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The zygomaticus fixture: an alternative approach for implant anchorage in the posterior maxilla.

Identifieur interne : 000732 ( Ncbi/Merge ); précédent : 000731; suivant : 000733

The zygomaticus fixture: an alternative approach for implant anchorage in the posterior maxilla.

Auteurs : K W Higuchi [États-Unis]

Source :

RBID : pubmed:11709955

Descripteurs français

English descriptors

Abstract

Implant rehabilitation of the edentulous maxilla continues to challenge the ingenuity and clinical skills of the surgeon and restorative dentist. Advanced posterior alveolar resorption combined with increased maxillary sinus pneumatization often leaves insufficient bone for implant anchorage. Even more challenging are conditions such as cleft deformities and maxillectomy defects which present a discontinuous maxilla and complex bony and soft tissue anatomy. Much attention has been paid to combining bone graft procedures either with immediate or delayed implant placement in the management of this type of complex defect anatomy. Various types of bone graft augmentation methods carry significant patient morbidity, require lengthy healing time and are resource demanding. Recently Brånemark introduced an alternative method of securing posterior maxillary implant anchorage using a longer titanium implant placed through the palatal aspect of the second premolar region transantrally into the os zygomaticum (zygoma). This paper describes the indications and clinical applications of the zygomaticus fixture and reviews current outcome data.

PubMed: 11709955

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pubmed:11709955

Le document en format XML

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<term>Jaw, Edentulous (rehabilitation)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Maxilla (diagnostic imaging)</term>
<term>Maxilla (surgery)</term>
<term>Maxillary Sinus (surgery)</term>
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<term>Patient Care Planning</term>
<term>Radiography</term>
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<term>Conception de prothèse dentaire</term>
<term>Humains</term>
<term>Implants dentaires</term>
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<term>Maxillaire (imagerie diagnostique)</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (imagerie diagnostique)</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
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<term>Phénomènes biomécaniques</term>
<term>Planification des soins du patient</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Pose d'implant dentaire endo-osseux (instrumentation)</term>
<term>Radiographie</term>
<term>Reconstruction de crête alvéolaire ()</term>
<term>Résorption osseuse ()</term>
<term>Résultat thérapeutique</term>
<term>Sinus maxillaire ()</term>
<term>Titane</term>
<term>Transplantation osseuse</term>
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<term>Dental Implants</term>
<term>Titanium</term>
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<term>Jaw, Edentulous</term>
<term>Maxilla</term>
<term>Zygoma</term>
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<term>Maxillaire</term>
<term>Mâchoire édentée</term>
<term>Os zygomatique</term>
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<term>Dental Implantation, Endosseous</term>
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<term>Alveolar Ridge Augmentation</term>
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<term>Jaw, Edentulous</term>
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<term>Zygoma</term>
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<term>Dental Prosthesis Design</term>
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<term>Radiography</term>
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<term>Pose d'implant dentaire endo-osseux</term>
<term>Radiographie</term>
<term>Reconstruction de crête alvéolaire</term>
<term>Résorption osseuse</term>
<term>Résultat thérapeutique</term>
<term>Sinus maxillaire</term>
<term>Titane</term>
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<div type="abstract" xml:lang="en">Implant rehabilitation of the edentulous maxilla continues to challenge the ingenuity and clinical skills of the surgeon and restorative dentist. Advanced posterior alveolar resorption combined with increased maxillary sinus pneumatization often leaves insufficient bone for implant anchorage. Even more challenging are conditions such as cleft deformities and maxillectomy defects which present a discontinuous maxilla and complex bony and soft tissue anatomy. Much attention has been paid to combining bone graft procedures either with immediate or delayed implant placement in the management of this type of complex defect anatomy. Various types of bone graft augmentation methods carry significant patient morbidity, require lengthy healing time and are resource demanding. Recently Brånemark introduced an alternative method of securing posterior maxillary implant anchorage using a longer titanium implant placed through the palatal aspect of the second premolar region transantrally into the os zygomaticum (zygoma). This paper describes the indications and clinical applications of the zygomaticus fixture and reviews current outcome data.</div>
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