The aim of this retrospective study was to evaluate the outcomes of simultaneous LeFort I osteotomy and zygomatic/dental implant placement for oral rehabilitation of patients with extremely atrophic/dys-morphic edentulous maxilla. Simultaneous LeFort I osteotomy and zygomatic/dental implant placement was performed with patient-specific anatomical models and surgical guides produced through three-dimensional virtual planning methods. All patients received their final prosthesis, with immediate loading, on the day after surgery. The primary outcome variables were the implant survival rate, and the incidence of intra/ postoperative complications. In total, 15 zygomatic implants and 33 conventional dental implants were inserted in eight patients. The mean follow-up of the patients was 38.5 months. The implant survival rate was 93.3% for zygomatic implants and 100% for dental implants. No intra/postoperative complications were observed. Simultaneous LeFort I osteotomy associated with zygomatic/dental implant surgery can be consid-ered as a valuable treatment option for rehabilitation of patients with extremely atrophic edentulous maxilla and esthetic issues of the face. (c) 2021 European Association for Cranio-Maxillo-Facial Surgery.

Simultaneous Le Fort I osteotomy and zygomatic implant placement / F. Grecchi, E. Grecchi, M. Del Fabbro, F. Goker. - In: JOURNAL OF CRANIO-MAXILLOFACIAL SURGERY. - ISSN 1010-5182. - 50:2(2022 Feb), pp. 114-123. [10.1016/j.jcms.2021.12.003]

Simultaneous Le Fort I osteotomy and zygomatic implant placement

E. Grecchi
Secondo
;
M. Del Fabbro;F. Goker
Ultimo
2022

Abstract

The aim of this retrospective study was to evaluate the outcomes of simultaneous LeFort I osteotomy and zygomatic/dental implant placement for oral rehabilitation of patients with extremely atrophic/dys-morphic edentulous maxilla. Simultaneous LeFort I osteotomy and zygomatic/dental implant placement was performed with patient-specific anatomical models and surgical guides produced through three-dimensional virtual planning methods. All patients received their final prosthesis, with immediate loading, on the day after surgery. The primary outcome variables were the implant survival rate, and the incidence of intra/ postoperative complications. In total, 15 zygomatic implants and 33 conventional dental implants were inserted in eight patients. The mean follow-up of the patients was 38.5 months. The implant survival rate was 93.3% for zygomatic implants and 100% for dental implants. No intra/postoperative complications were observed. Simultaneous LeFort I osteotomy associated with zygomatic/dental implant surgery can be consid-ered as a valuable treatment option for rehabilitation of patients with extremely atrophic edentulous maxilla and esthetic issues of the face. (c) 2021 European Association for Cranio-Maxillo-Facial Surgery.
3D virtual surgical planning; Atrophic maxilla; Dental implant; Immediate loading; Le fort I osteotomy; Oral rehabilitation; Orthognathic surgery; Zygomatic implant; Dental Implantation, Endosseous; Dental Prosthesis, Implant-Supported; Follow-Up Studies; Humans; Maxilla; Osteotomy; Retrospective Studies; Treatment Outcome; Zygoma; Dental Implants; Jaw, Edentulous
Settore MED/50 - Scienze Tecniche Mediche Applicate
Settore MED/29 - Chirurgia Maxillofacciale
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/935859
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