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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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Extra-long transnasal implants as alternative for Quad Zygoma: Case report
Paulo H T Almeida1, Sergio H Cacciacane1, Ayrton Arcazas Junior1
1Department of Dental Surgery, São Leopoldo Mandic Institute and Dental Research Center, Campinas, SP, Brazil.
Annals of Medicine and Surgery (2012)
|August 13, 2021
Summary
This case report details a technique using extra-long transnasal implants with unilateral zygomatic implants for severe maxillary atrophy. This approach offers a viable alternative to traditional methods, reducing surgical risks for patients needing dental rehabilitation.
Area of Science:
- Oral and Maxillofacial Surgery
- Dental Implantology
- Reconstructive Dentistry
Background:
- Maxillary bone atrophy presents a significant challenge in dental implant rehabilitation.
- Traditional options like bone grafts or multiple zygomatic implants have limitations, including increased surgical risk and specific anatomical requirements.
- Elderly patients often have reduced bone density, making standard implant anchorage unfeasible.
Observation:
- This case report presents a technical approach for rehabilitating patients with atrophic maxilla.
- The technique utilizes extra-long transnasal implants in conjunction with unilateral zygomatic implants.
Findings:
- The described surgical procedure, including indications, contraindications, and planning, provides a feasible alternative to placing a second zygomatic implant.
- This method aims to diminish surgical risk and expand treatment options for patients with extensive maxillary atrophy.
Implications:
- This technique can increase the range of rehabilitative options for surgeons and patients facing severe maxillary bone loss.
- It offers a potentially safer and more widely applicable solution compared to extensive zygomatic implant placement.

