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Complications of Zygomatic Implants: Our Clinical Experience with 4 Cases

Identifieur interne : 001969 ( Pmc/Curation ); précédent : 001968; suivant : 001970

Complications of Zygomatic Implants: Our Clinical Experience with 4 Cases

Auteurs : Fotios Tzerbos [Grèce] ; Fotios Bountaniotis [Grèce] ; Nadia Theologie-Lygidakis [Grèce] ; Dimitrios Fakitsas [Grèce] ; Ioannis Fakitsas [Grèce]

Source :

RBID : PMC:5108285

Abstract

Zygomatic implants have been used for rehabilitation of the edentulous atrophic maxilla as an alternative to bone grafting for almost two decades resulting in satisfactory clinical outcomes. However, the patients with edentulous atrophic maxilla treated using this technique may present serious complications that could put the prosthetic restoration at risk. Four cases are reported in this paper, one case with a cutaneous fistula in the left zygomatic-orbital area caused by aseptic necrosis at the apical part of the implant, which was treated with the surgical removal of this part, a second case with loss of the right zygomatic implant due to failure of osseointegration and two cases of periimplantitis that resulted in partial and complete removal of the implant, respectively. All patients who had complications were treated without compromising the restoration which remained functional after appropriately modified treatment.


Url:
DOI: 10.15644/asc50/3/8
PubMed: 27847399
PubMed Central: 5108285

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PMC:5108285

Le document en format XML

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<title xml:lang="en">Complications of Zygomatic Implants: Our Clinical Experience with 4 Cases</title>
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<name sortKey="Tzerbos, Fotios" sort="Tzerbos, Fotios" uniqKey="Tzerbos F" first="Fotios" last="Tzerbos">Fotios Tzerbos</name>
<affiliation wicri:level="1">
<nlm:aff id="aff1">Department of Oral & Maxillofacial Surgery (Head: Professor Iatrou I.), Dental School
 of Athens, National and Kapodistrian University of Athens,
<country>Greece</country>
</nlm:aff>
<country xml:lang="fr">Grèce</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<name sortKey="Bountaniotis, Fotios" sort="Bountaniotis, Fotios" uniqKey="Bountaniotis F" first="Fotios" last="Bountaniotis">Fotios Bountaniotis</name>
<affiliation wicri:level="1">
<nlm:aff id="aff1">Department of Oral & Maxillofacial Surgery (Head: Professor Iatrou I.), Dental School
 of Athens, National and Kapodistrian University of Athens,
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</nlm:aff>
<country xml:lang="fr">Grèce</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<author>
<name sortKey="Theologie Lygidakis, Nadia" sort="Theologie Lygidakis, Nadia" uniqKey="Theologie Lygidakis N" first="Nadia" last="Theologie-Lygidakis">Nadia Theologie-Lygidakis</name>
<affiliation wicri:level="1">
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<name sortKey="Fakitsas, Dimitrios" sort="Fakitsas, Dimitrios" uniqKey="Fakitsas D" first="Dimitrios" last="Fakitsas">Dimitrios Fakitsas</name>
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<name sortKey="Fakitsas, Ioannis" sort="Fakitsas, Ioannis" uniqKey="Fakitsas I" first="Ioannis" last="Fakitsas">Ioannis Fakitsas</name>
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<title xml:lang="en" level="a" type="main">Complications of Zygomatic Implants: Our Clinical Experience with 4 Cases</title>
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<name sortKey="Tzerbos, Fotios" sort="Tzerbos, Fotios" uniqKey="Tzerbos F" first="Fotios" last="Tzerbos">Fotios Tzerbos</name>
<affiliation wicri:level="1">
<nlm:aff id="aff1">Department of Oral & Maxillofacial Surgery (Head: Professor Iatrou I.), Dental School
 of Athens, National and Kapodistrian University of Athens,
<country>Greece</country>
</nlm:aff>
<country xml:lang="fr">Grèce</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Bountaniotis, Fotios" sort="Bountaniotis, Fotios" uniqKey="Bountaniotis F" first="Fotios" last="Bountaniotis">Fotios Bountaniotis</name>
<affiliation wicri:level="1">
<nlm:aff id="aff1">Department of Oral & Maxillofacial Surgery (Head: Professor Iatrou I.), Dental School
 of Athens, National and Kapodistrian University of Athens,
<country>Greece</country>
</nlm:aff>
<country xml:lang="fr">Grèce</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Theologie Lygidakis, Nadia" sort="Theologie Lygidakis, Nadia" uniqKey="Theologie Lygidakis N" first="Nadia" last="Theologie-Lygidakis">Nadia Theologie-Lygidakis</name>
<affiliation wicri:level="1">
<nlm:aff id="aff1">Department of Oral & Maxillofacial Surgery (Head: Professor Iatrou I.), Dental School
 of Athens, National and Kapodistrian University of Athens,
<country>Greece</country>
</nlm:aff>
<country xml:lang="fr">Grèce</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
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<author>
<name sortKey="Fakitsas, Dimitrios" sort="Fakitsas, Dimitrios" uniqKey="Fakitsas D" first="Dimitrios" last="Fakitsas">Dimitrios Fakitsas</name>
<affiliation wicri:level="1">
<nlm:aff id="aff2">Private practice, Athens,
<country>Greece</country>
</nlm:aff>
<country xml:lang="fr">Grèce</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Fakitsas, Ioannis" sort="Fakitsas, Ioannis" uniqKey="Fakitsas I" first="Ioannis" last="Fakitsas">Ioannis Fakitsas</name>
<affiliation wicri:level="1">
<nlm:aff id="aff2">Private practice, Athens,
<country>Greece</country>
</nlm:aff>
<country xml:lang="fr">Grèce</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Acta Stomatologica Croatica</title>
<idno type="ISSN">0001-7019</idno>
<idno type="eISSN">1846-0410</idno>
<imprint>
<date when="2016">2016</date>
</imprint>
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<front>
<div type="abstract" xml:lang="en">
<p>Zygomatic implants have been used for rehabilitation of the edentulous atrophic maxilla as an alternative to bone grafting for almost two decades resulting in satisfactory clinical outcomes. However, the patients with edentulous atrophic maxilla treated using this technique may present serious complications that could put the prosthetic restoration at risk. Four cases are reported in this paper, one case with a cutaneous fistula in the left zygomatic-orbital area caused by aseptic necrosis at the apical part of the implant, which was treated with the surgical removal of this part, a second case with loss of the right zygomatic implant due to failure of osseointegration and two cases of periimplantitis that resulted in partial and complete removal of the implant, respectively. All patients who had complications were treated without compromising the restoration which remained functional after appropriately modified treatment.</p>
</div>
</front>
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<pmc article-type="case-report">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Acta Stomatol Croat</journal-id>
<journal-id journal-id-type="iso-abbrev">Acta Stomatol Croat</journal-id>
<journal-id journal-id-type="publisher-id">ASC</journal-id>
<journal-title-group>
<journal-title>Acta Stomatologica Croatica</journal-title>
</journal-title-group>
<issn pub-type="ppub">0001-7019</issn>
<issn pub-type="epub">1846-0410</issn>
<publisher>
<publisher-name>University of Zagreb School of Dental Medicine, and Croatian Dental Society - Croatian Medical Association</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">27847399</article-id>
<article-id pub-id-type="pmc">5108285</article-id>
<article-id pub-id-type="publisher-id">ASC_50(3)_251-257</article-id>
<article-id pub-id-type="doi">10.15644/asc50/3/8</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Case Report</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Complications of Zygomatic Implants: Our Clinical Experience with 4 Cases</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Tzerbos</surname>
<given-names>Fotios</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Bountaniotis</surname>
<given-names>Fotios</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Theologie-Lygidakis</surname>
<given-names>Nadia</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Fakitsas</surname>
<given-names>Dimitrios</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Fakitsas</surname>
<given-names>Ioannis</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<aff id="aff1">
<label>1</label>
Department of Oral & Maxillofacial Surgery (Head: Professor Iatrou I.), Dental School
 of Athens, National and Kapodistrian University of Athens,
<country>Greece</country>
</aff>
<aff id="aff2">
<label>2</label>
Private practice, Athens,
<country>Greece</country>
</aff>
</contrib-group>
<author-notes>
<corresp id="cor1">
<bold>Correspondence to:</bold>

Fotios Bountaniotis 
Arch. Makariou kai Makedonias Street, 
18 900, Salamis, Greece
Phone: +30 6942892491/ +30 2104652749 
Fax: +30 2107461266

<email xlink:href="fboudaniotis@yahoo.gr">fboudaniotis@yahoo.gr</email>
</corresp>
</author-notes>
<pub-date pub-type="epub-ppub">
<month>9</month>
<year>2016</year>
</pub-date>
<pmc-comment>Fake ppub date generated by PMC from publisher pub-date/@pub-type='epub-ppub' </pmc-comment>
<pub-date pub-type="ppub">
<month>9</month>
<year>2016</year>
</pub-date>
<volume>50</volume>
<issue>3</issue>
<fpage>251</fpage>
<lpage>257</lpage>
<history>
<date date-type="received">
<day>12</day>
<month>3</month>
<year>2016</year>
</date>
<date date-type="accepted">
<day>24</day>
<month>5</month>
<year>2016</year>
</date>
</history>
<permissions>
<copyright-statement>All rights reserved. Printed in Croatia. Copyright 2016: University of Zagreb School of Dental Medicine; Croatian Dental Society - Croatian Medical Association. The full text of articles published in this journal can be used free of charge for personal and educational purposes while respecting the copyright of the authors and publishers. For commercial purposes no part of this journal may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information and retrieval system, without the written permission of the publisher.</copyright-statement>
<copyright-year>2016</copyright-year>
<copyright-holder>University of Zagreb School of Dental Medicine</copyright-holder>
</permissions>
<abstract>
<p>Zygomatic implants have been used for rehabilitation of the edentulous atrophic maxilla as an alternative to bone grafting for almost two decades resulting in satisfactory clinical outcomes. However, the patients with edentulous atrophic maxilla treated using this technique may present serious complications that could put the prosthetic restoration at risk. Four cases are reported in this paper, one case with a cutaneous fistula in the left zygomatic-orbital area caused by aseptic necrosis at the apical part of the implant, which was treated with the surgical removal of this part, a second case with loss of the right zygomatic implant due to failure of osseointegration and two cases of periimplantitis that resulted in partial and complete removal of the implant, respectively. All patients who had complications were treated without compromising the restoration which remained functional after appropriately modified treatment.</p>
</abstract>
<kwd-group kwd-group-type="author">
<title>Key words: </title>
<kwd>Zygoma</kwd>
<kwd>Dental Implants</kwd>
<kwd>Oral Fistula</kwd>
<kwd>Peri-Implantitis</kwd>
<kwd>Jaw, Edentulous</kwd>
<kwd>Maxilla</kwd>
<kwd>Atrophy</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
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