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Review
Published: 07-12-2022

Major clinical outcomes for optimization of zygomatic implants: a systematic review

CENTRAL UNIVERSITY OF ECUADOR, Faculty of Dentistry, Quito, Ecuador / UNORTE - University Center of Northern São Paulo - Dentistry department, Sao Jose do Rio Preto, Sao Paulo, Brazil / UNIPOS - Post graduate and continuing education, Dentistry department, Sao Jose do Rio Preto, Sao Paulo, Brazil
PRIVATE SAN GREGORIO UNIVERSITY OF PORTOVIEJO, Portoviejo, Ecuador / UNORTE - University Center of Northern São Paulo - Dentistry department, Sao Jose do Rio Preto, Sao Paulo, Brazil / UNIPOS - Post graduate and continuing education, Dentistry department, Sao Jose do Rio Preto, Sao Paulo, Brazil
UNORTE - University Center of Northern São Paulo - Dentistry department, Sao Jose do Rio Preto, Sao Paulo, Brazil / UNIPOS - Post graduate and continuing education, Dentistry department, Sao Jose do Rio Preto, Sao Paulo, Brazil
UNORTE - University Center of Northern São Paulo - Dentistry department, Sao Jose do Rio Preto, Sao Paulo, Brazil / UNIPOS - Post graduate and continuing education, Dentistry department, Sao Jose do Rio Preto, Sao Paulo, Brazil
UNORTE - University Center of Northern São Paulo - Dentistry department, Sao Jose do Rio Preto, Sao Paulo, Brazil / UNIPOS - Post graduate and continuing education, Dentistry department, Sao Jose do Rio Preto, Sao Paulo, Brazil
Implants Zygomatic Implant Quad zygomatic implants Immediate loading Survival Clinical trials

Abstract

Introduction: In the context of implantology, the rehabilitation of an atrophic maxilla is a challenge. In case of severe resorption, zygomatic implants (ZI) are indicated and loading of the implants is advised at the end of the surgery. Also, quad zygomatic implants have been used as a treatment option for patients with severely resorbed maxilla. Objective: The present study aimed to carry out a systematic review of the main approaches and clinical outcomes of zygomatic implantation in the last ten years. Methods: The present study followed the PRISMA rules and a model of literary review presenting and publishing case series, prospective, retrospective, randomized, double-blind, placebo-controlled trials in humans with a time of the last ten years were selected and analyzed. Results and Conclusion: Under the objective proposed in this study, it was concluded that the ZI has a high 12-year cumulative survival rate, with most failures occurring in the early stages of the postoperative period. Furthermore, the zygomatic bone is a viable site for zygomatic implants and the use of specialized implant planning software is an important tool to achieve predictable results for ZI. Preliminary data one year after loading suggest that immediately loaded ZIs were associated with fewer prosthetic failures, fewer implant failures, and shorter time required for functional loading.

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How to Cite

Guanuchi, D. M. M., Vera, E. D. Álava, Manzini, R., Cicareli, A. J., & Kassis, E. N. (2022). Major clinical outcomes for optimization of zygomatic implants: a systematic review. MedNEXT Journal of Medical and Health Sciences, 3(S4). https://doi.org/10.54448/mdnt22S409