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Post-operative hemimaxillectomy rehabilitation using prostheses supported by zygoma implants and remaining natural teeth

Identifieur interne : 000604 ( Main/Exploration ); précédent : 000603; suivant : 000605

Post-operative hemimaxillectomy rehabilitation using prostheses supported by zygoma implants and remaining natural teeth

Auteurs : Xing Zhou Qu [République populaire de Chine] ; Ming Yi Wang [République populaire de Chine] ; Hui Shan Ong [République populaire de Chine] ; Chen Ping Zhang [République populaire de Chine]

Source :

RBID : PMC:5054771

Abstract

OBJECTIVES:

This study aimed to evaluate the stability of prostheses supported by zygoma implants and remaining teeth for subjects who had undergone hemi-maxillectomy.

METHODS:

Ten patients were included in the study. Oral rehabilitation was performed using a temporary prosthesis that was supported by remaining teeth for the first three months. Then, a zygoma implant was placed to provide support for a final prosthesis in addition to the remaining teeth. Each prosthesis was tailor-made according to biomechanical three-dimensional finite element analysis results. The patients were assessed using the prosthesis functioning scale of the Memorial Sloan-Kettering Cancer Center. In addition, retention and bite force were recorded for both the temporary prosthesis and the final prosthesis.

RESULTS:

The mean bite force of the prosthetic first molar was increased to 69.2 N. The mean retentive force increased to 13.5 N after zygoma implant insertion. The bite force on the prosthetic first molar was improved to 229.3 N.

CONCLUSION:

Bite force increased significantly with the support of a zygoma implant. The use of zygoma implants in the restoration of maxillary defects improved functional outcome and patient satisfaction.


Url:
DOI: 10.6061/clinics/2016(10)04
PubMed: 27759845
PubMed Central: 5054771


Affiliations:


Links toward previous steps (curation, corpus...)


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<p>Ten patients were included in the study. Oral rehabilitation was performed using a temporary prosthesis that was supported by remaining teeth for the first three months. Then, a zygoma implant was placed to provide support for a final prosthesis in addition to the remaining teeth. Each prosthesis was tailor-made according to biomechanical three-dimensional finite element analysis results. The patients were assessed using the prosthesis functioning scale of the Memorial Sloan-Kettering Cancer Center. In addition, retention and bite force were recorded for both the temporary prosthesis and the final prosthesis.</p>
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