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Latin American Journal of Oral and Maxillofacial Surgery

ISSN 2992-7757 (Electronic)
Órgano de difusión de la Asociación Latinoamericana de Cirugía y Traumatología Bucomaxilofacial (ALACIBU)
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2025, Number 2

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Lat Am J Oral Maxillofac Surg 2025; 5 (2)

Zygomatic implant rehabilitation of a gunshot-induced maxillary defect: a case report

Esquivel-Martín S, Hernández-Alfaro F, Martínez-Garza A, Gallardo-Caudillo J, Vivero-Alcívar F
Full text How to cite this article 10.35366/121108

DOI

DOI: 10.35366/121108
URL: https://dx.doi.org/10.35366/121108

Language: Spanish
References: 13
Page: 48-53
PDF size: 384.39 Kb.


Key words:

zygomatic implant, gunshot wounds, maxilla, implant-supported dental prosthesis.

ABSTRACT

Introduction: facial gunshot wounds often cause severe maxillofacial trauma with tissue loss. Patients with maxillary defects following avulsive injuries and ablative surgery can present a challenging scenario for the surgeon, and more complex options should be considered like zygomatic implant-supported prosthesis. Description of case: this report presents a 45 years old patient with absence of teeth 14 to 17 and a maxillary defect after a gunshot injury who was rehabilitated with a zygomatic implant-supported prosthesis with virtual planning. The primary goal of any reconstructive procedure is to restore patients to their premorbid form and function and ideally, this should be done in the least invasive way that affords the patient a successful outcome. Introduced by Branemark, Zygomatic implants are anchored in the zygomatic bone, often eliminating the need for bone augmentation. Zygomatic implants offers high success rates, reduced treatment time and morbidity compared to bone grafting, and provides stable support for various prostheses. Conclusion: zygomatic implants offer a viable treatment option for patients with extensive maxillary bone loss secondary to gunshot injuries improving the quality of life in patients with complex maxillofacial defects.


REFERENCES

  1. Maia ABP, Assis SG, Ribeiro FML, Pinto LW. The marks of gunshot wounds to the face. Braz J Otorhinolaryngol. 2021; 87 (2): 145-151.

  2. Weyh A, Quimby A, Salman S. Zygomatic implants in avulsive and ablative defects. Vol. 29. Atlas of the Oral and Maxillofacial Surgery Clinics of North America. W.B. Saunders; 2021. p. 271-276.

  3. Alterman M, Fleissig Y, Casap N. Zygomatic implants: placement considerations in implant-supported maxillary prosthesis. Vol. 29. Atlas of the Oral and Maxillofacial Surgery Clinics of North America. W.B. Saunders; 2021. p. 173-183.

  4. Aparicio C, Polido WD, Zarrinkelk HM. The zygoma anatomy-guided approach for placement of zygomatic implants. Vol. 29. Atlas of the Oral and Maxillofacial Surgery Clinics of North America. W.B. Saunders; 2021. p. 203-231.

  5. Riley DS, Barber MS, Kienle GS, Aronson JK, von Schoen-Angerer T, Tugwell P, et al. CARE guidelines for case reports: explanation and elaboration document. J Clin Epidemiol. 2017; 89: 218-235. Disponible en: https://pubmed.ncbi.nlm.nih.gov/28529185/

  6. Davó R, Fan S, Wang F, Wu Y. Long-term survival and complications of Quad Zygoma Protocol with Anatomy-Guided Approach in severely atrophic maxilla: A retrospective follow-up analysis of up to 17 years. Clin Implant Dent Relat Res. 2024; 26 (2): 343-355.

  7. Andre A, Dym H. Zygomatic implants: a review of a treatment alternative for the severely atrophic maxilla. Vol. 29. Atlas of the Oral and Maxillofacial Surgery Clinics of North America. W.B. Saunders; 2021. p. 163-172.

  8. Goiato MC, Pellizzer EP, Moreno A, Gennari-Filho H, Dos Santos DM, Santiago JF, et al. Implants in the zygomatic bone for maxillary prosthetic rehabilitation: a systematic review. Int J Oral Maxillofac Surg. 2014; 43 (6): 748-757.

  9. Agliardi EL, Romeo D, Panigatti S, de Araújo Nobre M, Maló P. Immediate full-arch rehabilitation of the severely atrophic maxilla supported by zygomatic implants: a prospective clinical study with minimum follow-up of 6 years. Int J Oral Maxillofac Surg. 2017; 46 (12): 1592-1599.

  10. Rosenstein J, Dym H. Zygomatic implants: a solution for the atrophic maxilla. Vol. 64. Dental Clinics of North America. W.B. Saunders; 2020. p. 401-409.

  11. Bedrossian E. Zygomatic implants operative consideration to minimize technical errors, complications, and their management. Vol. 29. Atlas of the Oral and Maxillofacial Surgery Clinics of North America. W.B. Saunders; 2021. p. 277-289.

  12. Bedrossian E. Rehabilitation of the edentulous maxilla with the zygoma concept: a 7-year prospective study. Int J Oral Maxillofac Implants. 2010; 25 (6): 1213-1221. Disponible en: https://pubmed-ncbi-nlm-nih-gov.pbidi.unam.mx:2443/21197500/

  13. Vega LG, Border M. Zygomatic implants in combination with dental implants. Vol. 29. Atlas of the Oral and Maxillofacial Surgery Clinics of North America. W.B. Saunders; 2021. p. 233-241.




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Lat Am J Oral Maxillofac Surg. 2025;5