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ISSN 2007-3178 (Print)
Asociación Mexicana de Cirugía Bucal y Maxilofacial, Colegio Mexicano de Cirugía Bucal y Maxilofacial, A.C.

2021, Number 2

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Rev Mex Cir Bucal Maxilofac 2021; 17 (2)

Rehabilitation of atrophic maxilla with zygomatic implants. Case report and literature review

Peña LJ, Cárcamo IOA, Velázquez VES, Vivanco PI, Navarro ZA, Flores ÁMG, Romero JG

Language: Spanish
References: 49
Page: 96-108
PDF size: 486.19 Kb.


ABSTRACT

Introduction: Aesthetic and functional rehabilitation in patients with sequelae due to resection of neoplasms, trauma or congenital malformations of the maxillofacial region, as well as patients with atrophic jaws due to other causes, is a challenge for maxillofacial surgeons and oral rehabilitators due to the limited quantity and quality of bone remaining in the residual maxillary alveolar process. Zygomatic implants are an effective and definitive option in the management of this type of patients and their objective is to provide retention in the posterior maxillary region, in a patient who is not a candidate for the placement of conventional implants due to maxillary atrophy, which will allow an integral rehabilitation with less morbidity and in less time, thus avoiding bone grafting procedures. Clinical case: We present the case of a 61-year-old female patient with a diagnosis of severe maxillary atrophy in zones 1-2-3 according to Bedrossian, who underwent a rehabilitation protocol with 4 zygomatic implants with immediate loading. Currently the patient is asymptomatic and awaiting definitive prosthesis. Conclusion: Zygomatic implants are a resource that provides a predictable and rapid solution to the problem of bone deficit as a result of maxillary atrophy or maxillectomy, the zygomatic implant does not entail greater prosthetic complexity for the patient and has shown superior clinical results compared to bone grafting, thus representing a new gold-standard in the treatment of compromised maxillary bones.


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