Skip to main content
Top

16-01-2024 | Bleeding on Probing | CLINICAL PAPER

Evaluation of Survival Rate of Zygomatic Implants Placed Using Immediate Loading Protocol in an Atrophic Maxilla: A Case Series

Authors: S. Jayanandhini, C. Prasad, R. Appadurai, J. Balaji, K. Arunkumar, T. Rohini

Published in: Journal of Maxillofacial and Oral Surgery

Login to get access

Abstract

Background

Zygoma implants are evidence-based surgical and prosthetic solutions for the rehabilitation of atrophic posterior maxilla with both classical two-stage and immediate loading protocols. Zygoma implants avoid grafting and sinus lift procedures and therefore contribute to a shorter and more comfortable treatment. The zygomatic bone is superior to that of the posterior maxilla in providing anchorage and the success of the zygomatic implant is due to Quad cortical stabilization. Immediate loading decreases the time of treatment and increases the acceptance of the treatment by the patient.

Aims and Objectives

The purpose of the study is to evaluate the survival rate of immediately loaded zygomatic implants in severely atrophic maxilla based on clinical criteria.

Materials and Methods

Five patients with completely edentulous atrophic posterior maxilla were included in the study. Nobel Biocare zygomatic implants were placed in the posterior region of completely edentulous atrophic maxilla and anterior conventional implants in selected subjects. The patients were assessed preoperatively and postoperatively and followed up for 12 months to assess clinical parameters like implant stability quotient, Lund–Mackay rhinosinusitis analysis, Ainamo and Bay gingival bleeding index, and evaluation of the position of the apical third of zygomatic implant.

Results

The zygomatic implants and the anterior conventional implants were immediately loaded, and a survival rate of 100% was obtained in the current study. The mean ISQ achieved intraoperatively on the right and left side was 68.80 ± 4.14 Hz and 65.6 Hz, respectively, which suggested good primary stability. Postoperatively after one-year follow-up, the mean ISQ on the right and left side was 71.4 ± 3.6 Hz and 71.0 ± 3.80 Hz, respectively, and this indicated good secondary stability.

Conclusion

Completely edentulous atrophic maxilla rehabilitated with immediate loaded zygomatic implants in combination with anterior conventional implants revealed a survival rate of 100% in a one-year follow-up in the current study. There were no potential complications encountered during the follow-up period.
Literature
1.
go back to reference Bedrossian E (2011) Rescue implant concept: the expanded use of the zygoma implant in the graftless solutions. Dental Clin 55(4):745–777 Bedrossian E (2011) Rescue implant concept: the expanded use of the zygoma implant in the graftless solutions. Dental Clin 55(4):745–777
2.
go back to reference Cordero EB, Benfatti CA, Bianchini MA, Bez LV, Stanley K, de Souza MR (2011) The use of zygomatic implants for the rehabilitation of atrophic maxillas with 2 different techniques: stella and extrasinus. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontol 112(6):e49-53CrossRef Cordero EB, Benfatti CA, Bianchini MA, Bez LV, Stanley K, de Souza MR (2011) The use of zygomatic implants for the rehabilitation of atrophic maxillas with 2 different techniques: stella and extrasinus. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontol 112(6):e49-53CrossRef
3.
go back to reference Block MS, Haggerty CJ, Fisher GR (2009) Nongrafting implant options for the restoration of the edentulous maxilla. J Oral Maxillofac Surg 67(4):872–881CrossRefPubMed Block MS, Haggerty CJ, Fisher GR (2009) Nongrafting implant options for the restoration of the edentulous maxilla. J Oral Maxillofac Surg 67(4):872–881CrossRefPubMed
4.
go back to reference Davo R, Malevez C, Rojas J (2007) Immediate function in the atrophic maxilla using zygoma implants: a preliminary study. J Prosthet Dent 97(6):S44-51CrossRefPubMed Davo R, Malevez C, Rojas J (2007) Immediate function in the atrophic maxilla using zygoma implants: a preliminary study. J Prosthet Dent 97(6):S44-51CrossRefPubMed
5.
go back to reference Bedrossian E, Stumpel L, Beckely M, Indersano T (2002) The zygomatic implant: preliminary data on treatment of severely resorbed maxillae. A clinical report. Int J Oral Maxillofac Implants 17(6):861–865PubMed Bedrossian E, Stumpel L, Beckely M, Indersano T (2002) The zygomatic implant: preliminary data on treatment of severely resorbed maxillae. A clinical report. Int J Oral Maxillofac Implants 17(6):861–865PubMed
6.
go back to reference Bedrossian E, Stumpel LJ III (2001) Immediate stabilization at stage II of zygomatic implants: rationale and technique. J Prosthet Dent 86(1):10–14CrossRefPubMed Bedrossian E, Stumpel LJ III (2001) Immediate stabilization at stage II of zygomatic implants: rationale and technique. J Prosthet Dent 86(1):10–14CrossRefPubMed
7.
go back to reference Aparicio C, Manresa C, Francisco K, Claros P, Alández J, González-Martín O, Albrektsson T (2014) Zygomatic implants: indications, techniques and outcomes, and the zygomatic success code. Periodontol 2000 66(1):41–58CrossRefPubMed Aparicio C, Manresa C, Francisco K, Claros P, Alández J, González-Martín O, Albrektsson T (2014) Zygomatic implants: indications, techniques and outcomes, and the zygomatic success code. Periodontol 2000 66(1):41–58CrossRefPubMed
8.
go back to reference Uchida Y, Goto M, Katsuki T, Akiyoshi T (2001) Measurement of the maxilla and zygoma as an aid in installing zygomatic implants. J Oral Maxillofac Surg 59(10):1193–1198CrossRefPubMed Uchida Y, Goto M, Katsuki T, Akiyoshi T (2001) Measurement of the maxilla and zygoma as an aid in installing zygomatic implants. J Oral Maxillofac Surg 59(10):1193–1198CrossRefPubMed
9.
go back to reference Nkenke E, Hahn M, Lell M, Wiltfang J, Schultze-Mosgau S, Stech B, Radespiel-Tröger M, Neukam FW (2003) Anatomic site evaluation of the zygomatic bone for dental implant placement. Clin Oral Implant Res 14(1):72–79CrossRef Nkenke E, Hahn M, Lell M, Wiltfang J, Schultze-Mosgau S, Stech B, Radespiel-Tröger M, Neukam FW (2003) Anatomic site evaluation of the zygomatic bone for dental implant placement. Clin Oral Implant Res 14(1):72–79CrossRef
10.
go back to reference Chrcanovic BR, Pedrosa AR, Custódio AL (2013) Zygomatic implants: a critical review of /the surgical techniques. Oral Maxillofac Surg 17(1):1–9CrossRefPubMed Chrcanovic BR, Pedrosa AR, Custódio AL (2013) Zygomatic implants: a critical review of /the surgical techniques. Oral Maxillofac Surg 17(1):1–9CrossRefPubMed
11.
go back to reference Stella JP, Warner MR (2000) Sinus slot technique for simplification and improved orientation of zygomaticus dental implants: a technical note. Int J Oral Maxillofac Implants 15(6):889–893PubMed Stella JP, Warner MR (2000) Sinus slot technique for simplification and improved orientation of zygomaticus dental implants: a technical note. Int J Oral Maxillofac Implants 15(6):889–893PubMed
12.
go back to reference Aparicio C, Ouazzani W, Aparicio A, Fortes V, Muela R, Pascual A, Codesal M, Barluenga N, Manresa C, Franch M (2010) Extrasinus zygomatic implants: three-year experience from a new surgical approach for patients with pronounced buccal concavities in the edentulous maxilla. Clin Implant Dent Relat Res 12(1):55–61CrossRefPubMed Aparicio C, Ouazzani W, Aparicio A, Fortes V, Muela R, Pascual A, Codesal M, Barluenga N, Manresa C, Franch M (2010) Extrasinus zygomatic implants: three-year experience from a new surgical approach for patients with pronounced buccal concavities in the edentulous maxilla. Clin Implant Dent Relat Res 12(1):55–61CrossRefPubMed
13.
go back to reference Aparicio C (2011) A proposed classification for zygomatic implant patient based on the zygoma anatomy guided approach (ZAGA): a cross-sectional survey. Eur J Oral Implantol 4(3):269–275PubMed Aparicio C (2011) A proposed classification for zygomatic implant patient based on the zygoma anatomy guided approach (ZAGA): a cross-sectional survey. Eur J Oral Implantol 4(3):269–275PubMed
14.
go back to reference Sevetz EB (2006) Treatment of the severely atrophic fully edentulous maxilla: the zygoma implant option. Atlas Oral Maxillofac Surg Clin North Am 14(1):121–136CrossRefPubMed Sevetz EB (2006) Treatment of the severely atrophic fully edentulous maxilla: the zygoma implant option. Atlas Oral Maxillofac Surg Clin North Am 14(1):121–136CrossRefPubMed
15.
go back to reference D’Agostino A, Trevisiol L, Favero V, Pessina M, Procacci P, Nocini PF (2016) Are zygomatic implants associated with maxillary sinusitis? J Oral Maxillofac Surg 74(8):1562–1573CrossRefPubMed D’Agostino A, Trevisiol L, Favero V, Pessina M, Procacci P, Nocini PF (2016) Are zygomatic implants associated with maxillary sinusitis? J Oral Maxillofac Surg 74(8):1562–1573CrossRefPubMed
16.
go back to reference Aleksandrowicz P, Kusa-Podkańska M, Grabowska K, Kotuła L, Szkatuła-Łupina A, Wysokińska-Miszczuk J (2019) Extra-sinus zygomatic implants to avoid chronic sinusitis and prosthetic arch malposition: 12 years of experience. J Oral Implantol 45(1):73–78CrossRefPubMed Aleksandrowicz P, Kusa-Podkańska M, Grabowska K, Kotuła L, Szkatuła-Łupina A, Wysokińska-Miszczuk J (2019) Extra-sinus zygomatic implants to avoid chronic sinusitis and prosthetic arch malposition: 12 years of experience. J Oral Implantol 45(1):73–78CrossRefPubMed
17.
go back to reference Aparicio C, Manresa C, Francisco K, Ouazzani W, Claros P, Potau JM, Aparicio A (2014) The Long-term use of zygomatic implants: A 10-year clinical and radiographic report. Clin Implant Dent Relat Res 16(3):447–459CrossRefPubMed Aparicio C, Manresa C, Francisco K, Ouazzani W, Claros P, Potau JM, Aparicio A (2014) The Long-term use of zygomatic implants: A 10-year clinical and radiographic report. Clin Implant Dent Relat Res 16(3):447–459CrossRefPubMed
18.
go back to reference Bedrossian E, Rangert B, Stumpel L, Indresano T (2006) Immediate function with the zygomatic implant: a graftless solution for the patient with mild to advanced atrophy of the maxilla. Int J Oral Maxillofac Implant 21(6):937–942 Bedrossian E, Rangert B, Stumpel L, Indresano T (2006) Immediate function with the zygomatic implant: a graftless solution for the patient with mild to advanced atrophy of the maxilla. Int J Oral Maxillofac Implant 21(6):937–942
19.
go back to reference Peñarrocha M, García B, Martí E, Boronat A (2007) Rehabilitation of severely atrophic maxillae with fixed implant-supported prostheses using zygomatic implants placed using the sinus slot technique: a clinical report on a series of 21 patients. Int J Oral Maxillofac Implant 22(4):645–650 Peñarrocha M, García B, Martí E, Boronat A (2007) Rehabilitation of severely atrophic maxillae with fixed implant-supported prostheses using zygomatic implants placed using the sinus slot technique: a clinical report on a series of 21 patients. Int J Oral Maxillofac Implant 22(4):645–650
20.
go back to reference Pi Urgell J, Revilla Gutiérrez V, Gay EC (2008) Rehabilitation of atrophic maxilla: a review of 101 zygomatic implants. Medicina Oral, Patología Oral y Cirugia Bucal 13(6):363–370 Pi Urgell J, Revilla Gutiérrez V, Gay EC (2008) Rehabilitation of atrophic maxilla: a review of 101 zygomatic implants. Medicina Oral, Patología Oral y Cirugia Bucal 13(6):363–370
21.
go back to reference Migliorança RM, Coppedê A, Rezende RC, de Mayo T (2011) Restoration of the edentulous maxilla using extra-sinus zygomatic implants combined with anterior conventional implants: a retrospective study. Int J Oral Maxillofac Implants 26(3):665–672PubMed Migliorança RM, Coppedê A, Rezende RC, de Mayo T (2011) Restoration of the edentulous maxilla using extra-sinus zygomatic implants combined with anterior conventional implants: a retrospective study. Int J Oral Maxillofac Implants 26(3):665–672PubMed
22.
go back to reference Davó R, Malevez C, Pons O (2013) Immediately loaded zygomatic implants: a 5-year prospective study. Eur J Oral Implantol 6(1):39–47PubMed Davó R, Malevez C, Pons O (2013) Immediately loaded zygomatic implants: a 5-year prospective study. Eur J Oral Implantol 6(1):39–47PubMed
Metadata
Title
Evaluation of Survival Rate of Zygomatic Implants Placed Using Immediate Loading Protocol in an Atrophic Maxilla: A Case Series
Authors
S. Jayanandhini
C. Prasad
R. Appadurai
J. Balaji
K. Arunkumar
T. Rohini
Publication date
16-01-2024
Publisher
Springer India
Published in
Journal of Maxillofacial and Oral Surgery
Print ISSN: 0972-8279
Electronic ISSN: 0974-942X
DOI
https://doi.org/10.1007/s12663-023-02098-w
Webinar | 06-02-2024 | 20:00 (CET)

Mastering chronic pancreatitis pain: A multidisciplinary approach and practical solutions

Severe pain is the most common symptom of chronic pancreatitis. In this webinar, experts share the latest insights in pain management for chronic pancreatitis patients. Experts from a range of disciplines discuss pertinent cases and provide practical suggestions for use within clinical practice.

Sponsored by: Viatris

Developed by: Springer Healthcare