Rehabilitation with zygomatic implants: a treatment option for the atrophic edentulous maxilla--9-year follow-up.
Identifieur interne : 004B77 ( Main/Exploration ); précédent : 004B76; suivant : 004B78Rehabilitation with zygomatic implants: a treatment option for the atrophic edentulous maxilla--9-year follow-up.
Auteurs : Marcos Rikio Kuabara [Brésil] ; Edilson José Ferreira ; Jéssica Lemos Gulinelli ; Luis Guillermo Peredo PazSource :
- Quintessence international (Berlin, Germany : 1985) [ 1936-7163 ] ; 2010.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Humains, Maladies du maxillaire supérieur (rééducation et réadaptation), Maxillaire (), Mâchoire édentée (rééducation et réadaptation), Mâle, Os zygomatique (), Overdenture, Pose d'implant dentaire endo-osseux (), Résorption alvéolaire (rééducation et réadaptation), Études de suivi.
- MESH :
- rééducation et réadaptation : Maladies du maxillaire supérieur, Mâchoire édentée, Résorption alvéolaire.
- Adulte d'âge moyen, Humains, Maxillaire, Mâle, Os zygomatique, Overdenture, Pose d'implant dentaire endo-osseux, Études de suivi.
English descriptors
- KwdEn :
- MESH :
- methods : Dental Implantation, Endosseous.
- rehabilitation : Alveolar Bone Loss, Jaw, Edentulous, Maxillary Diseases.
- surgery : Maxilla, Zygoma.
- Denture, Overlay, Follow-Up Studies, Humans, Male, Middle Aged.
Abstract
This article reports the 9-year clinical outcome of the two-stage surgical rehabilitation of a severely atrophic edentulous maxilla with a metal-resin fixed denture supported by implants anchored in the zygomatic bone and the maxilla. After clinical and radiographic examination, zygomatic implants were inserted bilaterally and four standard implants were placed in the anterior region of the maxilla. Six months later, the implants were loaded with a provisional acrylic resin denture, and the definitive implant-supported metal-resin fixed denture was provided 1 year after implant placement. After 9 years of follow-up, no painful symptoms, peri-implant inflammation or infection, implant instability, or bone resorption was observed. In the present case, the rehabilitation of severe maxillary atrophy using the zygomatic bone as a site for implant anchorage provided good long-term functional and esthetic results. Therefore, with proper case selection, correct indication, and knowledge of the surgical technique, the use of zygomatic implants associated with standard implants offers advantages in the rehabilitation of severely resorbed maxillae, especially in areas with inadequate bone quality and volume, without needing an additional bone grafting surgery, thereby shortening or avoiding hospital stay and reducing surgical morbidity.
PubMed: 19907726
Affiliations:
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São Paulo State University Júlio de Mesquita Filho, São Paulo</wicri:regionArea><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Ferreira, Edilson Jose" sort="Ferreira, Edilson Jose" uniqKey="Ferreira E" first="Edilson José" last="Ferreira">Edilson José Ferreira</name></author><author><name sortKey="Gulinelli, Jessica Lemos" sort="Gulinelli, Jessica Lemos" uniqKey="Gulinelli J" first="Jéssica Lemos" last="Gulinelli">Jéssica Lemos Gulinelli</name></author><author><name sortKey="Paz, Luis Guillermo Peredo" sort="Paz, Luis Guillermo Peredo" uniqKey="Paz L" first="Luis Guillermo Peredo" last="Paz">Luis Guillermo Peredo Paz</name></author></analytic><series><title level="j">Quintessence international (Berlin, Germany : 1985)</title><idno type="eISSN">1936-7163</idno><imprint><date when="2010" 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suivi</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Dental Implantation, Endosseous</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Alveolar Bone Loss</term><term>Jaw, Edentulous</term><term>Maxillary Diseases</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Maladies du maxillaire supérieur</term><term>Mâchoire édentée</term><term>Résorption alvéolaire</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Maxilla</term><term>Zygoma</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Denture, Overlay</term><term>Follow-Up Studies</term><term>Humans</term><term>Male</term><term>Middle Aged</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Humains</term><term>Maxillaire</term><term>Mâle</term><term>Os zygomatique</term><term>Overdenture</term><term>Pose d'implant dentaire endo-osseux</term><term>Études de suivi</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">This article reports the 9-year clinical outcome of the two-stage surgical rehabilitation of a severely atrophic edentulous maxilla with a metal-resin fixed denture supported by implants anchored in the zygomatic bone and the maxilla. After clinical and radiographic examination, zygomatic implants were inserted bilaterally and four standard implants were placed in the anterior region of the maxilla. Six months later, the implants were loaded with a provisional acrylic resin denture, and the definitive implant-supported metal-resin fixed denture was provided 1 year after implant placement. After 9 years of follow-up, no painful symptoms, peri-implant inflammation or infection, implant instability, or bone resorption was observed. In the present case, the rehabilitation of severe maxillary atrophy using the zygomatic bone as a site for implant anchorage provided good long-term functional and esthetic results. Therefore, with proper case selection, correct indication, and knowledge of the surgical technique, the use of zygomatic implants associated with standard implants offers advantages in the rehabilitation of severely resorbed maxillae, especially in areas with inadequate bone quality and volume, without needing an additional bone grafting surgery, thereby shortening or avoiding hospital stay and reducing surgical morbidity.</div></front></TEI><affiliations><list><country><li>Brésil</li></country><region><li>État de São Paulo</li></region><settlement><li>São Paulo</li></settlement></list><tree><noCountry><name sortKey="Ferreira, Edilson Jose" sort="Ferreira, Edilson Jose" uniqKey="Ferreira E" first="Edilson José" last="Ferreira">Edilson José Ferreira</name><name sortKey="Gulinelli, Jessica Lemos" sort="Gulinelli, Jessica Lemos" uniqKey="Gulinelli J" first="Jéssica Lemos" last="Gulinelli">Jéssica Lemos Gulinelli</name><name sortKey="Paz, Luis Guillermo Peredo" sort="Paz, Luis Guillermo Peredo" uniqKey="Paz L" first="Luis Guillermo Peredo" last="Paz">Luis Guillermo Peredo Paz</name></noCountry><country name="Brésil"><region name="État de São Paulo"><name sortKey="Kuabara, Marcos Rikio" sort="Kuabara, Marcos Rikio" uniqKey="Kuabara M" first="Marcos Rikio" last="Kuabara">Marcos Rikio Kuabara</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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