The Zygomatic Anatomy-Guided Approach, Zygomatic Orbital Floor Classification, and ORIS Criteria—A 10-Year Follow-Up

Background: Presently, the management of patients with maxilla bone defects of the Cawood V or VI class is achieved using zygomatic or individual implants or through augmentation of the bone. For zygomatic implants, the ORIS criteria represent the most common factor in helping practitioners register...

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Main Authors: Rafal Zielinski, Jakub Okulski, Wojciech Simka, Marcin Kozakiewicz
Format: Article
Language:English
Published: MDPI AG 2023-10-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/12/20/6681
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author Rafal Zielinski
Jakub Okulski
Wojciech Simka
Marcin Kozakiewicz
author_facet Rafal Zielinski
Jakub Okulski
Wojciech Simka
Marcin Kozakiewicz
author_sort Rafal Zielinski
collection DOAJ
description Background: Presently, the management of patients with maxilla bone defects of the Cawood V or VI class is achieved using zygomatic or individual implants or through augmentation of the bone. For zygomatic implants, the ORIS criteria represent the most common factor in helping practitioners register success rates. The zygomatic anatomy-guided approach (ZAGA)and zygomatic orbital floor (ZOF) are factors that are crucial to examining the anatomy of a particular patient before the procedure. The aim of thisarticle is to find the statistical relationship between the abovementioned terms and other factors. Methods: A total of 81 patients underwent zygomatic implant procedures in different configurations. The ORIS, ZAGA, and ZOF parameters were compared with other factors such as type of surgery, sex, age, and the anatomy of the zygomatic bone. Results: Most patients in this article were classified as ZAGA Class 2. The relationships between type of surgery and ZAGA classification, and ZAGA and sinus/maxilla zygomatic implant localization were statistically significant. Conclusions: The ZAGA and ZOF scales are practical and valuable factors that should be taken into account before surgery, whereas to date, criteria better than the ORIS scale have not been described in terms of the success of zygomatic implants. The ZOF scale might omit perforation of the orbit because this parameter warns a practitioner to be aware of the anatomy of the orbit.
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spelling doaj.art-343d3112be45491f949fdabebc71bfc02023-11-19T16:54:34ZengMDPI AGJournal of Clinical Medicine2077-03832023-10-011220668110.3390/jcm12206681The Zygomatic Anatomy-Guided Approach, Zygomatic Orbital Floor Classification, and ORIS Criteria—A 10-Year Follow-UpRafal Zielinski0Jakub Okulski1Wojciech Simka2Marcin Kozakiewicz3Stomatologia na Ksiezym Mlynie, 16D Tymienieckiego, 90-365 Lodz, PolandDepartment of Maxillofacial Surgery, Medical University of Lodz, 113st Zeromskiego, 90-001 Lodz, PolandFaculty of Chemistry, Silesian University of Technology, 44-100 Gliwice, PolandDepartment of Maxillofacial Surgery, Medical University of Lodz, 113st Zeromskiego, 90-001 Lodz, PolandBackground: Presently, the management of patients with maxilla bone defects of the Cawood V or VI class is achieved using zygomatic or individual implants or through augmentation of the bone. For zygomatic implants, the ORIS criteria represent the most common factor in helping practitioners register success rates. The zygomatic anatomy-guided approach (ZAGA)and zygomatic orbital floor (ZOF) are factors that are crucial to examining the anatomy of a particular patient before the procedure. The aim of thisarticle is to find the statistical relationship between the abovementioned terms and other factors. Methods: A total of 81 patients underwent zygomatic implant procedures in different configurations. The ORIS, ZAGA, and ZOF parameters were compared with other factors such as type of surgery, sex, age, and the anatomy of the zygomatic bone. Results: Most patients in this article were classified as ZAGA Class 2. The relationships between type of surgery and ZAGA classification, and ZAGA and sinus/maxilla zygomatic implant localization were statistically significant. Conclusions: The ZAGA and ZOF scales are practical and valuable factors that should be taken into account before surgery, whereas to date, criteria better than the ORIS scale have not been described in terms of the success of zygomatic implants. The ZOF scale might omit perforation of the orbit because this parameter warns a practitioner to be aware of the anatomy of the orbit.https://www.mdpi.com/2077-0383/12/20/6681zygomatic implantsZOF classificationORIS criteriaZAGA classification
spellingShingle Rafal Zielinski
Jakub Okulski
Wojciech Simka
Marcin Kozakiewicz
The Zygomatic Anatomy-Guided Approach, Zygomatic Orbital Floor Classification, and ORIS Criteria—A 10-Year Follow-Up
Journal of Clinical Medicine
zygomatic implants
ZOF classification
ORIS criteria
ZAGA classification
title The Zygomatic Anatomy-Guided Approach, Zygomatic Orbital Floor Classification, and ORIS Criteria—A 10-Year Follow-Up
title_full The Zygomatic Anatomy-Guided Approach, Zygomatic Orbital Floor Classification, and ORIS Criteria—A 10-Year Follow-Up
title_fullStr The Zygomatic Anatomy-Guided Approach, Zygomatic Orbital Floor Classification, and ORIS Criteria—A 10-Year Follow-Up
title_full_unstemmed The Zygomatic Anatomy-Guided Approach, Zygomatic Orbital Floor Classification, and ORIS Criteria—A 10-Year Follow-Up
title_short The Zygomatic Anatomy-Guided Approach, Zygomatic Orbital Floor Classification, and ORIS Criteria—A 10-Year Follow-Up
title_sort zygomatic anatomy guided approach zygomatic orbital floor classification and oris criteria a 10 year follow up
topic zygomatic implants
ZOF classification
ORIS criteria
ZAGA classification
url https://www.mdpi.com/2077-0383/12/20/6681
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