Surgical Complications in Zygomatic Implants: A Systematic Review

Overview

Journal Med Oral Patol Oral Cir Bucal

Specialty Dentistry

Date 2016 Oct 4

PMID 27694789

Citations 25

Authors

P Molinero-Mourelle

L Baca-Gonzalez

B Gao

L-M Saez-Alcaide

A Helm

J Lopez-Quiles

Affiliations

Soon will be listed here.

Abstract

Background: The use of zygomatic implants in the prosthetic rehabilitation of the patient with severe maxillary bone atrophy is another therapeutic alternative, not exempt from complications. The main objective of this review is to analyze and describe the most frequent surgical complications associated with the use of zygomatic implants.

Material And Methods: An electronic database search on PubMed, along with a manual search, without taking into account date nor language, was undertaken by two observers, selecting studies that comprised a study period from 6 to 12 months, any type of clinical trial, and series that included a follow-up and/or review period during the aforementioned margin, that mentioned at least two types of complications.

Results: Out of the initial search that yielded 455 studies, 67 were considered potentially relevant for the present study, out of which 14 were finally selected. Out of the most frequent surgical complications, sinusitis (3,9%) and failure in osseointegration (2,44%) are highlighted.

Conclusions: The analysis of the results shows that the most frequent complications are sinusitis and failure in osseointegration of the zygomatic implant. However, a standardised data collection system for the data on complications is needed.

Citing Articles

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Rapid Smile Restoration: Basal Implants for the Edentulous Mandible With Immediate Loading.

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Revolutionizing Maxillary Rehabilitation: Zygomatic Implants Addressing Severe Alveolar Atrophy.

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Round and flat zygomatic implants: effectiveness after a 3‑year follow‑up non‑interventional study.

Aparicio C, Polido W, Chehade A, Shenouda M, Simon M, Simon P Int J Implant Dent. 2024; 10(1):30.

PMID: 38856876 PMC: 11164844. DOI: 10.1186/s40729-024-00548-9.

Prosthodontic rehabilitation of patients with a unilateral subtotal maxillectomy using a customised subperiosteal zygomatic implant: a post-COVID-19 mucormycosis.

Basavaraju R, Shetty S, Pugazhendhi P, Aradya A BMJ Case Rep. 2024; 17(1).

PMID: 38199654 PMC: 10806840. DOI: 10.1136/bcr-2023-258338.

References

Miglioranca R, Sotto-Maior B, Senna P, Francischone C, Del Bel Cury A . Immediate occlusal loading of extrasinus zygomatic implants: a prospective cohort study with a follow-up period of 8 years. Int J Oral Maxillofac Surg. 2012; 41(9):1072-6. DOI: 10.1016/j.ijom.2012.05.029. View

Duarte L, Filho H, Francischone C, Peredo L, Branemark P . The establishment of a protocol for the total rehabilitation of atrophic maxillae employing four zygomatic fixtures in an immediate loading system--a 30-month clinical and radiographic follow-up. Clin Implant Dent Relat Res. 2007; 9(4):186-96. DOI: 10.1111/j.1708-8208.2007.00046.x. View

Al-Thobity A, Wolfinger G, Balshi S, Flinton R, Balshi T . Zygomatic implants as a rehabilitation approach for a severely deficient maxilla. Int J Oral Maxillofac Implants. 2014; 29(6):e283-9. DOI: 10.11607/jomi.3662. View

Zwahlen R, Gratz K, Oechslin C, Studer S . Survival rate of zygomatic implants in atrophic or partially resected maxillae prior to functional loading: a retrospective clinical report. Int J Oral Maxillofac Implants. 2006; 21(3):413-20. View

Jung J, Choi B, Zhu S, Lee S, Huh J, You T . The effects of exposing dental implants to the maxillary sinus cavity on sinus complications. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006; 102(5):602-5. DOI: 10.1016/j.tripleo.2005.10.061. View

Becktor J, Isaksson S, Abrahamsson P, Sennerby L . Evaluation of 31 zygomatic implants and 74 regular dental implants used in 16 patients for prosthetic reconstruction of the atrophic maxilla with cross-arch fixed bridges. Clin Implant Dent Relat Res. 2005; 7(3):159-65. DOI: 10.1111/j.1708-8208.2005.tb00060.x. View

Al-Nawas B, Wegener J, Bender C, Wagner W . Critical soft tissue parameters of the zygomatic implant. J Clin Periodontol. 2004; 31(7):497-500. DOI: 10.1111/j.1600-051X.2004.00505.x. View

Pi Urgell J, Revilla Gutierrez V, Gay Escoda C . Rehabilitation of atrophic maxilla: a review of 101 zygomatic implants. Med Oral Patol Oral Cir Bucal. 2008; 13(6):E363-70. View

Petruson B . Sinuscopy in patients with titanium implants in the nose and sinuses. Scand J Plast Reconstr Surg Hand Surg. 2004; 38(2):86-93. DOI: 10.1080/02844310310023909. View

10.

Aparicio C, Ouazzani W, Garcia R, Arevalo X, Muela R, Fortes V . A prospective clinical study on titanium implants in the zygomatic arch for prosthetic rehabilitation of the atrophic edentulous maxilla with a follow-up of 6 months to 5 years. Clin Implant Dent Relat Res. 2006; 8(3):114-22. DOI: 10.1111/j.1708-8208.2006.00009.x. View

11.

Balshi T, Wolfinger G, Shuscavage N, Balshi S . Zygomatic bone-to-implant contact in 77 patients with partially or completely edentulous maxillas. J Oral Maxillofac Surg. 2012; 70(9):2065-9. DOI: 10.1016/j.joms.2012.05.016. View

12.

Candel-Marti E, Carrillo-Garcia C, Penarrocha-Oltra D, Penarrocha-Diago M . Rehabilitation of atrophic posterior maxilla with zygomatic implants: review. J Oral Implantol. 2011; 38(5):653-7. DOI: 10.1563/AAID-JOI-D-10-00126. View

13.

Malevez C, Abarca M, Durdu F, Daelemans P . Clinical outcome of 103 consecutive zygomatic implants: a 6-48 months follow-up study. Clin Oral Implants Res. 2004; 15(1):18-22. DOI: 10.1046/j.1600-0501.2003.00985.x. View

14.

Chrcanovic B, Abreu M . Survival and complications of zygomatic implants: a systematic review. Oral Maxillofac Surg. 2012; 17(2):81-93. DOI: 10.1007/s10006-012-0331-z. View

15.

Levin L . Dealing with dental implant failures. J Appl Oral Sci. 2008; 16(3):171-5. PMC: 4327689. DOI: 10.1590/s1678-77572008000300002. View

16.

Bedrossian E . Rehabilitation of the edentulous maxilla with the zygoma concept: a 7-year prospective study. Int J Oral Maxillofac Implants. 2011; 25(6):1213-21. View

17.

Boyes-Varley J, Howes D, Lownie J, Blackbeard G . Surgical modifications to the Brånemark zygomaticus protocol in the treatment of the severely resorbed maxilla: a clinical report. Int J Oral Maxillofac Implants. 2003; 18(2):232-7. View

18.

Davo R, Pons O, Rojas J, Carpio E . Immediate function of four zygomatic implants: a 1-year report of a prospective study. Eur J Oral Implantol. 2010; 3(4):323-34. View

19.

Stella J, Warner M . Sinus slot technique for simplification and improved orientation of zygomaticus dental implants: a technical note. Int J Oral Maxillofac Implants. 2001; 15(6):889-93. View

20.

Sartori E, Padovan L, de Mattias Sartori I, Ribeiro Jr P, Carvalho A, Coelho Goiato M . Evaluation of satisfaction of patients rehabilitated with zygomatic fixtures. J Oral Maxillofac Surg. 2011; 70(2):314-9. DOI: 10.1016/j.joms.2011.03.044. View