27May 2019

THE SCIENTIFIC CONTEXT OF ZYGOMATIC IMPLANT IN BONE LOSS: A REVIEW.

  • University Center North Paulista (Unorp) ? Graduate in Dentistry - Sao Jose do Rio Preto - SP, Brazil.
  • Post graduate and continuing education (Unipos), Postgraduate in dentistry, Street Ipiranga, 3460, Sao Jose do Rio Preto SP, Brazil 15020-040.
  • Santa Casa Hospital-Bucomaxillo Facial Traumatology Center- Ribeirao Preto/SP, Brazil.
  • Clinical director of CENMI, Sao Paulo, Brazil.
Crossref Cited-by Linking logo

  • Abstract
  • Keywords
  • References
  • Cite This Article as
  • Corresponding Author

Introduction: The lack of bone in the alveolar ridge represents a major problem in aesthetic recovery in patients who suffered dentoalveolar traumas, traumatic extractions, congenital absence of tooth involvement involving the maxilla and mandible, infections due to emotional consequences and the possibility of deformity. Thus, the zygomatic implant (ZI) is an alternative when there is bone loss. Objective: to present the main considerations of the zygomatic implant in the context of bone loss, as well as to point out its main functions in the aesthetic and functional recovery of the patients' masticatory process and gain in the quality of life. Methods: The present study followed a model of literary review presenting and discussing case series, prospective, retrospective, randomized, double-blind, placebo-controlled trials in humans with a publication time of the last ten years were selected and analyzed. Major findings: In the bone loss scenario, zygomatic (ZI) implant, although it may also have complications and risks, is a strong alternative to achieve success in the dental implant process in patients with significant bone loss. The amount of zygomatic bone is intrinsic to each patient. Predictors of tooth loss such as caries, periodontal disease or trauma are the protagonists of bone resorption, leading to complex fitting problems. The studies of ZI placed in patients with severely atrophic and resected maxilla confirm that this approach is a predictable method to support fixed or removable prostheses up to 18 years, demonstrating high survival rates. Therefore, zygomatic implants present a high survival rate accumulated in 12 years, with most failures occurring in the initial stages postoperatively. Conclusion: The present study confirmed that the ZI presents efficacy and safety for the functional and aesthetic treatment of the patients, as well as it makes possible an important gain in the quality of life.

  1. Miglioran?a RM, Irschlinger AL, Pe?arrocha-Diago M, Fabris RR, Javier Aizcorbe-Vicente and Zotarelli Filho IJ.History of zygomatic implants: A systematic review and meta-analysis. Dent Oral Craniofac Res, 2019 [doi: 10.15761/DOCR.1000289].
  2. Chana H,?Smith G,?Bansal H,?Zahra D. A Retrospective Cohort Study of the Survival Rate of 88?ZygomaticImplants Placed Over an 18-year Period. Int J Oral Maxillofac Implants.?2019 Mar/Apr;34(2):461-470. doi: 10.11607/jomi.6790.
  3. Alqutaibi AY,?Aboalrejal A. ZygomaticImplants Are a Reliable Treatment Option for Patients With Atrophic Maxilla. J Evid Based Dent Pract.?2017 Dec;17(4):402-404.
  4. Rinaldi M,?Ganz SD. Computer-Guided Approach for Placement of?ZygomaticImplants: Novel Protocol and Surgical Guide. CompendContinEduc Dent.?2019 Mar;40(3):e1-e4.
  5. Wang H,?Hung K,?Zhao K,?Wang Y,?Wang F,?Wu Y. Anatomical analysis of?zygomaticbone in ectodermal dysplasia patients with oligodontia. Clin?Implant?Dent Relat Res.?2019 Apr;21(2):310-316. doi: 10.1111/cid.12731. Epub 2019 Feb 21.
  6. Merli M,?Moscatelli M,?Pagliaro U,?Mariotti G,?Merli I,?Nieri M. Implantprosthetic rehabilitation in partially edentulous patients with bone atrophy. An umbrella?review?based on systematic reviews of randomised controlled trials. Eur J Oral Implantol.?2018;11(3):261-280.
  7. Aboul-Hosn Centenero S,?L?zaro A,?Giralt-Hernando M,?Hern?ndez-Alfaro F. Zygoma Quad Compared With 2?ZygomaticImplants: A Systematic?Review?and Meta-analysis. Implant?2018, Jan 29.
  8. Pineau M,?Nicot R,?Lauwers L,?Ferri J,?Raoul G. Zygomaticimplants in our daily practice. Part II: Prosthetic rehabilitation and effect on quality of life. Swiss Dent J.?2018 Sep 10;128(9):694-700.
  9. Pineau M,?Nicot R,?Lauwers L,?Ferri J,?Raoul G. Zygomaticimplants in our daily practice. Part I: Treatment Plan and Surgical Technique. Swiss Dent J.?2018 Sep 10;128(9):689-693.
  10. Tuminelli FJ,?Walter LR,?Neugarten J,?Bedrossian E. Immediate loading of?zygomaticimplants: A systematic?review?of?implant?survival, prosthesis survival and potential complications. Eur J Oral Implantol.?2017;10 Suppl 1:79-87.
  11. Molinero-Mourelle P,?Baca-Gonzalez L,?Gao B,?Saez-Alcaide LM,?Helm A,?Lopez-Quiles J. Surgical complications in?zygomaticimplants: A systematic?review. Med Oral Patol Oral Cir Bucal.?2016 Nov 1;21(6):e751-e757.
  12. Wu Y, Zhang C,Squarize CH,?Zou D. Oral Rehabilitation of Adult Edentulous Siblings Severely Lacking Alveolar Bone Due to Ectodermal Dysplasia: A Report of 2 Clinical Cases and a Literature?Review. J Oral Maxillofac Surg. 2015, 73(9):1733.e1-12.
  13. Lopes, L.F., et al., Placement of dental implants in the maxillary tuberosity: a systematic review. Int J Oral Maxillofac Surg. 2015, 44(2): p. 229-38. 21.
  14. Ozaki H,Ishikawa S,?Kitabatake K,?Yusa K,?Sakurai H,?Iino M. Functional and aesthetic rehabilitation with maxillary prosthesis supported by two?zygomatic?implants?for maxillary defect resulting from cancer ablative surgery: a case report/technique article. 2015.
  15. Takamaru N,Nagai H,?Ohe G,?Tamatani T,?Sumida K,?Kitamura S,?Miyamoto Y. Measurement of the?zygomatic?bone and pilot hole technique for safer insertion of zygomaticus?implants. Int J Oral Maxillofac Surg.
  16. Monteiro, D.R., et al. Posterior partially edentulous jaws, planning a rehabilitation with dental implants. World J Clin Cases, 2015. 3(1): p. 65- 76. 2.
  17. Yates, J.M., et al. Treatment of the edentulous atrophic maxilla using zygomatic implants: evaluation of survival rates over 5-10 years. Int J Oral Maxillofac Surg. 2014, 43(2): p. 237-42.
  18. Goiato, M.C., et al. Implants in the zygomatic bone for maxillary prosthetic rehabilitation: a systematic review. Int J Oral Maxillofac Surg. 2014, 43(6): p. 748-57. 12.
  19. Fernandez H., et al. Zygomatic implants for the management of the severely atrophied maxilla: a retrospective analysis of 244 implants. J Oral Maxillofac Surg. 2014, 72(5): p. 887-91.
  20. Aparicio C., et al. Zygomatic implants: indications, techniques and outcomes, and the zygomatic success code. Periodontol. 2014, 66(1): p. 41-58. 16.
  21. Chrcanovic BR, Abreu MH. Survival and complications of zygomatic implants: a systematic review. Oral Maxillofac Surg. 2013, 17(2): p. 81-93. 17.
  22. Ugurlu, F., et al. Rehabilitation of posterior maxilla with zygomatic and dental implant after tumor resection: a case report. Case Rep Dent, 2013. 2013: p. 930345. 4. X.
  23. Balshi, T.J., et al. Zygomatic bone-to-implant contact in 77 patients with partially or completely edentulous maxillas. J Oral Maxillofac Surg. 2012, 70(9): p. 2065-9. 7.

[Julio Leal Villela Garcia, Arthur Albuquerque Barros, Regis Manzini, Reginaldo Mario Miglioranca, Diego Cesar Marques, Vanessa Rodrigues do Prado Garcia, Vanessa Gabriela Gonzales Pinto, Luciana Fortes Tosto Dias, Rogerio Luiz de Araujo Vian, Elias Naim Kassis and Idiberto Jose Zotarelli Filho. (2019); THE SCIENTIFIC CONTEXT OF ZYGOMATIC IMPLANT IN BONE LOSS: A REVIEW. Int. J. of Adv. Res. 7 (May). 1126-1129] (ISSN 2320-5407). www.journalijar.com

Idiberto Jose Zotarelli Filho

DOI:

Article DOI: 10.21474/IJAR01/9142      
DOI URL: https://dx.doi.org/10.21474/IJAR01/9142

Download Full Paper

Download PDF No. of Downloads: 16 | No. of Views: 85