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Journal of Maxillofacial and Oral Surgery

03-02-2025 | ORIGINAL ARTICLE

Rehabilitation of Maxillectomy Patients Using Zygoma Implants

Authors: Pushpa Kumari, Anita Kapri, Ashish Chakranarayan, Sudhanshu Shekhar Mohapatra, Akshay Kannan, Vaibhav Jain, Shakil Nagori

Published in: Journal of Maxillofacial and Oral Surgery

Abstract

Aim

The aim of the present study was to rehabilitate extensive acquired maxillary defects using zygomatic implant and endosseous dental implant-retained obturator/prosthesis. The objective was to provide a stable, well-retained obturator and to determine the use of zygomatic implants as a reconstructive option to overcome the loss of retentive anatomy following maxillectomy. A total of eight OPD patients - six male and two female of all age groups were selected.

Methodology

Scales assessed were: a) Oral Health impact Profile -14 (OHIP-14) and b) Obturator functioning scale (OFS). Parameters recorded preoperatively and 3 months postoperatively. Clip on denture was delivered to the patient within 7 days with immediate loading concept.

Results

The age groups of the patients ranged between 32 and 54 years with mean age of 44.875. The OHIP-14 scores showed significant differences in all domains with conventional obturator/ with implant-retained obturator: mean functional limitation - 4.13 /0.75; mean physical pain - 5.88 / 0.63. The obturator function scores significantly improved from 4.5 to 30.63.

Conclusion

Although currently limited, the evidence suggests overall good survival rates for the use of zygomatic implants; however, there are varied institutional results reported, most likely due to differing levels of experience with these techniques which have a distinct learning curve.

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Title: Rehabilitation of Maxillectomy Patients Using Zygoma Implants
Authors: Pushpa Kumari
Anita Kapri
Ashish Chakranarayan
Sudhanshu Shekhar Mohapatra
Akshay Kannan
Vaibhav Jain
Shakil Nagori
Publication date: 03-02-2025
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/s12663-024-02417-9

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Rehabilitation of Maxillectomy Patients Using Zygoma Implants

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Aim

Methodology

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Conclusion

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Mastering chronic pancreatitis pain: A multidisciplinary approach and practical solutions