Rehabilitation of Posterior Maxilla with Obturator Supported by Zygomatic Implants

Case Reports in Dentistry
Sankalp MittalDebopriya Chatterjee

Abstract

Prosthetic rehabilitation of atrophic maxilla and large maxillary defects can be done successfully by zygomatic implant-supported prosthesis. Zygomatic implants are an avant-garde to complex and invasive-free vascularised 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 two single-piece zygomatic implants. At 1-year follow-up, the patient was comfortable with the prosthesis, and no further complaints were recorded.

References

Oct 25, 2003·Clinical Implant Dentistry and Related Research·Jaime Clavero, Stefan Lundgren
Jun 26, 2004·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Masayuki FukudaMitsuyoshi Iino
Dec 31, 2009·Journal of Prosthodontics : Official Journal of the American College of Prosthodontists·Cláudio Rodrigues LelesElismauro Francisco Mendonça
Aug 16, 2014·Periodontology 2000·Carlos AparicioTomas Albrektsson

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