scholarly journals Rehabilitation of Posterior Maxilla with Obturator3b2:?show $6# Supported by Zygomatic Implants

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Sankalp Mittal ◽  
Manoj Agarwal ◽  
Debopriya Chatterjee
Keyword(s):  
Prosthetic Rehabilitation ◽  
Avant Garde ◽  
Anterior Teeth ◽  
Maxillary Defect ◽  
Single Piece ◽  
Posterior Maxilla ◽  
Atrophic Maxilla ◽  
Zygomatic Implants ◽  
Tuberculous Osteomyelitis

Prosthetic rehabilitation of atrophic maxilla and large maxillary defects can be done successfully by zygomaticimplant-supportedprosthesis. Zygomatic implants are anavant-gardeto complex andinvasive-freevascularised osteocutaneous flaps, distraction osteogenesis, and the solution to flap failures. A treated case of tuberculous osteomyelitis, with a class II (Aramany’s classification) maxillary defect, reported to oral maxillofacial department, Government Dental College (RUHS-CODS).The defect in this group was unilateral, retaining the anterior teeth. The patient was previously rehabilitated with a removable maxillary obturator. Inadequate retention affected essential functions like speaking, mastication, swallowing, esthetics, and so on due to lack of sufficient supporting tissues. A fixed prosthetic rehabilitation of posterior maxillary defect was done with obturator supported with twosingle-piecezygomatic implants. At 1-yearfollow-up,the patient was comfortable with the prosthesis, and no further complaints were recorded.

scholarly journals Rehabilitation of Maxillary Defect Using Zygomatic Implant Retained Obturator

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Mounika Ayinala ◽  
Gautam Shetty
Keyword(s):  
Hard Palate ◽  
Odontogenic Myxoma ◽  
Prosthetic Rehabilitation ◽  
Implant Placement ◽  
Heat Cure ◽  
Maxillary Defect ◽  
Zygomatic Implants ◽  
And Function ◽  
Zygomatic Implant

Tumors involving the hard palate, maxillary sinus, or nasal cavity require maxillectomy based on the extent of the lesion. Lack of these boundaries affects the speech, esthetics, and masticatory function. Prosthetic rehabilitation of these defects can be done utilizing zygomatic implants. This present case describes the use of a zygomatic implant to retain a maxillary obturator in a 22-year-old male patient following partial maxillectomy (Brown’s Class 2b) due to odontogenic myxoma. A surgical obturator was secured in position subsequent to the implant placement. Following the healing period, an interim obturator using heat cure acrylic was fabricated. Mechanical retention for the definitive obturator was obtained through the ball attachment suspended from the multiunit abutment of the zygomatic implant. The case was followed up closely for a year to evaluate the function of the prosthesis. The prosthetic rehabilitation not only promoted esthetics and function but also improved the patient’s quality of life.

scholarly journals Oral Rehabilitation with Zygomatic Implants in a Patient with Cleft Palate

2019 ◽  
Vol 2019 ◽  
pp. 1-5 ◽  
Author(s):  
Guilherme José Pimentel Lopes de Oliveira ◽  
Mariana Schaffer Brackmann ◽  
Larissa Carvalho Trojan ◽  
Paulo Domingos Ribeiro Júnior ◽  
Luis Eduardo Marques Padovan
Keyword(s):  
Cleft Palate ◽  
Fibrous Tissue ◽  
Oral Rehabilitation ◽  
Atrophic Maxilla ◽  
Zygomatic Implants ◽  
Fixed Prosthesis ◽  
Edentulous Patients ◽  
The Right ◽  
Zygomatic Implant

Edentulous patients with an atrophic maxilla associated with lip-palate fissures have unpredictable results after undergoing grafting procedures. In situations where the atrophic maxilla does not adequately allow reconstruction, the use of zygomatic implants has been indicated, and probably these implants can be indicated for the rehabilitation of patients with lip-palate fissures. This case report describes the oral rehabilitation treatment of a patient with a lip-palate cleft treated with zygomatic implants and implant-supported fixed prosthesis with two years of follow-up. A 65-year-old female patient had a lip-palate cleft and previously underwent surgery to close the cleft. The patient had a severely atrophic maxilla and had difficulty adapting to a removable total prosthesis. Due to the small amount of bone remaining and extensive fibrous tissue in the palate region, a rehabilitation with conventional implants associated with zygomatic implants was chosen. Two zygomatic implants and a conventional implant were placed on the right side, and a zygomatic implant and conventional implant were placed on the left side; these implants were later activated by a protocol-type prosthesis. The zygomatic implants provided an adequate aesthetic and functional outcome of the prosthesis in a patient with cleft palate.

scholarly journals Multiple Zygomatic Implants as an Alternative for Rehabilitation of the Extremely Atrophic Maxilla: A Case Letter With 55 Months of Follow-Up

2015 ◽  
Vol 41 (1) ◽  
pp. 97-100 ◽  
Author(s):  
Luis Eduardo Marques Padovan ◽  
Paulo Domingos Ribeiro-Júnior ◽  
Ivete Aparecida de Mattias Sartori ◽  
Geninho Thomé ◽  
Elisa Mattias Sartori ◽  
...  
Keyword(s):  
Atrophic Maxilla ◽  
Zygomatic Implants

scholarly journals Titanium mesh and pedicled buccal fat pad for the reconstruction of maxillary defect: case report

2021 ◽  
Vol 43 (1) ◽  
Author(s):  
Joo-Hyung Yoon ◽  
Young-Wook Park ◽  
Seong-Gon Kim
Keyword(s):  
Defect Size ◽  
Titanium Mesh ◽  
Fat Pad ◽  
Buccal Fat Pad ◽  
Case Presentation ◽  
Maxillary Defect ◽  
Posterior Maxilla ◽  
History Of ◽  
Maxillary Defects

Abstract Background Pedicled buccal fat pad (PBFP) has been used for the reconstruction of small-sized maxillary defects but cannot be used without hard tissue support on the defect larger than 4 cm × 4 cm × 3 cm. Case presentation A 64-year-old man had a history of squamous cell carcinoma of the left maxilla. After removal of the posterior maxilla, a complex bone defect (size, 5 cm × 4 cm × 3 cm) was immediately reconstructed using PBFP combined with a titanium mesh. A pinpoint fistula was found in the left palatal region 1 month after the surgery and was treated with a palatal sliding flap. There were no further complications during the follow-up. Conclusion The present technique demonstrated that PBFP combined with a titanium mesh could be used for the reconstruction of complex maxillary defect (size, 5 cm × 4 cm × 3 cm) without additional bone graft.

scholarly journals Zygomatic Implants for Restoration of Complex Nasal Defects – A Case Report and Outcome

2020 ◽  
Vol 4 (9) ◽  
pp. 152-161
Keyword(s):  
Limiting Factor ◽  
Prosthetic Rehabilitation ◽  
Edentulous Patient ◽  
Osseointegrated Implants ◽  
Ablative Surgery ◽  
Atrophic Maxilla ◽  
Zygomatic Implants ◽  
Excellent Cosmetic Result ◽  
Lip Defect ◽  
Nasal Defects

Total rhinectomy defects pose a challenge for the reconstructive surgeon, but since the introduction of osseointegrated implants, maxillofacial implant–retained prosthetic rehabilitation has provided the patient with an alternative option that has an excellent cosmetic result. Traditionally, zygomatic implants are used for prosthodontic restoration in patients with severely atrophic maxilla or to retain an obturator after tumor ablative surgery. More recently, the nonconventional use of zygomatic implants for retention of a nasal prosthesis has been reported in cases involving rhinectomy defects where the length of conventional dental implants is a limiting factor. In this article, we describe the use and value of transversely-oriented zygomatic implants in combination with an acrylic keeper and maxillary denture to optimize retention of a complex, multi-unit prosthesis in an edentulous patient with a total rhinectomy and upper lip defect.

Three-year clinical prospective follow-up of extrasinus zygomatic implants for the rehabilitation of the atrophic maxilla

2017 ◽  
Vol 19 (5) ◽  
pp. 926-934 ◽  
Author(s):  
Abilio Coppedê ◽  
Thiago de Mayo ◽  
Marcelo de Sá Zamperlini ◽  
Rodolfo Amorin ◽  
Ana Paula A. T. de Pádua ◽  
...  
Keyword(s):  
Atrophic Maxilla ◽  
Zygomatic Implants

scholarly journals Computer‐aided approach for atrophic maxilla rehabilitation via using zygomatic implants: preliminary results of a cohort study up to 6 years follow‐up

2020 ◽  
Vol 31 (S20) ◽  
pp. 269-269
Author(s):  
Gerardo Pellegrino ◽  
Francesco Basile ◽  
Francesco Grande ◽  
Agnese Ferri ◽  
Daniela Relics ◽  
...  
Keyword(s):  
Cohort Study ◽  
Preliminary Results ◽  
Atrophic Maxilla ◽  
Zygomatic Implants ◽  
Computer Aided

Stress Analysis of Prostheses Retained with Zygomatic Implants on Augmented and Non-Augmented Maxillary Sinus

2020 ◽  
Vol 10 (3) ◽  
pp. 336-340
Author(s):  
Hamiyet Güngör ◽  
Süleyman Kaman ◽  
Ozkan Ozgul ◽  
M. Ercüment Önder ◽  
Fethi Atil ◽  
...  
Keyword(s):  
Maxillary Sinus ◽  
Treatment Options ◽  
Three Dimensional ◽  
Von Mises Stress ◽  
Posterior Maxilla ◽  
Atrophic Maxilla ◽  
Zygomatic Implants ◽  
Von Mises ◽  
Three Dimensional Finite Element ◽  
Zygomatic Implant

Zygomatic implants for toothless, atrophic posterior maxilla are effective treatment options and it is known that graft use has a positive effect on the zygomatic implant stability with this treatment option. The aim of this study was to evaluate the stress values and their distribution at zygomatic implant-supported prosthetic infrastructure in augmented and non-augmented models. In this study, the three-dimensional finite element method was used and 2 zygomatic implants (47.5 × 4.0 mm), 2 conventional implants (13 × 3.75 mm) and atrophic maxilla with augmented and non-augmented maxillary sinus with prosthetic infrastructure, were modelled. A vertical load of 150 N was applied onto the maxillary model at 4 different regions (#9, #12, #14 and #15). The von Mises stress, which is produced as a result of loading of zygomatic implants and prosthetic infrastructure has been evaluated in augmented and non-augmented models. The highest von Mises stress value for the prosthetic infrastructure was determined in the non-augmented model as a result of the loading to region #9 (MPa 222,886). Consequently, grafting procedures will increase bone support and reduce stresses in the prosthetic substructure, especially in posterior loads in the maxilla with low bone density.

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