Indications for zygomatic implants: a systematic review

International Journal of Implant Dentistry

Review

Waldemar D. Polido¹  Agustin Machado-Fernandez²  Wei-Shao Lin³  Tara Aghaloo⁴ 

[1] Department of Oral and Maxillofacial Surgery, Indiana University School of Dentistry, Indianapolis, USA;Department of Oral and Maxillofacial Surgery, PUCRS School of Dentistry, Porto Alegre, RS, Brazil;Department of Prosthodontics, Indiana University School of Dentistry, Indianapolis, USA;Section of Oral and Maxillofacial Surgery, UCLA School of Dentistry, Los Angeles, CA, USA;

关键词: Zygomatic implants;    Zygoma implants;    Atrophic maxillae;    Zygoma;   

DOI  :  10.1186/s40729-023-00480-4

 received in 2023-02-06, accepted in 2023-05-09,  发布年份 2023

来源: Springer

【 摘 要 】

PurposeThe purpose of this systematic review was to assess the evidence regarding the indications for placement of zygomatic implants to rehabilitate edentulous maxillae.Material and methodsA focused question using the PIO format was developed, questioning “in patients in need of an implant-supported rehabilitation of the edentulous maxillae, what are the indications for the use of zygomatic implants’’. The primary information analyzed and collected was a clear description of the indication for the use of zygomatic implants.ResultsA total of 1266 records were identified through database searching. The full-text review was conducted for 117 papers, and 10 were selected to be included in this review. Zygomatic implant indications were extreme bone atrophy or deficiency secondary to different factors. The quad zygoma concept (two zygomatic implants bilaterally placed and splinted) was applied to 107 patients, the classic zygoma concept (one zygomatic implant bilaterally placed and splinted to standard anterior implants) was used in 88 patients, and the unilateral concept (one zygomatic implant on one side, splinted with one or more conventional implants) was employed in 14 patients.ConclusionsThe main indication for the use of zygomatic implants was considered extreme maxillary bone atrophy, resulting from many factors. The clear definition of what was considered “extreme bone atrophy” is not uniquely defined in each paper. Further studies are needed to develop clear indications for zygomatic implants.Graphic Abstract

【 授权许可】

CC BY   
© The Author(s) 2023

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