Rehabilitation of totally atrophied maxilla by means of four zygomatic implants and fixed prosthesis: a 6-40-month follow-up.
Identifieur interne : 001991 ( PubMed/Corpus ); précédent : 001990; suivant : 001992Rehabilitation of totally atrophied maxilla by means of four zygomatic implants and fixed prosthesis: a 6-40-month follow-up.
Auteurs : M. Stiévenart ; C. MalevezSource :
- International journal of oral and maxillofacial surgery [ 1399-0020 ] ; 2010.
English descriptors
- KwdEn :
- Adult, Aged, Atrophy, Bone Resorption (surgery), Cohort Studies, Dental Abutments, Dental Implantation, Endosseous (methods), Dental Implants, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Denture Design, Denture Retention, Denture, Complete, Immediate, Denture, Overlay, Female, Follow-Up Studies, Gingivitis (etiology), Humans, Jaw, Edentulous (pathology), Jaw, Edentulous (surgery), Male, Maxilla (pathology), Maxilla (surgery), Middle Aged, Osseointegration (physiology), Pain, Postoperative (etiology), Retrospective Studies, Sinusitis (etiology), Surgery, Computer-Assisted, Zygoma (surgery).
- MESH :
- chemical : Dental Implants.
- etiology : Gingivitis, Pain, Postoperative, Sinusitis.
- methods : Dental Implantation, Endosseous.
- pathology : Jaw, Edentulous, Maxilla.
- physiology : Osseointegration.
- surgery : Bone Resorption, Jaw, Edentulous, Maxilla, Zygoma.
- Adult, Aged, Atrophy, Cohort Studies, Dental Abutments, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Denture Design, Denture Retention, Denture, Complete, Immediate, Denture, Overlay, Female, Follow-Up Studies, Humans, Male, Middle Aged, Retrospective Studies, Surgery, Computer-Assisted.
Abstract
The zygomatic implant is an alternative to bone grafting in extremely resorbed maxilla. This study evaluates the results of a consecutive cohort of 20 patients (mean age 56 years) with extremely resorbed maxillas provided with four zygomatic implants. The first 10 patients had a two-stage procedure, the next 10 next patients benefited from a one-stage surgical procedure and one of them had flapless guided surgery with Nobelguide in development and immediate function. The same surgical drilling protocol, according to Branemark's procedure, was applied to all the patients. Except for one patient who lost three implants, 18 patients received a fixed Procera implant bridge and another an overdenture retained by a screwed bar fixed on the four zygomatic implants. The cumulative survival rate after 40 months is 96%. Although bone augmenting procedures such as onlay grafts and sinus grafts are popular and well-documented, the four zygomatic implants procedure results in less morbidity, shorter delays between anatomical reconstruction and functional rehabilitation and can provide immediate or early loading with immediate function. Four zygomatic implants and a fixed bridge seem to be a valuable technique for the rehabilitation of extremely resorbed maxillas.
DOI: 10.1016/j.ijom.2010.01.009
PubMed: 20171057
Links to Exploration step
pubmed:20171057Le document en format XML
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Malevez</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2010">2010</date><idno type="RBID">pubmed:20171057</idno><idno type="pmid">20171057</idno><idno type="doi">10.1016/j.ijom.2010.01.009</idno><idno type="wicri:Area/PubMed/Corpus">001991</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001991</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Rehabilitation of totally atrophied maxilla by means of four zygomatic implants and fixed prosthesis: a 6-40-month follow-up.</title><author><name sortKey="Stievenart, M" sort="Stievenart, M" uniqKey="Stievenart M" first="M" last="Stiévenart">M. Stiévenart</name><affiliation><nlm:affiliation>Department of Maxillofacial Surgery and Dentistry, Erasme Hospital, Free University of Brussels, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Malevez, C" sort="Malevez, C" uniqKey="Malevez C" first="C" last="Malevez">C. Malevez</name></author></analytic><series><title level="j">International journal of oral and maxillofacial surgery</title><idno type="eISSN">1399-0020</idno><imprint><date when="2010" type="published">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Atrophy</term><term>Bone Resorption (surgery)</term><term>Cohort Studies</term><term>Dental Abutments</term><term>Dental Implantation, Endosseous (methods)</term><term>Dental Implants</term><term>Dental Prosthesis, Implant-Supported</term><term>Dental Restoration Failure</term><term>Denture Design</term><term>Denture Retention</term><term>Denture, Complete, Immediate</term><term>Denture, Overlay</term><term>Female</term><term>Follow-Up Studies</term><term>Gingivitis (etiology)</term><term>Humans</term><term>Jaw, Edentulous (pathology)</term><term>Jaw, Edentulous (surgery)</term><term>Male</term><term>Maxilla (pathology)</term><term>Maxilla (surgery)</term><term>Middle Aged</term><term>Osseointegration (physiology)</term><term>Pain, Postoperative (etiology)</term><term>Retrospective Studies</term><term>Sinusitis (etiology)</term><term>Surgery, Computer-Assisted</term><term>Zygoma (surgery)</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Gingivitis</term><term>Pain, Postoperative</term><term>Sinusitis</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Dental Implantation, Endosseous</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Jaw, Edentulous</term><term>Maxilla</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Osseointegration</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Bone Resorption</term><term>Jaw, Edentulous</term><term>Maxilla</term><term>Zygoma</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Atrophy</term><term>Cohort Studies</term><term>Dental Abutments</term><term>Dental Prosthesis, Implant-Supported</term><term>Dental Restoration Failure</term><term>Denture Design</term><term>Denture Retention</term><term>Denture, Complete, Immediate</term><term>Denture, Overlay</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Retrospective Studies</term><term>Surgery, Computer-Assisted</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The zygomatic implant is an alternative to bone grafting in extremely resorbed maxilla. This study evaluates the results of a consecutive cohort of 20 patients (mean age 56 years) with extremely resorbed maxillas provided with four zygomatic implants. The first 10 patients had a two-stage procedure, the next 10 next patients benefited from a one-stage surgical procedure and one of them had flapless guided surgery with Nobelguide in development and immediate function. The same surgical drilling protocol, according to Branemark's procedure, was applied to all the patients. Except for one patient who lost three implants, 18 patients received a fixed Procera implant bridge and another an overdenture retained by a screwed bar fixed on the four zygomatic implants. The cumulative survival rate after 40 months is 96%. Although bone augmenting procedures such as onlay grafts and sinus grafts are popular and well-documented, the four zygomatic implants procedure results in less morbidity, shorter delays between anatomical reconstruction and functional rehabilitation and can provide immediate or early loading with immediate function. Four zygomatic implants and a fixed bridge seem to be a valuable technique for the rehabilitation of extremely resorbed maxillas.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">20171057</PMID><DateCompleted><Year>2010</Year><Month>07</Month><Day>16</Day></DateCompleted><DateRevised><Year>2010</Year><Month>04</Month><Day>26</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1399-0020</ISSN><JournalIssue CitedMedium="Internet"><Volume>39</Volume><Issue>4</Issue><PubDate><Year>2010</Year><Month>Apr</Month></PubDate></JournalIssue><Title>International journal of oral and maxillofacial surgery</Title><ISOAbbreviation>Int J Oral Maxillofac Surg</ISOAbbreviation></Journal><ArticleTitle>Rehabilitation of totally atrophied maxilla by means of four zygomatic implants and fixed prosthesis: a 6-40-month follow-up.</ArticleTitle><Pagination><MedlinePgn>358-63</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.ijom.2010.01.009</ELocationID><Abstract><AbstractText>The zygomatic implant is an alternative to bone grafting in extremely resorbed maxilla. This study evaluates the results of a consecutive cohort of 20 patients (mean age 56 years) with extremely resorbed maxillas provided with four zygomatic implants. The first 10 patients had a two-stage procedure, the next 10 next patients benefited from a one-stage surgical procedure and one of them had flapless guided surgery with Nobelguide in development and immediate function. The same surgical drilling protocol, according to Branemark's procedure, was applied to all the patients. Except for one patient who lost three implants, 18 patients received a fixed Procera implant bridge and another an overdenture retained by a screwed bar fixed on the four zygomatic implants. The cumulative survival rate after 40 months is 96%. Although bone augmenting procedures such as onlay grafts and sinus grafts are popular and well-documented, the four zygomatic implants procedure results in less morbidity, shorter delays between anatomical reconstruction and functional rehabilitation and can provide immediate or early loading with immediate function. Four zygomatic implants and a fixed bridge seem to be a valuable technique for the rehabilitation of extremely resorbed maxillas.</AbstractText><CopyrightInformation>Copyright (c) 2010 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Stiévenart</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Maxillofacial Surgery and Dentistry, Erasme Hospital, Free University of Brussels, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Malevez</LastName><ForeName>C</ForeName><Initials>C</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2010</Year><Month>02</Month><Day>18</Day></ArticleDate></Article><MedlineJournalInfo><Country>Denmark</Country><MedlineTA>Int J Oral Maxillofac Surg</MedlineTA><NlmUniqueID>8605826</NlmUniqueID><ISSNLinking>0901-5027</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D015921">Dental Implants</NameOfSubstance></Chemical></ChemicalList><CitationSubset>D</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001284" MajorTopicYN="N">Atrophy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001862" MajorTopicYN="N">Bone Resorption</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015331" MajorTopicYN="N">Cohort Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000044" MajorTopicYN="N">Dental Abutments</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003758" MajorTopicYN="N">Dental Implantation, Endosseous</DescriptorName><QualifierName UI="Q000379" 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Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005891" MajorTopicYN="N">Gingivitis</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007575" MajorTopicYN="N">Jaw, Edentulous</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008437" MajorTopicYN="N">Maxilla</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016348" MajorTopicYN="N">Osseointegration</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010149" MajorTopicYN="N">Pain, Postoperative</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012852" MajorTopicYN="N">Sinusitis</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D025321" MajorTopicYN="N">Surgery, Computer-Assisted</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015050" MajorTopicYN="N">Zygoma</DescriptorName><QualifierName UI="Q000601" 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