Patient-Reported Outcomes With Immediate-Loaded Zygomatic Implant Fixed Rehabilitation in Patients With Edentulous...

Area of Science:

• Oral and Maxillofacial Surgery
• Dental Implantology
• Prosthodontics

Background:

• Atrophic edentulous maxillae present significant challenges for dental rehabilitation.
• Zygomatic implants offer a solution for severe maxillary atrophy.
• Immediate loading protocols aim to reduce treatment time and improve patient experience.

Purpose of the Study:

• To evaluate patient satisfaction and expectation fulfillment with immediate-loaded zygomatic implant-supported fixed rehabilitation.
• To assess the impact of this rehabilitation on various functional and aesthetic aspects.
• To determine predictors of satisfaction in patients with atrophic maxillae.

Main Methods:

• A cohort of 22 patients with atrophic edentulous maxillae received immediate-loaded zygomatic implants.
• Patient expectations and satisfaction were measured using a 100-mm visual analog scale (VAS).
• Data analysis included descriptive statistics and generalized estimating equations.

Main Results:

• Most patients reported high pre-treatment expectations (VAS > 90) across general satisfaction, aesthetics, chewing, speech, and social life.
• At 6 months, high satisfaction was observed (VAS > 90) in general (72%), aesthetics (77%), chewing (72%), speech (66%), and social life (72%).
• A statistically significant increase in chewing satisfaction was noted from 2 weeks to 6 months (p=0.025). Satisfaction with speech, aesthetics, and social life correlated with pre-treatment expectations. Age and sex did not influence satisfaction levels.

Conclusions:

• Immediate-loaded zygomatic implant-supported fixed rehabilitation effectively meets and exceeds patient expectations.
• This treatment modality provides high levels of satisfaction for patients with atrophic edentulous maxillae.
• All participants would recommend the procedure, highlighting its clinical efficacy and patient acceptance.