Pineau Mallouel, Nicot Romain, Lauwers Ludovic, Ferri Joël, Raoul Gwénaël
Département Universitaire de Chirurgie Maxillo-faciale et Stomatologie, Hôpital Roger Salengro CHU Lille, Université de Lille, France
A.I.M.O.M.: Association Internationale de Médecine Orale et Maxillo-faciale
Swiss Dent J. 2018 Sep 10;128(9):689-693. doi: 10.61872/sdj-2018-09-02.
Prosthetic rehabilitation of the atrophic edentulous maxilla is a challenge for which zygomatic implants (ZI) stand out from traditional techniques (aiming to increase bone volume) with reduced treatment duration and immediate loading. The aim of this study was to review the ZI treatment plan and its surgical technique based on a series of nine edentulous atrophic maxillary cases. Implant survival rate and postoperative follow-up were reported as well as those described in the literature. The advantages and disadvantages of ZI versus traditional methods of rehabilitation in our daily work were also discussed. Implant survival rate was 100% over follow-up periods varying from 5 to 47 months. During postoperative follow-up, two patients presented with slight palate inflammation. The results obtained with zygomatic implants are satisfactory in terms of reproducibility and speed of rehabilitation of the maxillary. When the patient wishes a fixed prosthetic rehabilitation, the solution provided by the ZI becomes more common in the daily practice of the clinician.
萎缩性无牙上颌骨的修复重建是一项挑战,在这方面颧骨种植体(ZI)相对于传统技术(旨在增加骨量)具有突出优势,可缩短治疗时间并实现即刻负重。本研究的目的是基于一系列9例无牙萎缩性上颌骨病例,回顾颧骨种植体的治疗方案及其手术技术。报告了种植体存活率和术后随访情况,以及文献中描述的相关内容。还讨论了颧骨种植体与传统修复方法相比在我们日常工作中的优缺点。在5至47个月的随访期内,种植体存活率为100%。术后随访期间,有2例患者出现轻微的腭部炎症。就上颌骨修复的可重复性和速度而言,颧骨种植体取得的结果令人满意。当患者希望进行固定修复时,颧骨种植体提供的解决方案在临床医生的日常实践中变得更为常见。