Zygoma Anatomy-Guided Approach "Scarf Graft" for Prevention of Soft Tissue Dehiscence Around Zygomatic Implants: Technical Note

The International Journal of Oral & Maxillofacial Implants
Carlos Aparicio, Sanz Antonio

Abstract

Different surgical approaches including the slot and the extrasinus techniques have been described to overcome disadvantages of the original Brånemark technique for the placement of zygomatic implants. A new concern associated with zygomatic implants placed externally to the maxillary wall is the possibility of disturbing buccal soft tissues, ending up with a dehiscence and a potential infective problem. Recently, a new methodology known as the Zygoma Anatomy-Guided Approach (ZAGA) has been described based on the concept of delivering specific therapy for each patient. ZAGA involves a variety of possibilities of implant trajectory from the intrasinus to an eventual extrasinus passage according to variations in patient anatomy. ZAGA methodology includes a rationale of how to prevent most of the reported complications of zygomatic implants. The objective of this technical note is to introduce the "Scarf Graft" as a part of the ZAGA protocol intended to prevent soft tissue dehiscence around extramaxillary zygomatic implants. A pediculated connective tissue graft is placed around the neck of the extramaxillary zygomatic implants. The increased connective tissue thickness consistently gives stable gingival tissue for prevention of r...Continue Reading

Citations

Jul 31, 2021·Atlas of the Oral and Maxillofacial Surgery Clinics of North America·Carlos AparicioMiguel Peñarrocha
Aug 14, 2021·Annals of Medicine and Surgery·Paulo H T AlmeidaAyrton Arcazas Junior

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