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Related Experiment Video

Updated: Aug 13, 2025

Real-Time Dynamic Navigation System for the Precise Quad-Zygomatic Implant Placement in a Patient with a Severely Atrophic Maxilla
05:54

Real-Time Dynamic Navigation System for the Precise Quad-Zygomatic Implant Placement in a Patient with a Severely Atrophic Maxilla

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Flapless placement of zygomatic implants using dynamic navigation: an innovative technical note.

Ashwini Bhalerao1, Madhulaxmi Marimuthu1, Abdul Wahab1

  • 1Oral & Maxillofacial Surgery, Saveetha Dental College, Chennai, India.

The British Journal of Oral & Maxillofacial Surgery
|January 19, 2023
PubMed
Summary

This study introduces a new flapless technique for placing zygomatic implants using dynamic navigation under local anesthesia. This innovative approach demonstrates feasibility with minimal complications and patient discomfort.

Keywords:
DynamicFlaplessImplantNavigationZygomatic

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Last Updated: Aug 13, 2025

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Dental Implantology
  • Surgical Navigation Technologies

Background:

  • Zygomatic implants are crucial for midface and edentulous maxilla reconstruction, typically requiring general anesthesia and invasive membrane elevation.
  • Current methods often rely on prefabricated surgical guides for zygomatic implant placement.

Purpose of the Study:

  • To evaluate the feasibility and outcomes of a novel flapless zygomatic implant placement technique guided by dynamic navigation.
  • To assess surgical complications, implant accuracy, and postoperative morbidities associated with this minimally invasive approach.

Main Methods:

  • A proof-of-concept study involving eight patients undergoing zygomatic implant placement.
  • Utilized a flapless technique under local anesthesia, guided by dynamic navigation for sinus lift and osteotomy.
  • Recorded operative complications, measured implant positional accuracy, and evaluated postoperative pain and swelling.

Main Results:

  • The dynamic navigation-guided flapless technique proved feasible with minimal surgical complications.
  • The Schneiderian membrane remained intact in most cases; implant accuracy was satisfactory.
  • Postoperative pain and swelling were minimal, with one case of delayed maxillary sinusitis.

Conclusions:

  • Dynamic navigation-guided, flapless zygomatic implant placement under local anesthesia is a viable and safe alternative.
  • This technique offers reduced surgical invasiveness and minimal postoperative morbidity for patients requiring maxillary rehabilitation.