Five Steps for the Maintenance and Interception of Complications in Zygomatic Implants

Abstract

Zygomatic implants are used for the rehabilitation of the upper jaw of patients with severe and moderate bone atrophy. Possible post-surgical complications include soft tissue dehiscence, sinusitis, and prosthodontic fractures, and maintaining an accurate control is crucial. Additionally, zygomatic implants have a unique peri-implant anatomy, making traditional periodontal parameters unsuitable. The present paper aims to provide guidelines for the maintenance and interception of complications in patients rehabilitated with these kinds of implants. The proposed protocol includes: 1. intra/extraoral and temporo-mandibular joint examination; 2. soft tissue and transmucosal path observation with magnifiers; 3. peri-implant health indices and digital stimulation of tissues; 4. examination of prosthodontic devices; and 5. photographic recording. These steps facilitate the comprehensive evaluation and monitoring of clinical conditions of zygomatic-supported rehabilitations, including dehiscence and occlusal wear during follow-up appointments.

Zygomatic Implant Rehabilitation: A Prosthodontic Driven Approach: A Review

“…Over an average of 69.3 months of followup, the mean survival prevalence for delayed load regimens was 95%. Maintenance 14 Compared to standard intraoral implants, zygomatic implants have a different periimplant anatomy because, in most cases, the palatal bone is absent and the vestibular portion of the implant is surrounded by soft tissues. This means that the stability of the implant is primarily provided by the zygoma-inserted implant apex.…”