Use of 4 Immediately Loaded Zygomatic Fixtures for Retreatment of Atrophic Edentulous Maxilla After Complications of Maxillary Reconstruction

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dc.contributor.authorKuabara, Marcos Rikio
dc.contributor.authorFerreira, Edilson Jose
dc.contributor.authorGulinelli, Jessica Lemos
dc.contributor.authorBarioni, Sônia Regina Panzarini [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionUniversidade do Sagrado Coração (USC)
dc.contributor.institutionDent Imppar
dc.date.accessioned2013-09-30T18:29:29Z
dc.date.accessioned2014-05-20T13:43:17Z
dc.date.available2013-09-30T18:29:29Z
dc.date.available2014-05-20T13:43:17Z
dc.date.issued2010-05-01
dc.description.abstractThis article reports the 20-month clinical outcome of the use of 4 zygomatic implants with immediate occlusal loading and reverse planning for the retreatment of atrophic edentulous maxilla after failed rehabilitation with autogenous bone graft reconstruction and maxillary implants. The intraoral clinical examination revealed mispositioned and loosened implants underneath a maxillary complete denture. The panoramic radiograph showed 6 maxillary implants. One implant was displaced into the right maxillary sinus, and the implant anchored in the region of tooth 21 was fractured. The other implants presented peri-implant bone loss. The implants anchored in the regions of teeth 21 to 23 and 11 to 13 were first removed. After 2 months, the reverse planning started with placement of 4 zygomatic fixtures, removal of the implants migrated into the sinus cavity and anchored in the region of tooth 17, and installation of a fixed denture. After 20 months of follow-up, no painful symptoms, peri-implant inflammation or infection, implant instability, or bone resorption was observed. The outcomes of this case confirm that the zygoma can offer a predictable anchorage and support function for a fixed denture in severely resorbed maxillae.en
dc.description.affiliationSão Paulo State Univ Julio de Mesquita Filho, Dent Sch Aracatuba, Div Oral & Maxillofacial Surg, Dept Integrated Clin & Surg, São Paulo, Brazil
dc.description.affiliationSagrado Coracao Univ, Bauru, Brazil
dc.description.affiliationDent Imppar, Londrina, Parana, Brazil
dc.description.affiliationUnespSão Paulo State Univ Julio de Mesquita Filho, Dent Sch Aracatuba, Div Oral & Maxillofacial Surg, Dept Integrated Clin & Surg, São Paulo, Brazil
dc.format.extent803-805
dc.identifierhttp://dx.doi.org/10.1097/SCS.0b013e3181d809c3
dc.identifier.citationJournal of Craniofacial Surgery. Philadelphia: Lippincott Williams & Wilkins, v. 21, n. 3, p. 803-805, 2010.
dc.identifier.doi10.1097/SCS.0b013e3181d809c3
dc.identifier.issn1049-2275
dc.identifier.lattes5691730284259344
dc.identifier.urihttp://hdl.handle.net/11449/15087
dc.identifier.wosWOS:000278102200039
dc.language.isoeng
dc.publisherLippincott Williams & Wilkins
dc.relation.ispartofJournal of Craniofacial Surgery
dc.relation.ispartofjcr0.772
dc.relation.ispartofsjr0,448
dc.rights.accessRightsAcesso restrito
dc.sourceWeb of Science
dc.subjectAtrophic maxillaen
dc.subjectdental implantsen
dc.subjectcomplicationsen
dc.subjectzygomatic implantsen
dc.subjectzygomatic boneen
dc.titleUse of 4 Immediately Loaded Zygomatic Fixtures for Retreatment of Atrophic Edentulous Maxilla After Complications of Maxillary Reconstructionen
dc.typeArtigo
dcterms.licensehttp://edmgr.ovid.com/spine/accounts/copyrightTransfer.pdf
dcterms.rightsHolderLippincott Williams & Wilkins
unesp.author.lattes5691730284259344
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Odontologia, Araçatubapt

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Artigos - Cirurgia e Clínica Integrada - FOA