Zygomatic Implant: State of the Art

Álvaro José Cicareli,Luciano Rodrigues Neves,Priscilla Janaína De Lima Borelli Bovo,Elias Naim Kassis,Rogério Luiz De Araújo Vian,Marcelo Henrique Batista Santos,Henrique Esteves Magalhães

doi:10.34256/mdnt2137

Álvaro José Cicareli, Luciano Rodrigues Neves + Show 5 more

Open Access

https://doi.org/10.34256/mdnt2137

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Abstract

 Introduction: In the dental implant scenario, the rehabilitation of the maxilla severely reabsorbed with endosseous implants remains a challenge. There are less aggressive alternatives, including short implants, inclined implants, and especially zygomatic (ZI) implants. In cases where the height and width of the residual bone do not allow the placement of conventional dental implants, the ZI can be considered. Objective: Conducted a concise systematic review to analyze the main literary findings on the use of the zygomatic implant as an important alternative for a dental implant, to present the state of the art to the dental community. Methods: The present study followed a concise systematic review model. The search was carried out in the PubMed, Embase, Ovid, Cochrane Library, Web Of Science, and Scopus databases. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results and Conclusion: Zygomatic implants appear to be a consolidated therapeutic option for significantly atrophic maxilla, offering a promising alternative to costly heavy bone graft techniques, fewer complications, less time for rehabilitation, less required prosthodontic work, and significantly higher survival rates. Thus, the zygomatic implant is revolutionizing the implant procedure in the posterior atrophic maxilla, eliminating the complications of bone augmentation and sinus elevation, with delayed healing, showing better clinical results compared to the bone graft, pointing to a possible gold standard for a dental implant.

Highlights

In the dental implant scenario, the rehabilitation of the maxilla severely reabsorbed with endosseous implants remains a challenge
In cases where the height and width of the residual bone do not allow the placement of conventional dental implants, the zygomatic implants (ZIs) can be considered
The zygomatic implant is revolutionizing the implant procedure in the posterior atrophic maxilla, eliminating the complications of bone augmentation and sinus elevation, with delayed healing, showing better clinical results compared to the bone graft, pointing to a possible gold standard for a dental implant

Summary

Introduction

In the dental implant scenario, the rehabilitation of the maxilla severely reabsorbed with endosseous implants remains a challenge. In cases where the height and width of the residual bone do not allow the placement of conventional dental implants, the ZI can be considered. Results and Conclusion: Zygomatic implants appear to be a consolidated therapeutic option for significantly atrophic maxilla, offering a promising alternative to costly heavy bone graft techniques, fewer complications, less time for rehabilitation, less required prosthodontic work, and significantly higher survival rates. There are less aggressive alternatives, including short implants, inclined implants, and especially zygomatic implants (ZI) [6,7] In this sense, in cases where the height and width of the residual bone do not allow the placement of conventional dental implants, the ZI can be considered. Conventional grafting with autogenous bone has been considered the "gold standard" in the treatment of extremely atrophic jaws, but due to the high failure rates of 10-30%, additional time, and higher costs, the development and introduction of a new standard with results superior clinical trials is essential [9,10]

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