Surgical complications in zygomatic implantsa systematic review

  1. Pedro Molinero Mourelle 1
  2. Laura Baca González 2
  3. Baoluo Gao 2
  4. Luis Miguel Sáez Alcaide 3
  5. Alexandra Helm 2
  6. Juan López Quiles 4
  1. 1 DDS, Postgraduate student. Department of Buccofacial Prosthetics, Faculty of Dentistry, Complutense University of Madrid
  2. 2 UGRD, Undergraduate student. Faculty of Dentistry, Complutense University of Madrid
  3. 3 DDS, Postgraduate student. Department of Medicine and Oral Surgery, Faculty of Dentistry, Complutense University of Madrid
  4. 4 DDS, MD, PhD, Associate Professor. Department of Medicine and Oral Surgery, Faculty of Dentistry, Complutense University of Madrid
Aldizkaria:
Medicina oral, patología oral y cirugía bucal. Ed. inglesa

ISSN: 1698-6946

Argitalpen urtea: 2016

Alea: 21

Zenbakia: 6

Orrialdeak: 17

Mota: Artikulua

DOI: 10.4317/MEDORAL.21357 DIALNET GOOGLE SCHOLAR lock_openSarbide irekia editor

Beste argitalpen batzuk: Medicina oral, patología oral y cirugía bucal. Ed. inglesa

Objetivos de desarrollo sostenible

Laburpena

The use of zygomatic implants in the prosthetic rehabilitation of the patient with severe maxillary bone atrophy is another therapeutic alternative, not exempt from complications. The main objective of this review is to analyze and describe the most frequent surgical complications associated with the use of zygomatic implants. An electronic database search on PubMed, along with a manual search, without taking into account date nor language, was undertaken by two observers, selecting studies that comprised a study period from 6 to 12 months, any type of clinical trial, and series that included a follow-up and/or review period during the aforementioned margin, that mentioned at least two types of complications. Out of the initial search that yielded 455 studies, 67 were considered potentially relevant for the present study, out of which 14 were finally selected. Out of the most frequent surgical complications, sinusitis (3,9%) and failure in osseointegration (2,44%) are highlighted. The analysis of the results shows that the most frequent complications are sinusitis and failure in osseointegration of the zygomatic implant. However, a standardised data collection system for the data on complications is needed.

Erreferentzia bibliografikoak

  • Cooper, LF. (2009). The current and future treatment of edentulism. J Prosthodont. 18. 116
  • Pi Urgell, J, Revilla Gutiérrez, V, Gay Escoda, CG. (2008). Rehabilitation of atrophic maxilla: a review of 101 zygomatic implants. Med Oral Patol Oral Cir Bucal. 13. 363
  • Aparicio, C, Ouazzani, W, García, R, Arévalo, X, Muela, R, Fortes, V. (2006). A prospective clinical study on titanium implants in the zygomatic arch for prosthetic rehabilitation of the atrophic edentulous maxilla with a follow-up of 6 months to 5 years. Clin Implant Dent Relat Res. 8. 114
  • Aparicio, C, Ouazzani, O, Hatano, N. (2008). The use of zygomatic implants for prosthetic rehabilitation of the severely resorbed maxilla. Periodontol 2000. 47. 162
  • Boyes-Varley, JG, Howes, DG, Lownie, JF, Blackbeard, GA. (2003). Surgical modifications to the Brånemark zygomaticus protocol in the treatment of the severely resorbed maxilla: a clinical report. Int J of Oral Maxillofac Implants. 18. 232
  • Chrcanovic, BR, Abreu, MH. (2013). Survival and complications of zygomatic implants: a systematic review. Oral Maxillofac Surg. 17. 81-93
  • Bedrossian, E. (2010). Rehabilitation of the edentulous maxilla with the zygoma concept: A 7-year prospective study. Int J of Oral Maxillofac Implants. 25. 1213
  • Malevez, C, Abarca, M, Durdu, F, Daelemans, P. (2004). Clinical outcome of 103 consecutive zygomatic implants: a 6-48 months follow-up study. Clin Oral Implants Res. 15. 18-22
  • Aparicio, C, Ouazzani, W, Aparicio, A, Fortes, V, Muela, R, Pascual, A. (2010). Immediate/Early loading of zygomatic implants: clinical experiences after 2 to 5 years of follow-up. Clin Implant Dent Relat Res. 121. 77-82
  • Aparicio, C, Ouazzani, W, Aparicio, A, Fortes, V, Muela, R, Pascual, A. (2010). Extrasinus zygomatic implants: three year experience from a new surgical approach for patients with pronounced buccal concavities in the edentulous maxilla. Clin Implant Dent Relat Res. 12. 55-61
  • Balshi, JT, Wolfinger, GJ, Shuscavage, NJ, Balshi, SF. (2012). Zygomatic bone-to-implant contact in 77 patients with partially or completely edentulous maxilla. J Oral Maxillofac Surg. 70. 2065
  • Al-Thobity, AM, Wolfinger, GJ, Balshi, SF, Flinton, RJ, Balshi, TJ. (2014). Zygomatic implants as a rehabilitation approach for a severely deficient maxilla. Int J Oral Maxillofac Implants. 29. 283
  • Stella, JP, Warner, MR. (2000). Sinus slot technique for simplification and improved orientation of zygomaticus dental implants: a technical note. Int J Oral Maxillofac Implants. 15. 889
  • Petruson, B. (2004). Sinuscopy in patients with titanium implants in the nose and sinuses. Scand J Plast Reconstr Surg Hand Surg. 38. 86-93
  • Jung, JH, Choi, BH, Zhu, SJ, Lee, SH, Huh, JY, You, TM. (2006). The effects of exposing dental implants to the maxillary sinus cavity on sinus complications. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 102. 602
  • Becktor, JP, Isaksson, S, Abrahamsson, P, Sennerby, L. (2005). Evaluation of 31 zygomatic implants and 74 regular dental implants used in 16 patients for prosthetic reconstruction of t he atrophic maxilla with cross-arch fixed bridges. Clin Implant Dent Relat Res. 7. 159
  • Candel-Martí, E, Carrillo-García, C, Peñarrocha-Oltra, D, Peñarrocha-Diago, M. (2012). Rehabilitation of the atrophic posterior maxilla with zygomatic implants: Review. J Oral Implantol. 38. 653
  • Levin, L. (2008). Dealing with dental implant failures. J Appl Oral Science. 16. 171
  • Migliorança, RM, Sotto-Maior, BS, Senna, PM, Francischone, CE, Del Bel Cury, AA. (2012). Immediate occlusal loading of extrasinus zygomatic implants: a prospective cohort study with a follow-up period of 8 years. Int J Oral Maxillofac Surg. 41. 1072
  • Duarte, LR, Filho, HN, Francischone, CE, Peredo, LG, Brånemark, P. (2007). The establishment of a protocol for the total rehabilitation of atrophic maxillae employing four zygomatic fixtures in an immediate loading system: A 30-month clinical and radiographic follow-up. Clin Implant Dent Relat Res. 9. 186
  • Sartori, EM, Padovan, LE, de Mattias Sartori, IA, Ribeiro PD, Jr, Gomes de Souza Carvalho, AC, Goiato, MC. (2012). Evaluation of satisfaction of patients rehabilitated with zygomatic fixtures. J Oral Maxillofac Surg. 70. 314
  • Zwahlen, RA, Grätz, KW, Oechslin, CK, Studer, SP. (2006). Survival rate of zygomatic implants in atrophic or partially resected maxillae prior to functional loading: A retrospective clinical report. Int J of Oral Maxillofac Implants. 21. 413
  • Kahnberg, KE, Henry, PJ, Hirsch, JM. (2007). Clinical evaluation of the zygoma implant: 3-year follow-up at 16 clinics. J Oral Maxillofac Surg. 65. 2033
  • Al-Nawas, B, Wegener, J, Bender, C, Wagner, W. (2004). Critical soft tissue parameters of the zygomatic implant. J Clin Periodontol. 31. 497-500
  • De Moraes, EJ. (2012). The buccal fat pad flap: An option to prevent and treat complications regarding complex zygomatic implant surgery. Preliminary report. Int J Oral Maxillofac Implants. 27. 905
  • Davo, R, Pons, O, Rojas, J, Carpio, E. (2010). Immediate function of four zygomatic implants: a 1-year report of a prospective study. Eur J Oral Implantol. 3. 323