Zygomatic implants in our daily practice. Part I: Treatment Plan and Surgical Technique

Prosthetic rehabilitation of the atrophic edentulous maxilla is a challenge for which zygomatic implants (ZI) stand out from traditional techniques (aiming to increase bone volume) with reduced treatment duration and immediate loading. The aim of this study was to review the ZI treatment plan and its surgical technique based on a series of nine edentulous atrophic maxillary cases. Implant survival rate and postoperative follow-up were reported as well as those described in the literature. The advantages and disadvantages of ZI versus traditional methods of rehabilitation in our daily work were also discussed. Implant survival rate was 100% over follow-up periods varying from 5 to 47 months. During postoperative follow-up, two patients presented with slight palate inflammation. The results obtained with zygomatic implants are satisfactory in terms of reproducibility and speed of rehabilitation of the maxillary. When the patient wishes a fixed prosthetic rehabilitation, the solution provided by the ZI becomes more common in the daily practice of the clinician.