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Real-Time Dynamic Navigation System for the Precise Quad-Zygomatic Implant Placement in a Patient with a Severely Atrophic Maxilla
Published on: October 18, 2021
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A Novel Prosthetically Driven Workflow Using Zygomatic Implants: The Restoratively Aimed Zygomatic Implant Routine.
Shouvik Ponnusamy1, Michael Miloro2
1Chief Resident, Department of Oral and Maxillofacial Surgery, University of Illinois at Chicago, Chicago, IL.
Summary
This study introduces a new preoperative workflow for zygomatic implants to improve predictability. This prosthetically driven approach minimizes complications in severe maxillary resorption cases.
Area of Science:
- Oral and Maxillofacial Surgery
- Dental Implantology
- Prosthodontics
Background:
- Zygomatic implants offer a solution for severe maxillary resorption.
- Palatally positioned zygomatic implant platforms can lead to cantilever, speech, and hygiene issues.
Purpose of the Study:
- To introduce a novel preoperative workflow for zygomatic implant surgery.
- To achieve predictable surgical and prosthetic outcomes.
- To minimize prosthetic complications associated with zygomatic implants.
Main Methods:
- Adapted a restoratively driven approach from traditional intra-alveolar implant dentistry.
- Emphasized the importance of preoperative workup.
- Utilized digital integration of prosthetic and surgical treatment plans.
Main Results:
- A prosthetically driven approach is feasible with zygomatic implants.
- This approach requires unique application of biomechanical and soft tissue principles.
- Digital integration enhances treatment planning.
Conclusions:
- Aim to position zygomatic implant platforms near the central fossae and cingulum of prosthetic teeth.
- The described routine is a progressive, modern approach to zygomatic implant rehabilitation.
- This method enhances prosthetically driven implant outcomes.
