Skip to main content Skip to main navigation menu Skip to site footer
Review
Published: 04-04-2022

Zygomatic implant: major considerations in the COVID-19 pandemic

Clínica Dental STY. Av. 9 de Octubre y Av. Ignacio de Veintimilla. Torre B sexto piso Quito – Ecuador; UNORP - University Center North Paulista - Sao Jose do Rio Preto, Sao Paulo, Brazil; UNIPOS - Post graduate and continuing education, Sao Jose do Rio Preto, Sao Paulo, Brazil
Centro Odontologico Odan Dental, Guayaquil - Ecuador; UNORP - University Center North Paulista - Sao Jose do Rio Preto, Sao Paulo, Brazil; UNIPOS - Post graduate and continuing education, Sao Jose do Rio Preto, Sao Paulo, Brazil
Clínica Integral y Estética, Cotocollao, Quito, Ecuador; UNORP - University Center North Paulista - Sao Jose do Rio Preto, Sao Paulo, Brazil; UNIPOS - Post graduate and continuing education, Sao Jose do Rio Preto, Sao Paulo, Brazil
UNORP - University Center North Paulista - Sao Jose do Rio Preto, Sao Paulo, Brazil; UNIPOS - Post graduate and continuing education, Sao Jose do Rio Preto, Sao Paulo, Brazil
Zygomatic Implant Implants Dental care Pandemic COVID-19 Guidelines

Abstract

Introduction: The dissemination of COVID-19 has presented significant challenges for dentistry. In this context, dental care during the pandemic is challenging due to the high risk of infection. In this scenario of infections and the COVID-19 pandemic, there are huge concerns in dental implant procedures, especially zygomatic implants (ZI), which need to be performed for several reasons, mainly to improve the quality of life of patients. Objective: The present study performed a brief systematic review of zygomatic implantation in the context of the COVID-19 pandemic, to highlight the main challenges and guideline-based safety strategies. Methods: The research was carried out from May 2021 to June 2021 and developed based on Scopus, PubMed, Science Direct, Scielo, and Google Scholar, following the Systematic Review-PRISMA rules. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results: European guidelines and expert opinion showed on the control and prevention of infections in dentistry during the pandemic. As the guidelines were not based on solid evidence, they were supplemented by expert opinion on the control and prevention of infections in dentistry. The type of personal protective equipment provided by the dental team must be appropriate for the procedure and the risk of infection. the American Academy of Implant Dentistry (AAID) points to the issues listed as “What constitutes a dental implant-related emergency?; How should patients be screened and screened?; What personal protective equipment is needed?; How should operators be equipped?; What equipment should be used?; What, when, and how can procedures be performed?” Conclusion: In this current context of general care with dental procedures, especially with ZI, clinical studies show how these safety measures against COVID-19 are important, as ZI involves important surgical management.

Metrics

Metrics Loading ...

References

  1. Kadkhodazadeh M, Amid R, Moscowchi A. Does COVID-19 Affect Periodontal and Peri-Implant Diseases? J Long Term Eff Med Implants. 2020;30(1):1-2. doi: 10.1615/JLongTermEffMedImplants.2020034882. PMID: 33389910.
  2. Becker K, Brunello G, Gurzawska-Comis K, Becker J, Sivolella S, Schwarz F, Klinge B. Dental care during COVID-19 pandemic: Survey of experts' opinion. Clin Oral Implants Res. 2020 Dec;31(12):1253-1260. doi: 10.1111/clr.13676. Epub 2020 Oct 30. PMID: 33047356; PMCID: PMC7675432.
  3. Migliorança RM, Irschlinger AL, Peñarrocha-Diago M, Fabris RR, Javier Aizcorbe-Vicente and Zotarelli Filho IJ. History of zygomatic implants: A systematic review and meta-analysis. Dent Oral Craniofac Res, 2019 [doi: 10.15761/DOCR.1000289].
  4. Rinaldi M, Ganz SD. Computer-Guided Approach for Placement of Zygomatic Implants: Novel Protocol and Surgical Guide. Compend Contin Educ Dent. 2019 Mar;40(3):e1-e4.
  5. Wang H, Hung K, Zhao K, Wang Y, Wang F, Wu Y. Anatomical analysis of zygomatic bone in ectodermal dysplasia patients with oligodontia. Clin Implant Dent Relat Res. 2019 Apr;21(2):310-316. doi: 10.1111/cid.12731. Epub 2019 Feb 21.
  6. Merli M, Moscatelli M, Pagliaro U, Mariotti G, Merli I, Nieri M. Implant prosthetic rehabilitation in partially edentulous patients with bone atrophy. An umbrella review based on systematic reviews of randomised controlled trials. Eur J Oral Implantol. 2018;11(3):261-280.
  7. Aboul-Hosn Centenero S, Lázaro A, Giralt-Hernando M, Hernández-Alfaro F. Zygoma Quad Compared With 2 Zygomatic Implants: A Systematic Review and Meta-analysis. Implant Dent. 2018, Jan 29.
  8. Pineau M, Nicot R, Lauwers L, Ferri J, Raoul G. Zygomatic implants in our daily practice. Part II: Prosthetic rehabilitation and effect on quality of life. Swiss Dent J. 2018 Sep 10;128(9):694-700.
  9. Pineau M, Nicot R, Lauwers L, Ferri J, Raoul G. Zygomatic implants in our daily practice. Part I: Treatment Plan and Surgical Technique. Swiss Dent J. 2018 Sep 10;128(9):689-693.
  10. Tuminelli FJ, Walter LR, Neugarten J, Bedrossian E. Immediate loading of zygomatic implants: A systematic review of implant survival, prosthesis survival and potential complications. Eur J Oral Implantol. 2017;10 Suppl 1:79-87.
  11. Molinero-Mourelle P, Baca-Gonzalez L, Gao B, Saez-Alcaide LM, Helm A, Lopez-Quiles J. Surgical complications in zygomatic implants: A systematic review. Med Oral Patol Oral Cir Bucal. 2016 Nov 1;21(6):e751-e757.
  12. Wu Y, Zhang C, Squarize CH, Zou D. Oral Rehabilitation of Adult Edentulous Siblings Severely Lacking Alveolar Bone Due to Ectodermal Dysplasia: A Report of 2 Clinical Cases and a Literature Review. J Oral Maxillofac Surg. 2015, 73(9):1733.e1-12.
  13. Lopes, L.F., et al., Placement of dental implants in the maxillary tuberosity: a systematic review. Int J Oral Maxillofac Surg. 2015, 44(2): p. 229-38. 21.
  14. Ozaki H, Ishikawa S, Kitabatake K, Yusa K, Sakurai H, Iino M. Functional and aesthetic rehabilitation with maxillary prosthesis supported by two zygomatic implants for maxillary defect resulting from cancer ablative surgery: a case report/technique article. Odontology. 2015.
  15. Takamaru N, Nagai H, Ohe G, Tamatani T, Sumida K, Kitamura S, Miyamoto Y. Measurement of the zygomatic bone and pilot hole technique for safer insertion of zygomaticus implants. Int J Oral Maxillofac Surg. 2015.
  16. Monteiro, D.R., et al. Posterior partially edentulous jaws, planning a rehabilitation with dental implants. World J Clin Cases, 2015. 3(1): p. 65- 76. 2.
  17. Yates, J.M., et al. Treatment of the edentulous atrophic maxilla using zygomatic implants: evaluation of survival rates over 5-10 years. Int J Oral Maxillofac Surg. 2014, 43(2): p. 237-42.
  18. Goiato, M.C., et al. Implants in the zygomatic bone for maxillary prosthetic rehabilitation: a systematic review. Int J Oral Maxillofac Surg. 2014, 43(6): p. 748-57. 12.
  19. Fernandez H., et al. Zygomatic implants for the management of the severely atrophied maxilla: a retrospective analysis of 244 implants. J Oral Maxillofac Surg. 2014, 72(5): p. 887-91.
  20. Brånemark PI, Gröndahl K, Ohrnell LO, Nilsson P, Petruson B, Svensson B, Engstrand P, Nannmark U. Zygoma fixture in the management of advanced atrophy of the maxilla: technique and long-term results. Scand J Plast Reconstr Surg Hand Surg. 2004;38:70-85.
  21. Aparicio C., et al. Zygomatic implants: indications, techniques and outcomes, and the zygomatic success code. Periodontol. 2014, 66(1): p. 41-58. 16.
  22. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 2021; 372 doi: https://doi.org/10.1136/bmj.n71
  23. H Balshem H, Grade guidelines: 3 ratng the quality of evidence. Journal of Clinical Epidemiology, Maryland Heights, 64 (4) (2011) 401-406.
  24. Higgins, S Green, Cochrane Handbook for Systematic Reviews of Interventions. Version 5.1.0 [updated March 2011]. The Cochrane Collaboration; 2011.
  25. Rutkowski JL, Camm DP, El Chaar E. AAID White Paper: Management of the Dental Implant Patient During the COVID-19 Pandemic and Beyond. J Oral Implantol. 2020 Oct 1;46(5):454-466. doi: 10.1563/aaid-joi-D-20-00316. PMID: 32882035.
  26. Brunello G, Gurzawska-Comis K, Becker K, Becker J, Sivolella S, Schwarz F, Klinge B. Dental care during COVID-19 pandemic: follow-up survey of experts' opinion. Clin Oral Implants Res. 2021 Jun 30. doi: 10.1111/clr.13783. Epub ahead of print. PMID: 34196051.
  27. Becker K, Brunello G, Gurzawska-Comis K, Becker J, Sivolella S, Schwarz F, Klinge B. Dental care during COVID-19 pandemic: Survey of experts' opinion. Clin Oral Implants Res. 2020 Dec;31(12):1253-1260. doi: 10.1111/clr.13676. Epub 2020 Oct 30. PMID: 33047356; PMCID: PMC7675432.
  28. Davó R, Felice P, Pistilli R, Barausse C, Marti-Pages C, Ferrer-Fuertes A, Ippolito DR, Esposito M. Immediately loaded zygomatic implants vs conventional dental implants in augmented atrophic maxillae: 1-year post-loading results from a multicentre randomised controlled trial. Eur J Oral Implantol. 2018;11(2):145-161.
  29. Esposito M, Davó R, Marti-Pages C, Ferrer-Fuertes A, Barausse C, Pistilli R, Ippolito DR, Felice P. Immediately loaded zygomatic implants vs conventional dental implants in augmented atrophic maxillae: 4 months post-loading results from a multicentre randomised controlled trial. Eur J Oral Implantol. 2018;11(1):11-28.
  30. Esposito M, Barausse C, Balercia A, Pistilli R, Ippolito DR, Felice P. Conventional drills vs piezoelectric surgery preparation for placement of four immediately loaded zygomatic oncology implants in edentulous maxillae: results from 1-year split-mouth randomised controlled trial. Eur J Oral Implantol. 2017;10(2):147-158.
  31. Chana H, Smith G, Bansal H, Zahra D. A Retrospective Cohort Study of the Survival Rate of 88 Zygomatic Implants Placed Over an 18-year Period. Int J Oral Maxillofac Implants. 2019 Mar/Apr;34(2):461-470. doi: 10.11607/jomi.6790.
  32. Alqutaibi AY, Aboalrejal A. Zygomatic Implants Are a Reliable Treatment Option for Patients With Atrophic Maxilla. J Evid Based Dent Pract. 2017 Dec;17(4):402-404.

How to Cite

López, S., Alvarez, O., Sánchez, C., & Kassis, E. N. (2022). Zygomatic implant: major considerations in the COVID-19 pandemic. MedNEXT Journal of Medical and Health Sciences, 3(S1). https://doi.org/10.54448/mdnt22S102