary studies show that zygomatic implant, even though it is a demanding procedure, is constantly gaining ground presenting high success rates and being a viable alternative to bone grafts. Nevertheless, the need for RCTs (Randomized Controlled Trials) comparing zygomatic implant with grafting techniques still remains. The objective of this study is to review the literature with the aim of updating the subject.
KEY WORDS: edentulous atrophic maxilla, rehabilitation, zygomatic bone, zygomatic implant
REFERENCES
Aparicio C, Manresa C, Francisco K, Claros P, Alandez J, GonzalezMartin O, Albrektsson T: Zygomatic implants: indications, techniques and outcomes, and the Zygomatic Success Code. Periodontology 2000 66:41-58, 2014α/a
Aparicio C, Manresa C, Francisco K, Ouazzani W, Claros P, Potau JM, Aparicio A: The long-term use of zygomatic implants: a 10-year clinical and radiographic report. Clin Implant Dent Relat Res. 16(3):447-59, 2014β/b
Aparicio C, Manresa C, Francisco K, Aparicio A, Nunes J, Claros P, Potau JM: Zygomatic Implants Placed Using the Zygomatic Anatomy-Guided Approach versus the Classical Technique: A Proposed System to Report Rhinosinusitis Diagnosis. Clin Implant Dent Relat Res. 16(5):627-642, 2014γ/c
Chrcanovic BR, Abreu MHNG: Survival and complications of zygomatic implants: a systematic review. Oral Maxillofac Surg 17:81- 93, 2013
Chrcanovic BR, Pedrosa AR, Custodio ALN: Zygomatic implants: a critical review of the surgical techniques. Oral Maxillofac Surg 17:1-9, 2013
Davo R, Malevez C, Rojas J: Immediate function in the atrophic maxilla using zygoma implants: a preliminary study. J Prosthet Dent 97:44- 51, 2007
Davo R, Malevez C, Lopez-Orellana C, Pastor-Bevia F, Rojas J: Sinus reactions to immediately loaded zygoma implants: a clinical and radiological study. Eur J Oral Implantol. 1(1):53-60, 2008
Davo R, Malevez C, Pons O: Immediately loaded zygomatic implants: a 5-year prospective study. Eur J Oral Implantol. 6(1):39-47, 2013
Esposito M,Worthington HV: Interventions for replacing missing teeth: dental implants in zygomatic bone for the rehabilitation of the severely deficient edentulous maxilla. Cochrane Database Syst Rev. 2013 Sep 5;9:CD004151. doi: 10.1002/14651858.CD004151. pub3
Fernandez H, Gomez-Delgado A, Trujillo-Saldarriaga S, Varon-Cardona D, Castro-Nunez J: Zygomatic implants for the management of the severely atrophied maxilla: a retrospective analysis of 244 implants. J Oral Maxillofac Surg 72(5):887-891, 2014
Ferrara ED, Stella JP: Restoration of the Edentulous Maxilla: The Case for the Zygomatic Implants. J Oral Maxillofac Surg 62:1418-1422, 2004
Galan-Gil S, Penarrocha-Diago M, Balaguer-Martínez J, Marti-Bowen E: Rehabilitation of severely resorbed maxillae with zygomatic implants: an update. Med Oral Patol Oral Cir Bucal 12:216-220, 2007
Goiato MC, Pellizzer EP, Moreno A, Gennari-Filho H, dos Santos DM, Santiago Jr. JF, dos Santos EG: Implants in the zygomatic bone for maxillary prosthetic rehabilitation: a systematic review. Int J Oral Maxillofac Surg 43:748-757, 2014
shak MI, Abdul Kadir MR: Chapter 2: Treatment Options for Severely Atrophic Maxillae, In: Ishak MI and Abdul Kadir MR: Biomechanics in Dentistry: Evaluation of Different Surgical Approaches to Treat Atrophic Maxilla Patients. Springer 2013, pp. 9-26
Prithviraj DR, Vashisht R, Bhalla HK: From maxilla to zygoma: A review on zygomatic implants. J Dent Implant 4:44-47, 2014
Stievenart M, Malevez C: Rehabilitation of totally atrophied maxilla by means of four zygomatic implants and fixed prosthesis: a 6-40- month follow-up. Int J Oral Maxillofac Surg. 39(4):358-363, 2010
Sudhakar J, Ali SA, Karthikeyan S: Zygomatic Implants-A Review. JIADS 2(2):24-28, 2011
Ugurlu F, Yıldız C, Sener BC, Sertgoz A: Rehabilitation of posterior maxilla with zygomatic and dental implant after tumor resection: a case report. Case Rep Dent. 2013;2013:930345. doi: 10.1155 /2013/930345
Vanhemelrijck Y, Daelemans P, Malevez C, Dahm J, Evrard L: Sinus reactions to zygoma implants. Bull Group Int Rech Sci Stomatol Odontol. 50(1):13-14, 2011 Vrielinck L, Politis C, Schepers S, Pauwels M, Naert I: Image-based planning and clinical validation of zygoma and pterygoid implant placement in patients with severe bone atrophy using customized drill guides. Preliminary results from a prospective clinical follow-up study. Int J Oral Maxillofac Surg. 32(1):7-14, 2003
Yates JM, Brook IM, Patel RR, Wragg PF, Atkins SA, El-Awa A, Bakri I, Bolt R: Treatment of the edentulous atrophic maxilla using zygomatic implants: evaluation of survival rates over 5-10 years. Int J Oral Maxillofac Surg 43(2):237-242, 2014
Department of Oral and Maxillofacial Surgery (Head: Prof. I. Iatrou), School of Dentistry, National and Kapodistrian University of Athens, Greece
Hellenic Archives of Oral & Maxillofacial Surgery (2015) 3, 137-146
SUMMARY: Rehabilitation of the edentulous atrophic maxilla is usually very challenging for the surgeon. Advanced bone resorption in combination with the anatomical structures of this region render the use of alternative techniques, such as zygomatic implant, often necessary. Preliminary studies show that zygomatic implant, even though it is a demanding procedure, is constantly gaining ground presenting high success rates and being a viable alternative to bone grafts. Nevertheless, the need for RCTs (Randomized Controlled Trials) comparing zygomatic implant with grafting techniques still remains. The objective of this study is to review the literature with the aim of updating the subject.
KEY WORDS: edentulous atrophic maxilla, rehabilitation, zygomatic bone, zygomatic implant
REFERENCES
Aparicio C, Manresa C, Francisco K, Claros P, Alandez J, GonzalezMartin O, Albrektsson T: Zygomatic implants: indications, techniques and outcomes, and the Zygomatic Success Code. Periodontology 2000 66:41-58, 2014α/a
Aparicio C, Manresa C, Francisco K, Ouazzani W, Claros P, Potau JM, Aparicio A: The long-term use of zygomatic implants: a 10-year clinical and radiographic report. Clin Implant Dent Relat Res. 16(3):447-59, 2014β/b
Aparicio C, Manresa C, Francisco K, Aparicio A, Nunes J, Claros P, Potau JM: Zygomatic Implants Placed Using the Zygomatic Anatomy-Guided Approach versus the Classical Technique: A Proposed System to Report Rhinosinusitis Diagnosis. Clin Implant Dent Relat Res. 16(5):627-642, 2014γ/c
Chrcanovic BR, Abreu MHNG: Survival and complications of zygomatic implants: a systematic review. Oral Maxillofac Surg 17:81- 93, 2013
Chrcanovic BR, Pedrosa AR, Custodio ALN: Zygomatic implants: a critical review of the surgical techniques. Oral Maxillofac Surg 17:1-9, 2013
Davo R, Malevez C, Rojas J: Immediate function in the atrophic maxilla using zygoma implants: a preliminary study. J Prosthet Dent 97:44- 51, 2007
Davo R, Malevez C, Lopez-Orellana C, Pastor-Bevia F, Rojas J: Sinus reactions to immediately loaded zygoma implants: a clinical and radiological study. Eur J Oral Implantol. 1(1):53-60, 2008
Davo R, Malevez C, Pons O: Immediately loaded zygomatic implants: a 5-year prospective study. Eur J Oral Implantol. 6(1):39-47, 2013
Esposito M,Worthington HV: Interventions for replacing missing teeth: dental implants in zygomatic bone for the rehabilitation of the severely deficient edentulous maxilla. Cochrane Database Syst Rev. 2013 Sep 5;9:CD004151. doi: 10.1002/14651858.CD004151. pub3
Fernandez H, Gomez-Delgado A, Trujillo-Saldarriaga S, Varon-Cardona D, Castro-Nunez J: Zygomatic implants for the management of the severely atrophied maxilla: a retrospective analysis of 244 implants. J Oral Maxillofac Surg 72(5):887-891, 2014
Ferrara ED, Stella JP: Restoration of the Edentulous Maxilla: The Case for the Zygomatic Implants. J Oral Maxillofac Surg 62:1418-1422, 2004
Galan-Gil S, Penarrocha-Diago M, Balaguer-Martínez J, Marti-Bowen E: Rehabilitation of severely resorbed maxillae with zygomatic implants: an update. Med Oral Patol Oral Cir Bucal 12:216-220, 2007
Goiato MC, Pellizzer EP, Moreno A, Gennari-Filho H, dos Santos DM, Santiago Jr. JF, dos Santos EG: Implants in the zygomatic bone for maxillary prosthetic rehabilitation: a systematic review. Int J Oral Maxillofac Surg 43:748-757, 2014
shak MI, Abdul Kadir MR: Chapter 2: Treatment Options for Severely Atrophic Maxillae, In: Ishak MI and Abdul Kadir MR: Biomechanics in Dentistry: Evaluation of Different Surgical Approaches to Treat Atrophic Maxilla Patients. Springer 2013, pp. 9-26
Prithviraj DR, Vashisht R, Bhalla HK: From maxilla to zygoma: A review on zygomatic implants. J Dent Implant 4:44-47, 2014
Stievenart M, Malevez C: Rehabilitation of totally atrophied maxilla by means of four zygomatic implants and fixed prosthesis: a 6-40- month follow-up. Int J Oral Maxillofac Surg. 39(4):358-363, 2010
Sudhakar J, Ali SA, Karthikeyan S: Zygomatic Implants-A Review. JIADS 2(2):24-28, 2011
Ugurlu F, Yıldız C, Sener BC, Sertgoz A: Rehabilitation of posterior maxilla with zygomatic and dental implant after tumor resection: a case report. Case Rep Dent. 2013;2013:930345. doi: 10.1155 /2013/930345
Vanhemelrijck Y, Daelemans P, Malevez C, Dahm J, Evrard L: Sinus reactions to zygoma implants. Bull Group Int Rech Sci Stomatol Odontol. 50(1):13-14, 2011 Vrielinck L, Politis C, Schepers S, Pauwels M, Naert I: Image-based planning and clinical validation of zygoma and pterygoid implant placement in patients with severe bone atrophy using customized drill guides. Preliminary results from a prospective clinical follow-up study. Int J Oral Maxillofac Surg. 32(1):7-14, 2003
Yates JM, Brook IM, Patel RR, Wragg PF, Atkins SA, El-Awa A, Bakri I, Bolt R: Treatment of the edentulous atrophic maxilla using zygomatic implants: evaluation of survival rates over 5-10 years. Int J Oral Maxillofac Surg 43(2):237-242, 2014
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