Evaluation of surgical techniques in survival rate and complications of zygomatic implants for the rehabilitation of the atrophic edentulous maxilla: a systematic review
Abstract Purpose To assess the outcome [zygomatic implant (ZI) survival] and complications of the original surgical technique (OST) and an Anatomy-Guided approach (AGA) in the placement of ZI in patients with severely atrophic maxillae. Methods Two independent reviewers conducted an electronic liter...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2023-05-01
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| Series: | International Journal of Implant Dentistry |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40729-023-00478-y |
| _version_ | 1797822790538100736 |
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| author | Peer W. Kämmerer Shengchi Fan Carlos Aparicio Edmond Bedrossian Rubén Davó Dean Morton Gerry M. Raghoebar Sepehr Zarrine Bilal Al-Nawas |
| author_facet | Peer W. Kämmerer Shengchi Fan Carlos Aparicio Edmond Bedrossian Rubén Davó Dean Morton Gerry M. Raghoebar Sepehr Zarrine Bilal Al-Nawas |
| author_sort | Peer W. Kämmerer |
| collection | DOAJ |
| description | Abstract Purpose To assess the outcome [zygomatic implant (ZI) survival] and complications of the original surgical technique (OST) and an Anatomy-Guided approach (AGA) in the placement of ZI in patients with severely atrophic maxillae. Methods Two independent reviewers conducted an electronic literature search from January 2000 to August 2022. The inclusion criteria were articles reporting at least five patients with severely atrophic edentulous maxilla undergoing placement OST and/or AGA, with a minimum of 6 months of follow-up. Number of patients, defect characteristics, number of ZI, implant details, surgical technique, survival rate, loading protocol, prosthetic rehabilitation, complications, and follow-up period were compared. Results Twenty-four studies comprised 2194 ZI in 918 patients with 41 failures. The ZI survival rate was 90.3–100% in OST and 90.4–100% in AGA. Probability of complications with ZI with OST was as follows: sinusitis, 9.53%; soft tissue infection, 7.50%; paresthesia, 10.78%; oroantral fistulas, 4.58%; and direct surgical complication, 6.91%. With AGA, the presenting complications were as follows: sinusitis, 4.39%; soft tissue infection, 4.35%; paresthesia, 0.55%; oroantral fistulas, 1.71%; and direct surgical complication, 1.60%. The prevalence of immediate loading protocol was 22.3% in OST and 89.6% in the AGA. Due to the heterogeneity of studies, statistical comparison was only possible after the descriptive analysis. Conclusions Based on the current systematic review, placing ZI in severely atrophic edentulous maxillae rehabilitation with the OST and AGA is associated with a high implant survival rate and surgical complications within a minimum of 6 months follow-up. Complications, including sinusitis and soft tissue infection around the implant, are the most common. The utilization of immediate loading protocol is more observed in AGA than in OST. Graphical Abstract |
| first_indexed | 2024-03-13T10:14:22Z |
| format | Article |
| id | doaj.art-313df54dd0314739b912d325c1670582 |
| institution | Directory Open Access Journal |
| issn | 2198-4034 |
| language | English |
| last_indexed | 2024-03-13T10:14:22Z |
| publishDate | 2023-05-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | International Journal of Implant Dentistry |
| spelling | doaj.art-313df54dd0314739b912d325c16705822023-05-21T11:17:26ZengSpringerOpenInternational Journal of Implant Dentistry2198-40342023-05-019111610.1186/s40729-023-00478-yEvaluation of surgical techniques in survival rate and complications of zygomatic implants for the rehabilitation of the atrophic edentulous maxilla: a systematic reviewPeer W. Kämmerer0Shengchi Fan1Carlos Aparicio2Edmond Bedrossian3Rubén Davó4Dean Morton5Gerry M. Raghoebar6Sepehr Zarrine7Bilal Al-Nawas8Department of Oral and Maxillofacial Surgery–Plastic Operations, University Medical Center MainzDepartment of Oral and Maxillofacial Surgery–Plastic Operations, University Medical Center MainzIndiana University School of DentistryDepartment of Restorative Dentistry, School of Dentistry, University of WashingtonDepartment of Implantology and Maxillofacial Surgery, Vithas Davó Instituto DentalDepartment of Prosthodontics, Indiana University School of DentistryDepartment of Oral and Maxillofacial Surgery, University Medical Center Groningen and University of GroningenPrivate PracticeDepartment of Oral and Maxillofacial Surgery–Plastic Operations, University Medical Center MainzAbstract Purpose To assess the outcome [zygomatic implant (ZI) survival] and complications of the original surgical technique (OST) and an Anatomy-Guided approach (AGA) in the placement of ZI in patients with severely atrophic maxillae. Methods Two independent reviewers conducted an electronic literature search from January 2000 to August 2022. The inclusion criteria were articles reporting at least five patients with severely atrophic edentulous maxilla undergoing placement OST and/or AGA, with a minimum of 6 months of follow-up. Number of patients, defect characteristics, number of ZI, implant details, surgical technique, survival rate, loading protocol, prosthetic rehabilitation, complications, and follow-up period were compared. Results Twenty-four studies comprised 2194 ZI in 918 patients with 41 failures. The ZI survival rate was 90.3–100% in OST and 90.4–100% in AGA. Probability of complications with ZI with OST was as follows: sinusitis, 9.53%; soft tissue infection, 7.50%; paresthesia, 10.78%; oroantral fistulas, 4.58%; and direct surgical complication, 6.91%. With AGA, the presenting complications were as follows: sinusitis, 4.39%; soft tissue infection, 4.35%; paresthesia, 0.55%; oroantral fistulas, 1.71%; and direct surgical complication, 1.60%. The prevalence of immediate loading protocol was 22.3% in OST and 89.6% in the AGA. Due to the heterogeneity of studies, statistical comparison was only possible after the descriptive analysis. Conclusions Based on the current systematic review, placing ZI in severely atrophic edentulous maxillae rehabilitation with the OST and AGA is associated with a high implant survival rate and surgical complications within a minimum of 6 months follow-up. Complications, including sinusitis and soft tissue infection around the implant, are the most common. The utilization of immediate loading protocol is more observed in AGA than in OST. Graphical Abstracthttps://doi.org/10.1186/s40729-023-00478-yZygomatic implantMaxillary atrophyMaxillary defectTechniqueSurvivalComplications |
| spellingShingle | Peer W. Kämmerer Shengchi Fan Carlos Aparicio Edmond Bedrossian Rubén Davó Dean Morton Gerry M. Raghoebar Sepehr Zarrine Bilal Al-Nawas Evaluation of surgical techniques in survival rate and complications of zygomatic implants for the rehabilitation of the atrophic edentulous maxilla: a systematic review International Journal of Implant Dentistry Zygomatic implant Maxillary atrophy Maxillary defect Technique Survival Complications |
| title | Evaluation of surgical techniques in survival rate and complications of zygomatic implants for the rehabilitation of the atrophic edentulous maxilla: a systematic review |
| title_full | Evaluation of surgical techniques in survival rate and complications of zygomatic implants for the rehabilitation of the atrophic edentulous maxilla: a systematic review |
| title_fullStr | Evaluation of surgical techniques in survival rate and complications of zygomatic implants for the rehabilitation of the atrophic edentulous maxilla: a systematic review |
| title_full_unstemmed | Evaluation of surgical techniques in survival rate and complications of zygomatic implants for the rehabilitation of the atrophic edentulous maxilla: a systematic review |
| title_short | Evaluation of surgical techniques in survival rate and complications of zygomatic implants for the rehabilitation of the atrophic edentulous maxilla: a systematic review |
| title_sort | evaluation of surgical techniques in survival rate and complications of zygomatic implants for the rehabilitation of the atrophic edentulous maxilla a systematic review |
| topic | Zygomatic implant Maxillary atrophy Maxillary defect Technique Survival Complications |
| url | https://doi.org/10.1186/s40729-023-00478-y |
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