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Zygomatic Implant Length Measurement Without Excessive Flap Release: A Human Cadaver Study
Onur Şahin1, Xhini Rizaj2, Okan Bilge3,4
1Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, İzmir Katip Çelebi University, İzmir, Türkiye.
The Journal of Craniofacial Surgery
|May 6, 2024
Summary
Determining zygomatic implant length is crucial. This study suggests a new method for zygomatic implant surgery, recommending implants be 5mm shorter than the depth probe
Area of Science:
- Oral and Maxillofacial Surgery
- Dental Implantology
- Anatomical Studies
Background:
- Accurate zygomatic implant length determination is critical for surgical success.
- Current methods may require excessive flap elevation, increasing surgical complexity.
Purpose of the Study:
- To establish an alternative, less invasive technique for measuring zygomatic implant length.
- To provide a reliable guideline for zygomatic implant placement without extensive flap manipulation.
Main Methods:
- Utilized 30 cadavers for anatomical measurements.
- Measured implant length by observing drill exit points and skin elevation via a depth probe without excessive flap elevation.
- Compared measurements with and without retractor placement at the zygomaticofrontal notch.
Main Results:
- The average difference between measurements was 5.41 ± 0.94 mm (range: 5-7.5 mm).
- A significant correlation was found between direct measurement and the depth probe technique.
Conclusions:
- Zygomatic implants should be placed at least 5 mm shorter than the depth indicated by the probe raising the skin over the zygomatic bone's lateral border.
- This technique offers a viable alternative for determining zygomatic implant length, minimizing flap elevation and surgical trauma.

