Prosthodontic Management of Maxillectomy Patients with Dental Implants in Residual Zygomatic Bone: A Preliminary Report

被引:6
作者
El-Sayed, Wegdan Muhammad [1 ]
Gad, Muhammad Ahmed [1 ]
Medra, Ahmed Muhammad [1 ]
机构
[1] Univ Alexandria, Fac Dent, Alexandria, Egypt
关键词
MIDFACIAL PROSTHETIC REHABILITATION; FOLLOW-UP; RECONSTRUCTION; ANCHORAGE;
D O I
10.11607/ijp.3598
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Purpose: This report describes the 3-year follow-up of clinical and radiographic evaluation of soft and hard tissue outcomes for dental implants placed in residual zygoma in patients with surgical resections. Obturator retention and support, together with a questionnaire evaluation of the patients' satisfaction before and after insertion of implants, also were carried out. Materials and Methods: A novel approach to the palatomaxillary reconstruction of eight maxillectomy patients (mean age: 40 years) using dental implants inserted into the remaining zygomatic bone on the affected side and left unloaded for 3 months is described. Ball (O-ring) abutments were used with acrylic resin soft tissue conformers after surgical soft tissue thinning above the implants. All patients were radiographically evaluated and clinically documented at regular follow-up appointments. Results: The 3-year follow-up period showed no implant failures, stable pen-implant soft tissue level, and an increase in all of the patients' satisfaction with their implant-supported obturators. Conclusions: Osseointegrated implants in residual zygomas are an integral part of oral rehabilitation strategies, with minimal cost and complications, for maxillectomy patients. This short-term record underscores both the potential of such management interventions and the importance of even longer-term clinical outcome documentation.
引用
收藏
页码:534 / 540
页数:7
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