Simultaneous Le Fort I osteotomy and zygomatic implant placement. Issue 2 (February 2022)

• Record Type: Journal Article
• Authors: Grecchi, Francesco; Grecchi, Emma; Del Fabbro, Massimo; Goker, Funda
• Is Part Of: Journal of cranio-maxillofacial surgery. Volume 50:Issue 2(2022)
• Page Start: 114
• Page End: 123
• Publication Date: 2022-02
• Subjects: Zygomatic implant -- Le fort I osteotomy -- Orthognathic surgery -- Atrophic maxilla -- Dental implant -- Oral rehabilitation -- 3D virtual surgical planning -- Immediate loading; Skull -- Surgery -- Periodicals; Maxilla -- Surgery -- Periodicals; Face -- Surgery -- Periodicals; Surgery, Plastic -- Periodicals; Maxilla -- surgery -- Periodicals; Face -- surgery -- Periodicals; Skull -- surgery -- Periodicals; Oral Surgical Procedures -- Periodicals; Reconstructive Surgical Procedures -- Periodicals; Surgery, Plastic -- Periodicals; Surgery, Oral -- Periodicals; Electronic journals; 617.514
• DOI: 10.1016/j.jcms.2021.12.003
• Languages: English
• ISSNs: 1010-5182

Abstract

Abstract: The aim of this retrospective study was to evaluate the outcomes of simultaneous LeFort I osteotomy and zygomatic/dental implant placement for oral rehabilitation of patients with extremely atrophic/dysmorphic edentulous maxilla. Simultaneous LeFort I osteotomy and zygomatic/dental implant placement was performed with patient-specific anatomical models and surgical guides produced through three-dimensional virtual planning methods. All patients received their final prosthesis, with immediate loading, on the day after surgery. The primary outcome variables were the implant survival rate, and the incidence of intra/postoperative complications. In total, 15 zygomatic implants and 33 conventional dental implants were inserted in eight patients. The mean follow-up of the patients was 38.5 months. The implant survival rate was 93.3% for zygomatic implants and 100% for dental implants. No intra/postoperative complications were observed. Simultaneous LeFort I osteotomy associated with zygomatic/dental implant surgery can be considered as a valuable treatment option for rehabilitation of patients with extremely atrophic edentulous maxilla and esthetic issues of the face.