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. 2021 Feb 26;7(1):17.
doi: 10.1186/s40729-021-00297-z.

Full arch rehabilitation in patients with atrophic upper jaws with zygomatic implants: a systematic review

Ana Helena Pereira Gracher  1 , Marcos Boaventura de Moura  2 , Patrícia da Silva Peres  1 , Geninho Thomé  3 , Luís Eduardo Marques Padovan  3 , Larissa Carvalho Trojan  3
Affiliations

Full arch rehabilitation in patients with atrophic upper jaws with zygomatic implants: a systematic review

Ana Helena Pereira Gracher et al. Int J Implant Dent. .

Abstract

Background: The main objective of this systematic review was to present the outcomes of the treatment with zygomatic implants (ZIs) in the rehabilitations of atrophic upper jaw.

Findings: An electronic database search in PubMed, along with a manual search, taking into account language and study period, was performed by two observers; any type of clinical trial and series that included the use of ZIs was used. In the search strategy, the following search terms were used: zygom* AND dental (Implant OR implants) AND edentulous NOT (biomechanic* OR finite element) NOT cadaver. The search was limited to English language, full text, and humans. Literature reviews and clinical case reports were not considered. Forty-two articles published between March 2003 and April 2019 were included in this analysis. The cases of 1247 patients were recovered; these patients received 2919 ZIs. Fifty-two ZIs were removed during the follow-up time. The survival rate of these implants was 98.22%, with a minimum follow-up of 1 month and a maximum of 228 months. Different surgical techniques were used to place ZIs; however, the intrasinusal technique was the most used (23 studies). Post-surgical sinusitis was the most common complication reported in the studies (39 cases).

Conclusions: Based on this review, ZIs were commonly used for rehabilitation of patients with atrophic upper jaw. The survival rates presented were high, and the surgical technique is dependent on the professional experience and the local anatomy. However, it needed additional clinical evidence on bone resorption, esthetic outcomes, and physiological characteristics.

Keywords: Full arch rehabilitation; Implant; Prosthetic rehabilitation; Surgery; Zygomatic implant.

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Conflict of interest statement

The authors work in the company that manufactures the implants and components (Neodent) but affirm that they have no direct or indirect financial interest in the products or information listed in the article.

Figures

Fig. 1
Fig. 1
PRISMA flowchart in this systematic review
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