Protocol for mandibular reconstruction with zygomatic implants (zygomatic mandibular implant)

Oral and Maxillofacial Surgery
Ruben MuñozGrace Del Valle Speranza

Abstract

This study describes a modified protocol using transmandibular zygomatic implants with immediate occlusal loading for the comprehensive dental rehabilitation of previously reconstructed mandibular defects and reports preliminary results of this modified protocol. Fifteen patients (6 female and 9 male), with a mean of age 40.26 years (range 12 to 68 years), had previously undergone immediate mandibular reconstruction using either autologous bone grafting, bone transport, or microvascular free-flap reconstruction for a variety of diagnoses. Transmandibular zygomatic implants were subsequently placed, depending on the type of defect. Implant stability was evaluated by insertion torque, percussion testing, and the implant stability quotient (ISQ). The patients were rehabilitated with an immediate provisional prosthesis. All patients' records included pre and postoperative clinical examination, radiographs, CT scan, and photographic analysis. All patients were followed for a minimum of 36 months. All patients were dentally rehabilitated immediately with functional and esthetic hybrid dentures based on either acrylic or porcelain on a metal framework. Among all cases of transmandibular zygomatic implants, the ISQ was greater than 75,...Continue Reading

References

Nov 26, 1997·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·M A PogrelJ Alexander
Jan 24, 2004·The Journal of Prosthetic Dentistry·Lucie HimmlováSvatava Konvicková
Jun 21, 2008·Clinical Oral Implants Research·Giédre Berretin-FelixWellington Monteiro Machado
Mar 4, 2009·Journal of Prosthodontics : Official Journal of the American College of Prosthodontists·Lyndon F Cooper
May 21, 2009·Journal of Public Health Dentistry·David W Brown
Dec 1, 2009·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Jelena V JeremicMilijanka D Novkovic

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Citations

Nov 30, 2019·Case Reports in Surgery·Rafael NettoFábio Ramôa Pires

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