ZYGOMATIC IMPLANTS IN THE REHABILITATION OF EDENTULOUS PATIENTS WITH SEVERELY ATROPHIC MAXILLA

Sîrbu Dumitru, Eni Stanislav, Strîșca Stanislav, Topalo Valentin
2020 Zenodo  
In order to avoid the drawbacks of alveolar ridge bone grafting methods, in preimplantation preparation, alternative methods of implant-prosthetic rehabilitation through zygomatic implants were proposed. The aim of the study: Clinical evaluation, through bibliographic analysis, of the rehabilitation methods of patients with upper jaw edentolous, in association with severely atrophic maxilla, using zygomatic implants. Material and methods: The study included 8 patients, with a mean age of 58.5
more » ... mean age of 58.5 years, treated during 2017–2020 time period. Also, there was performed a bibliographic synthesis of 319 articles, published during the last 10 years, using the "zygomatic implants" expression. Patients' data was processed in Sidexis 4.2 and Microsoft Excel. Results and discussion: Upper jaw rehabilitation was performed by the "Quad Zygoma", "Quad Zygoma hybrid", "Hybrid Zygoma + 2" and "Hybrid Zygoma + 4" methods, and, in a clinical case, 1 zygomatic implant in combination with 1 conventional implant and 1 pterygoid implant. In total, 34 implants were inserted, of which 23 zygomatic, 10 conventional and 1 pterygoid. There were no complications during the follow-up period, the success rate being 100%. The bibliographic analysis revealed an increased interest in this topic, but it still remains a controversial subject, due to the lack of long-term results. Conclusion: The rehabilitation method, using zygomatic implants, demonstrated a high efficacy, a low morbidity rate, compared to the methods of bone grafting, reduced surgery time, immediate prosthetic rehabilitation and high patients' satisfaction.
doi:10.5281/zenodo.3979631 fatcat:hws5oqzadnfijae4bmv7ggjf7a