Computer-Aided Rehabilitation of Maxillary Oncological Defects Using Zygomatic Implants: A Defect-Based Classification

Accuracy of a real‐time surgical navigation system for the placement of quad zygomatic implants in the severe atrophic maxilla: A pilot clinical study

“…Combining the planned placement strategy with the visualized operative field, it can be observed that the real‐time surgical navigation system enables minimal deviations between the planned and placed trajectories. Many implant‐placement‐related studies, including three zygomatic implant studies, have indirectly shown the effective minimization of planned‐placed deviations by reporting the reduction of intraoperation and postoperation complications when using the real‐time surgical navigation system . However, two studies performed the planned‐placed deviations of implants that were placed in either models or cadavers, and one case report evaluated the deviations of three zygomatic implants that were placed in one patient .…”

“…Many implantplacement-related studies, including three zygomatic implant studies, have indirectly shown the effective minimization of planned-placed deviations by reporting the reduction of intraoperation and postoperation complications when using the real-time surgical navigation system. [7][8][9][10][11][12][13][14] However, two studies performed the planned-placed deviations of implants that were placed in either models or cadavers, 7,11 and one case report evaluated the deviations of three zygomatic implants that were placed in one patient. 14 Therefore, the aim herein was to investigate the clinical accuracy of a real-time surgical naviga-tion system on quad-zygomatic implant placement by measuring the deviations between the positions of the planned and placed implants.…”

Dört Farkli Tip Alveoler Defekte Sahip Maksillada Dörtlü Zigomatik İmplant Uygulamasinin Biyomekanik Etkilerinin Değerlendirilmesi

“…1 Özellikle onkolojik rezeksiyon yapılmış hastalar konuşma, çiğneme, yutma ve dolayısıyla hayat kalitesi bakımından ciddi problem yaşamaktadırlar. 2 Bu tür vakalarda, hastaya kaybolan oral fonksiyon ve estetiği geri kazandırmak amaçlı, nonvasküler flepler, lokal flepler, mikrovasküler free flepler, titanyum plak veya vidalarla uygulanan kemik greftleri, konvansiyonel protetik obtürator uygulaması veya zigomatik/dental implant-destekli obturatör protez uygulaması kullanılan tedavi alternatifleri arasında sayılabilmektedir. [3][4][5][6] Sayılan bu tedavi alternatifleri arasında greft kullanılarak alveolar defektin rekonstrüksiyonu her ne kadar etkin bir yöntem olarak literatüre sunulmuş olsa da, son zamanlarda bu cerrahi yöntemin komplikasyonları olması (donör saha morbiditesi vs.) ve uzun tedavi/ iyileşme zamanı gerektirmesi nedeniyle daha kısa sürede sonuç alınabilecek, pratik, iyileşme riski greftleme prosedürlerinden daha az olan tedavi alternatiflerine yönelme artmıştır.…”

The zygomatic implant perforated (ZIP) flap: a new technique for combined surgical reconstruction and rapid fixed dental rehabilitation following low-level maxillectomy

“…The case reported has been followed up for 18 months so far without evidence of zygomatic implant failure despite the use of radiotherapy. A recent review of conventional zygomatic implant surgery demonstrated that the incidence of failure after the 6-month stage was extremely low [ 8 ] although for zygomatic oncology implants, this data is not yet fully reported in the literature with the only data available on zygomatic oncology implants being limited to the work of Boyes-Valey [ 4 ], Pellegrino [ 10 ] and the authors themselves [ 6 ]. The removal of teeth at primary cancer surgery to facilitate placement of implants on the non-defect side requires careful consideration; where teeth are of poor prognosis with poor bone support, it is easier to extract, perform localised osteoplasty prior to the insertion of a conventional zygomatic implant with its inherent excellent stability and ability to be loaded early in the post-operative period.…”