Feasibility of using zygomatic and short implants in a borderline case: case report
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Brazilian Journal of Implantology and Health Sciences |
Texto Completo: | https://bjihs.emnuvens.com.br/bjihs/article/view/832 |
Resumo: | The process of bone remodeling that occurs after tooth loss is responsible for the decrease in bone availability, which is considered a key factor for success in rehabilitation with dental implants. The loss of bone quality and quantity combined with pneumatization of the maxillary sinus are factors that limit the rehabilitation of the maxilla. Rehabilitation of the mandible is usually difficult due to bone loss in height, and positioning of the inferior alveolar nerve (IAN) that hinders the placement of conventional implants in posterior region. In this case report, we present a follow-up of total rehabilitation of the maxillary arch with placement of zygomatic implants associated with conventional implants in the anterior region (14 years of follow-up), treatment evolution of the mandibular arch through short implants until its failure and removal (after 11 years), and rehabilitation with full-arch prosthesis with 29 months of follow-up. It was observed in this clinical case a great predictability and reliability in rehabilitation with zygomatic implants, as well as a limitation of rehabilitation involving borderline events with short implants, which - despite their failure - can be indicated in cases of conservative treatments that postpone the indication of full mouth extraction and total rehabilitation with implants. |
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Brazilian Journal of Implantology and Health Sciences |
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Feasibility of using zygomatic and short implants in a borderline case: case reportViabilidade do uso de implantes zigomáticos e implantes curtos em caso limítrofe: relato de casoImplante ZigomáticoImplante curtoAtrofia ósseaZigomatic ImplantShort implantBone atrophyThe process of bone remodeling that occurs after tooth loss is responsible for the decrease in bone availability, which is considered a key factor for success in rehabilitation with dental implants. The loss of bone quality and quantity combined with pneumatization of the maxillary sinus are factors that limit the rehabilitation of the maxilla. Rehabilitation of the mandible is usually difficult due to bone loss in height, and positioning of the inferior alveolar nerve (IAN) that hinders the placement of conventional implants in posterior region. In this case report, we present a follow-up of total rehabilitation of the maxillary arch with placement of zygomatic implants associated with conventional implants in the anterior region (14 years of follow-up), treatment evolution of the mandibular arch through short implants until its failure and removal (after 11 years), and rehabilitation with full-arch prosthesis with 29 months of follow-up. It was observed in this clinical case a great predictability and reliability in rehabilitation with zygomatic implants, as well as a limitation of rehabilitation involving borderline events with short implants, which - despite their failure - can be indicated in cases of conservative treatments that postpone the indication of full mouth extraction and total rehabilitation with implants.O processo de remodelação óssea que ocorre após a perda dentária é responsável pela diminuição da disponibilidade óssea que é considerado fator primordial para o sucesso nas reabilitações com implantes dentais. A perda de qualidade e quantidade óssea aliada a pneumatização do seio maxilar são fatores que limitam a reabilitação da maxila. A reabilitação da mandíbula normalmente é dificultada devido a perda óssea em altura, e posicionamento do nervo alveolar inferior (NAI) que impede a instalação de implantes convencionais na região posterior. Nesse relato de caso, apresentamos um acompanhamento de reabilitação total da arcada superior com instalação de implantes zigomáticos associados a implantes convencionais na região anterior (14 anos de acompanhamento) e evolução de tratamento da arcada inferior através de implantes curtos até a sua falência e remoção (após 11 anos) e reabilitação com prótese total tipo protocolo e acompanhamento de 29 meses. Foi observado nesse caso clínico uma grande previsibilidade e confiabilidade na reabilitação com implantes zigomáticos, e uma limitação das reabilitações envolvendo situações limítrofes com implantes curtos, que apesar da sua falência, podem ser indicados em casos de tratamentos conservadores que postergam a indicação da remoção completa de todos os dentes e reabilitação total com implantes.Specialized Dentistry Group2023-11-12info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://bjihs.emnuvens.com.br/bjihs/article/view/83210.36557/2674-8169.2023v5n5p2765-2779Brazilian Journal of Implantology and Health Sciences ; Vol. 5 No. 5 (2023): BJIHS QUALIS B3; 2765-2779Brazilian Journal of Implantology and Health Sciences ; Vol. 5 Núm. 5 (2023): BJIHS QUALIS B3; 2765-2779Brazilian Journal of Implantology and Health Sciences ; v. 5 n. 5 (2023): BJIHS QUALIS B3; 2765-27792674-8169reponame:Brazilian Journal of Implantology and Health Sciencesinstname:Grupo de Odontologia Especializada (GOE)instacron:GOEporhttps://bjihs.emnuvens.com.br/bjihs/article/view/832/970Copyright (c) 2023 Erton Massamitsu Miyasawa, Luis Eduardo Marques Padovan , Ivete Aparecida de Mattias Sartori https://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessMiyasawa, Erton MassamitsuPadovan , Luis Eduardo MarquesSartori , Ivete Aparecida de Mattias2023-11-12T14:21:01Zoai:ojs.bjihs.emnuvens.com.br:article/832Revistahttps://bjihs.emnuvens.com.br/bjihsONGhttps://bjihs.emnuvens.com.br/bjihs/oaijournal.bjihs@periodicosbrasil.com.br2674-81692674-8169opendoar:2023-11-12T14:21:01Brazilian Journal of Implantology and Health Sciences - Grupo de Odontologia Especializada (GOE)false |
dc.title.none.fl_str_mv |
Feasibility of using zygomatic and short implants in a borderline case: case report Viabilidade do uso de implantes zigomáticos e implantes curtos em caso limítrofe: relato de caso |
title |
Feasibility of using zygomatic and short implants in a borderline case: case report |
spellingShingle |
Feasibility of using zygomatic and short implants in a borderline case: case report Miyasawa, Erton Massamitsu Implante Zigomático Implante curto Atrofia óssea Zigomatic Implant Short implant Bone atrophy |
title_short |
Feasibility of using zygomatic and short implants in a borderline case: case report |
title_full |
Feasibility of using zygomatic and short implants in a borderline case: case report |
title_fullStr |
Feasibility of using zygomatic and short implants in a borderline case: case report |
title_full_unstemmed |
Feasibility of using zygomatic and short implants in a borderline case: case report |
title_sort |
Feasibility of using zygomatic and short implants in a borderline case: case report |
author |
Miyasawa, Erton Massamitsu |
author_facet |
Miyasawa, Erton Massamitsu Padovan , Luis Eduardo Marques Sartori , Ivete Aparecida de Mattias |
author_role |
author |
author2 |
Padovan , Luis Eduardo Marques Sartori , Ivete Aparecida de Mattias |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Miyasawa, Erton Massamitsu Padovan , Luis Eduardo Marques Sartori , Ivete Aparecida de Mattias |
dc.subject.por.fl_str_mv |
Implante Zigomático Implante curto Atrofia óssea Zigomatic Implant Short implant Bone atrophy |
topic |
Implante Zigomático Implante curto Atrofia óssea Zigomatic Implant Short implant Bone atrophy |
description |
The process of bone remodeling that occurs after tooth loss is responsible for the decrease in bone availability, which is considered a key factor for success in rehabilitation with dental implants. The loss of bone quality and quantity combined with pneumatization of the maxillary sinus are factors that limit the rehabilitation of the maxilla. Rehabilitation of the mandible is usually difficult due to bone loss in height, and positioning of the inferior alveolar nerve (IAN) that hinders the placement of conventional implants in posterior region. In this case report, we present a follow-up of total rehabilitation of the maxillary arch with placement of zygomatic implants associated with conventional implants in the anterior region (14 years of follow-up), treatment evolution of the mandibular arch through short implants until its failure and removal (after 11 years), and rehabilitation with full-arch prosthesis with 29 months of follow-up. It was observed in this clinical case a great predictability and reliability in rehabilitation with zygomatic implants, as well as a limitation of rehabilitation involving borderline events with short implants, which - despite their failure - can be indicated in cases of conservative treatments that postpone the indication of full mouth extraction and total rehabilitation with implants. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-11-12 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://bjihs.emnuvens.com.br/bjihs/article/view/832 10.36557/2674-8169.2023v5n5p2765-2779 |
url |
https://bjihs.emnuvens.com.br/bjihs/article/view/832 |
identifier_str_mv |
10.36557/2674-8169.2023v5n5p2765-2779 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://bjihs.emnuvens.com.br/bjihs/article/view/832/970 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Specialized Dentistry Group |
publisher.none.fl_str_mv |
Specialized Dentistry Group |
dc.source.none.fl_str_mv |
Brazilian Journal of Implantology and Health Sciences ; Vol. 5 No. 5 (2023): BJIHS QUALIS B3; 2765-2779 Brazilian Journal of Implantology and Health Sciences ; Vol. 5 Núm. 5 (2023): BJIHS QUALIS B3; 2765-2779 Brazilian Journal of Implantology and Health Sciences ; v. 5 n. 5 (2023): BJIHS QUALIS B3; 2765-2779 2674-8169 reponame:Brazilian Journal of Implantology and Health Sciences instname:Grupo de Odontologia Especializada (GOE) instacron:GOE |
instname_str |
Grupo de Odontologia Especializada (GOE) |
instacron_str |
GOE |
institution |
GOE |
reponame_str |
Brazilian Journal of Implantology and Health Sciences |
collection |
Brazilian Journal of Implantology and Health Sciences |
repository.name.fl_str_mv |
Brazilian Journal of Implantology and Health Sciences - Grupo de Odontologia Especializada (GOE) |
repository.mail.fl_str_mv |
journal.bjihs@periodicosbrasil.com.br |
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1796798441031991296 |