Background: The rehabilitation of the atrophic maxilla with zygomatic implants appears to be a complex challenge as this surgery is not without complications. For this reason, the operator approaching it must be aware of the possible surgical complications. The aim of this study was firstly to assess the incidence of complications following zygomatic implant operations performed using the intrasinus technique and to compare the data obtained with the results already present in the literature. Materials And Methods: The methods chosen for the evaluation of implant success were those reported in the article by Chrcanovic et al which refers to factors such as implant survival rate, percentage of failed implants and,incidence of post-operative complications. A total of 174 implants were included in the study. The study comprised three phases: Phase 1-collection of the personal, anamnestic, clinical and radiological data of each patient participating in the study-detection of the number of zygomatic implants, the number of failed implants and any post-operative complications resulting from the intrasinus technique and subsequent comparison with data reported in the literature. Phase 2-comparison of complications arising with intrasinusal and extrasinusal technique Phase 3-administration of the satisfaction questionnaire of patients treated with the extrasinusal technique. Results: Complications occurred in 14 patients and the most frequent complication was sinusitis, followed by soft tissue infections, 3 implants failed. Specifically, the most frequent complication related to intrasinusal technique surgery is sinusitis, caused by invasion of the Higmoro antrum by the implant. Frequency analysis of the patient questionnaire shows high satisfaction with implant-prosthetic rehabilitation with zygomatic implants. Patients appear very satisfied with the aesthetics and functionality provided by the rehabilitation. Conclusion: zygomatic implants allow the fixed rehabilitation of patients with severe upper jaw atrophies, and although complications may occur, patient satisfaction was very high as it allows them to fully recover aesthetics and function, facilitating a rapid return to social life.
Complications of zygomatic implantology: observational clinical study
Mummolo S.
2024-01-01
Abstract
Background: The rehabilitation of the atrophic maxilla with zygomatic implants appears to be a complex challenge as this surgery is not without complications. For this reason, the operator approaching it must be aware of the possible surgical complications. The aim of this study was firstly to assess the incidence of complications following zygomatic implant operations performed using the intrasinus technique and to compare the data obtained with the results already present in the literature. Materials And Methods: The methods chosen for the evaluation of implant success were those reported in the article by Chrcanovic et al which refers to factors such as implant survival rate, percentage of failed implants and,incidence of post-operative complications. A total of 174 implants were included in the study. The study comprised three phases: Phase 1-collection of the personal, anamnestic, clinical and radiological data of each patient participating in the study-detection of the number of zygomatic implants, the number of failed implants and any post-operative complications resulting from the intrasinus technique and subsequent comparison with data reported in the literature. Phase 2-comparison of complications arising with intrasinusal and extrasinusal technique Phase 3-administration of the satisfaction questionnaire of patients treated with the extrasinusal technique. Results: Complications occurred in 14 patients and the most frequent complication was sinusitis, followed by soft tissue infections, 3 implants failed. Specifically, the most frequent complication related to intrasinusal technique surgery is sinusitis, caused by invasion of the Higmoro antrum by the implant. Frequency analysis of the patient questionnaire shows high satisfaction with implant-prosthetic rehabilitation with zygomatic implants. Patients appear very satisfied with the aesthetics and functionality provided by the rehabilitation. Conclusion: zygomatic implants allow the fixed rehabilitation of patients with severe upper jaw atrophies, and although complications may occur, patient satisfaction was very high as it allows them to fully recover aesthetics and function, facilitating a rapid return to social life.Pubblicazioni consigliate
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