A recent study, published in the Journal of Oral Implantology,
outlines the use of zygoma implants in a patient that has high
dental anxiety and a preference for tooth-preserving treatment.
LAWRENCE, Kan., June 24,
2024 /PRNewswire-PRWeb/ -- Journal of Oral
Implantology – Dental implants are recommended for patients for
many different reasons, and the severity of their condition can
impact how complicated the implant procedure will be. In some
instances, the amount of jawbone deterioration can create too much
instability for the implant to be placed, even with extensive
surgical pretreatment. In these instances, clinicians may recommend
placing zygoma implants, which allow for faster treatment time
(usually a single intervention), a more cost-effective solution,
and a long-term survival rate of up to 95.2%. Given the quick
nature of the procedure, immediate loading of the implant is
possible, but can clinicians feel confident recommending zygoma
implants in patients with a long-term, highly atrophied
jawbone?
The present case is intended to show how,
after a long period of periodontal therapy focused on tooth
preservation, a fixed, immediately loaded, and definitive implant
restoration in the maxilla could be achieved without extensive
surgical pretreatment.
The Journal of Oral Implantology recently published a case
report outlining the use of zygoma implants in a patient with high
dental anxiety and a preference for tooth-preserving treatment by
collaborating researchers from the Dental Academy for Continuing
Professional Development, Karlsruhe, Germany. Lead author Hans Ulrich Brauer, DMD, DPhil, MA, MSc, and
colleagues state, "The present case is intended to show how, after
a long period of periodontal therapy focused on tooth preservation,
a fixed, immediately loaded, and definitive implant restoration in
the maxilla could be achieved without extensive surgical
pretreatment."
The patient is a 45-year-old man wearing a fixed, long-term,
temporary bridge for six years to replace five teeth. He was found
to have 90% horizontal bone loss across another 8 of his teeth and
50% to 60% periodontal bone loss in the mandible. All his teeth
were classified as non-preservable in his upper jaw, and prosthetic
restoration was initially discussed. The patient rejected removable
dentures and a multistage implant-supported treatment plan and
opted for two posterior zygoma implants and two anterior
conventional implants instead.
Due to inflammation and poor periodontal conditions, the
procedure carried a high risk of implant recession and bacteria
spreading into the maxillary sinus. Brauer et al. removed all the
maxillary teeth and three additional nonviable teeth two months
before surgery. Eight weeks after extraction, the patient was
inflammation-free, and all implants were immediately loaded
according to the All-on-4 concept. Follow-up occurred in weeks one,
two, and four and in months three and six, all with uneventful
outcomes.
The use of zygoma implants with the all-on-4 concept provided
the patient with an immediate, definitive restoration after nearly
a decade of temporary treatment solutions, a severely atrophied
jawbone, and no salvageable upper teeth. Brauer and colleagues
conclude, "As the case report has shown, periodontal therapy has
certain limits. Medical education, also regarding the use of zygoma
implants, should always be provided, especially when periodontal
maintenance therapies are used in special exceptional cases, which,
due to the severity of the disease and the patient's age, are
likely to result in a highly atrophied maxilla. In such cases,
zygoma implants can offer a solution to achieve a fixed, rapid, and
financially acceptable prosthetic rehabilitation despite the
unfavorable initial bony situation."
Full text of the article, "All-on-4 Concept With Use Of Zygoma
Implants for Rehabilitation in the Severely Atrophied Maxilla With
a Definitive Immediate Restoration," Journal of Oral Implantology,
Vol. 50, No. 3, 2024, is available at
https://doi.org/10.1563/aaid-joi-D-23-00130.
About Journal of Oral Implantology
The Journal of Oral Implantology is the official publication of
the American Academy of Implant Dentistry. It provides valuable
information to general dentists, oral surgeons, prosthodontists,
periodontists, scientists, clinicians, laboratory owners and
technicians, manufacturers, and educators. The JOI distinguishes
itself as the first and oldest journal in the world devoted
exclusively to implant dentistry. For more information about the
journal or society, please visit:
http://www.joionline.org/orimonline/?request=index-html
Media Contact
Samantha Weinkauf, KnowledgeWorks
Global Ltd., 1 785-289-2649,
Samantha.Weinkauf@kwglobal.com
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SOURCE Zygoma Implants