Major clinical outcomes for optimization of zygomatic implants: a systematic review

• Autor(a) principal: Guanuchi, Daniel Mauricio Moyon
• Data de Publicação: 2022
• Outros Autores: Vera, Eumeny Daniel Álava, Manzini, Régis, Cicareli, Alvaro José, Kassis, Elias Naim
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: MedNEXT Journal of Medical and Health Sciences
• Texto Completo: https://mednext.zotarellifilhoscientificworks.com/index.php/mednext/article/view/201
• topic: Implants; Zygomatic Implant; Quad zygomatic implants; Immediate loading; Survival; Clinical trials

Introduction: In the context of implantology, the rehabilitation of an atrophic maxilla is a challenge. In case of severe resorption, zygomatic implants (ZI) are indicated and loading of the implants is advised at the end of the surgery. Also, quad zygomatic implants have been used as a treatment option for patients with severely resorbed maxilla. Objective: The present study aimed to carry out a systematic review of the main approaches and clinical outcomes of zygomatic implantation in the last ten years. Methods: The present study followed the PRISMA rules and a model of literary review presenting and publishing case series, prospective, retrospective, randomized, double-blind, placebo-controlled trials in humans with a time of the last ten years were selected and analyzed. Results and Conclusion: Under the objective proposed in this study, it was concluded that the ZI has a high 12-year cumulative survival rate, with most failures occurring in the early stages of the postoperative period. Furthermore, the zygomatic bone is a viable site for zygomatic implants and the use of specialized implant planning software is an important tool to achieve predictable results for ZI. Preliminary data one year after loading suggest that immediately loaded ZIs were associated with fewer prosthetic failures, fewer implant failures, and shorter time required for functional loading.