Treatment of the edentulous atrophic maxilla using zygomatic implants: evaluation of survival rates over 5-10 years.
Identifieur interne : 001602 ( Main/Exploration ); précédent : 001601; suivant : 001603Treatment of the edentulous atrophic maxilla using zygomatic implants: evaluation of survival rates over 5-10 years.
Auteurs : J M Yates [Royaume-Uni] ; I M Brook [Royaume-Uni] ; R R Patel [Royaume-Uni] ; P F Wragg [Royaume-Uni] ; S A Atkins [Royaume-Uni] ; A. El-Awa [Royaume-Uni] ; I. Bakri [Royaume-Uni] ; R. Bolt [Royaume-Uni]Source :
- International journal of oral and maxillofacial surgery [ 1399-0020 ] ; 2014.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Atrophie, Femelle, Humains, Implants dentaires, Maxillaire (), Maxillaire (imagerie diagnostique), Mâchoire édentée (), Mâchoire édentée (imagerie diagnostique), Mâle, Os zygomatique (), Os zygomatique (imagerie diagnostique), Pose d'implant dentaire endo-osseux (), Radiographie panoramique, Tomodensitométrie, Études rétrospectives.
- MESH :
English descriptors
- KwdEn :
- Atrophy, Dental Implantation, Endosseous (methods), Dental Implants, Female, Humans, Jaw, Edentulous (diagnostic imaging), Jaw, Edentulous (surgery), Male, Maxilla (diagnostic imaging), Maxilla (surgery), Middle Aged, Radiography, Panoramic, Retrospective Studies, Tomography, X-Ray Computed, Zygoma (diagnostic imaging), Zygoma (surgery).
- MESH :
- chemical : Dental Implants.
- diagnostic imaging : Jaw, Edentulous, Maxilla, Zygoma.
- methods : Dental Implantation, Endosseous.
- surgery : Jaw, Edentulous, Maxilla, Zygoma.
- Atrophy, Female, Humans, Male, Middle Aged, Radiography, Panoramic, Retrospective Studies, Tomography, X-Ray Computed.
Abstract
The aim of this retrospective observational cohort study was to analyse and report the 5-10-year survival rates of endosseous zygomatic implants used in the rehabilitation of the atrophic maxilla. Forty-three consecutive zygomatic implant placements in 25 patients were evaluated over a 5-10-year period. All zygomatic implant surgery was carried out under general anaesthesia. Nobel Biocare zygomatic machined-surface implants were used, and placement was undertaken using the modified sinus slot method. The main outcome measures and determinants for success were survival of the restored implants and the proportion of originally planned prostheses delivered to patients. Of the 25 patients treated, 12 were male and 13 were female; 19 were non-smokers, and the mean age at time of surgery was 64 years. Patients were treatment-planned for implant-retained bridgework, a removable prosthesis retained by fixed cast gold or milled titanium beams, or magnet-retained removable prostheses. A combination of zygomatic and conventional implants was used in all but one patient. In this study it was shown that the overall success rate for zygomatic implants was 86%, with six of the implants either failing to integrate or requiring removal due to persistent infection associated with the maxillary sinus. All patients received their planned prosthesis, although in six cases the method of retention required modification. This study illustrates that zygomatic implants are a successful and important treatment option when trying to restore the atrophic maxilla, with the potential to avoid additional augmentation/grafting procedures and resulting in a high long-term success rate.
DOI: 10.1016/j.ijom.2013.08.012
PubMed: 24120903
Affiliations:
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<term>Female</term>
<term>Humans</term>
<term>Jaw, Edentulous (diagnostic imaging)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Male</term>
<term>Maxilla (diagnostic imaging)</term>
<term>Maxilla (surgery)</term>
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<term>Atrophie</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Maxillaire ()</term>
<term>Maxillaire (imagerie diagnostique)</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (imagerie diagnostique)</term>
<term>Mâle</term>
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<front><div type="abstract" xml:lang="en">The aim of this retrospective observational cohort study was to analyse and report the 5-10-year survival rates of endosseous zygomatic implants used in the rehabilitation of the atrophic maxilla. Forty-three consecutive zygomatic implant placements in 25 patients were evaluated over a 5-10-year period. All zygomatic implant surgery was carried out under general anaesthesia. Nobel Biocare zygomatic machined-surface implants were used, and placement was undertaken using the modified sinus slot method. The main outcome measures and determinants for success were survival of the restored implants and the proportion of originally planned prostheses delivered to patients. Of the 25 patients treated, 12 were male and 13 were female; 19 were non-smokers, and the mean age at time of surgery was 64 years. Patients were treatment-planned for implant-retained bridgework, a removable prosthesis retained by fixed cast gold or milled titanium beams, or magnet-retained removable prostheses. A combination of zygomatic and conventional implants was used in all but one patient. In this study it was shown that the overall success rate for zygomatic implants was 86%, with six of the implants either failing to integrate or requiring removal due to persistent infection associated with the maxillary sinus. All patients received their planned prosthesis, although in six cases the method of retention required modification. This study illustrates that zygomatic implants are a successful and important treatment option when trying to restore the atrophic maxilla, with the potential to avoid additional augmentation/grafting procedures and resulting in a high long-term success rate.</div>
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