Survival and complications of zygomatic implants: a systematic review

2012 ◽  
Vol 17 (2) ◽  
pp. 81-93 ◽  
Author(s):  
Bruno Ramos Chrcanovic ◽  
Mauro Henrique Nogueira Guimarães Abreu
2021 ◽  
Vol 36 (1) ◽  
pp. 21-29
Author(s):  
Kengliang Lan ◽  
Feng Wang ◽  
Wei Huang ◽  
Rubén Davó ◽  
Yiqun Wu

Author(s):  
Henrique Esteves Magalhães ◽  
Priscilla Janaína de Lima Borelli Bovo ◽  
Luciano Rodrigues Neves ◽  
Marcelo Henrique Batista Santos ◽  
Rogério Luiz de Araújo Vian ◽  
...  

Introduction: In the dental implant scenario, the rehabilitation of the maxilla severely reabsorbed with endosseous implants remains a challenge. There are less aggressive alternatives, including short implants, inclined implants, and especially zygomatic (ZI) implants. In cases where the height and width of the residual bone do not allow the placement of conventional dental implants, the ZI can be considered. Objective: Conducted a concise systematic review to analyze the main literary findings on the use of the zygomatic implant as an important alternative for a dental implant, to present the state of the art to the dental community. Methods: The present study followed a concise systematic review model. The search was carried out in the PubMed, Embase, Ovid, Cochrane Library, Web Of Science, and Scopus databases. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results and Conclusion: Zygomatic implants appear to be a consolidated therapeutic option for significantly atrophic maxilla, offering a promising alternative to costly heavy bone graft techniques, fewer complications, less time for rehabilitation, less required prosthodontic work, and significantly higher survival rates. Thus, the zygomatic implant is revolutionizing the implant procedure in the posterior atrophic maxilla, eliminating the complications of bone augmentation and sinus elevation, with delayed healing, showing better clinical results compared to the bone graft, pointing to a possible gold standard for a dental implant.


2013 ◽  
Vol 39 (2) ◽  
pp. 215-224 ◽  
Author(s):  
Ashu Sharma ◽  
G. R. Rahul

Patients with moderate to severe atrophy challenge the surgeon to discover alternative ways to use existing bone or resort to augmenting the patient with autogenous or alloplastic bone materials. Many procedures have been suggested for these atrophied maxillae before implant placement, which include Le Fort I maxillary downfracture, onlay bone grafts and maxillary sinus graft procedures. A zygomatic implant can be an effective device for rehabilitation of the severely resorbed maxilla. If zygomatic implants are used, onlay bone grafting or sinus augmentation would likely not be necessary. The purpose of this article is to review the developments that have taken place in zygomatic implant treatment over years, including anatomic information for installing the zygomatic implants, implant placement techniques, stabilization, and prosthodontic procedures.


Author(s):  
P Molinero-Mourelle ◽  
L Baca-Gonzalez ◽  
B Gao ◽  
L Saez-Alcaide ◽  
A Helm ◽  
...  

2016 ◽  
Vol 74 (10) ◽  
pp. 1949-1964 ◽  
Author(s):  
Bruno Ramos Chrcanovic ◽  
Tomas Albrektsson ◽  
Ann Wennerberg

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Ana Helena Pereira Gracher ◽  
Marcos Boaventura de Moura ◽  
Patrícia da Silva Peres ◽  
Geninho Thomé ◽  
Luís Eduardo Marques Padovan ◽  
...  

Abstract Background The main objective of this systematic review was to present the outcomes of the treatment with zygomatic implants (ZIs) in the rehabilitations of atrophic upper jaw. Findings An electronic database search in PubMed, along with a manual search, taking into account language and study period, was performed by two observers; any type of clinical trial and series that included the use of ZIs was used. In the search strategy, the following search terms were used: zygom* AND dental (Implant OR implants) AND edentulous NOT (biomechanic* OR finite element) NOT cadaver. The search was limited to English language, full text, and humans. Literature reviews and clinical case reports were not considered. Forty-two articles published between March 2003 and April 2019 were included in this analysis. The cases of 1247 patients were recovered; these patients received 2919 ZIs. Fifty-two ZIs were removed during the follow-up time. The survival rate of these implants was 98.22%, with a minimum follow-up of 1 month and a maximum of 228 months. Different surgical techniques were used to place ZIs; however, the intrasinusal technique was the most used (23 studies). Post-surgical sinusitis was the most common complication reported in the studies (39 cases). Conclusions Based on this review, ZIs were commonly used for rehabilitation of patients with atrophic upper jaw. The survival rates presented were high, and the surgical technique is dependent on the professional experience and the local anatomy. However, it needed additional clinical evidence on bone resorption, esthetic outcomes, and physiological characteristics.


2019 ◽  
Vol 5 (2) ◽  
Author(s):  
Migliorança RM ◽  
Irschlinger AL ◽  
Peñarrocha-Diago M ◽  
Fabris RR ◽  
Javier Aizcorbe-Vicente ◽  
...  

2021 ◽  
Vol 2021 ◽  
pp. 1-12
Author(s):  
Mohammed A. Mousa ◽  
Johari Yap Abdullah ◽  
Nafij B. Jamayet ◽  
Mohammad Khursheed Alam ◽  
Adam Husein

Aim. This systematic review is aimed at investigating the biomechanical stress that develops in the maxillofacial prostheses (MFP) and supporting structures and methods to optimize it. Design and Methods. A literature survey was conducted for full-text English articles which used FEA to examine the stress developed in conventional and implant-assisted MFPs from January 2010 to December 2020. Results. 87 articles were screened to get an update on the desired information. 74 were excluded based on a complete screening, and finally, 13 articles were recruited for complete reviewing. Discussion. The MFP is subjected to stress, which is reflected in the form of compressive and tensile strengths. The stress is mainly concentrated the resection line and around the apices of roots of teeth next to the defect. Diversity of designs and techniques were introduced to optimize the stress distribution, such as modification of the clasp design, using materials with different mechanical properties for dentures base and retainer, use of dental (DI) and/or zygomatic implants (ZI), and free flap reconstruction before prosthetic rehabilitation. Conclusion. Using ZI in the defective side of the dentulous maxillary defect and defective and nondefective side of the edentulous maxillary defect was found more advantageous, in terms of compression and tensile stress and retention, when compared with DI and free flap reconstruction.


2021 ◽  
Vol 9 (4) ◽  
pp. 38
Author(s):  
Felice Lorusso ◽  
Roberto Conte ◽  
Francesco Inchingolo ◽  
Felice Festa ◽  
Antonio Scarano

Background: Zygomatic implants have been proposed alone or in combination with premaxillary conventional implants for severe resorbed maxillary atrophy rehabilitation. The aim of the present investigation was to evaluate through a qualitative systematic review and meta-analysis the survival rate of zygomatic implants in conjunction with regular fixtures for maxillary rehabilitation. Methods: The article screening was conducted on the PubMed/Medline and EMBASE electronic databases according to the “Preferred Reporting Items for Systematic Reviews and Meta-Analyses” (PRISMA) guidelines. The scientific papers were included for qualitative analysis and risk-of-bias evaluation. Only the papers that included rehabilitation with zygomatic implants in combination with regular implants were considered for the meta-analysis comparative evaluation of the implant survival rate. Results: The paper search screened a total of 137 papers. After the initial screening, a total of 32 articles were considered for the qualitative analysis. There was a similar implant survival rate between zygomatic and premaxilla regular implants (p = 0.02; Z: 2.26). Conclusions: Zygomatic and conventional implants showed a high long-term survival rate for fixed maxillary rehabilitations, but few included studies reported the marginal bone loss after loading. Further studies are necessary to evaluate the pattern of marginal bone loss between zygomatic and conventional implants after long-term functional loading.


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