Zygomatic Implants: The Anatomy-Guided Approach

Zygomatic implants have been in use for more than two decades, and clinical follow-up studies have shown good outcomes. However, this treatment approach is only now seeing a strong resurgence of interest because it can provide patients with a fixed dentition in a short amount of time without any grafts, general anesthesia, or morbidity from a donor site, even in challenging clinical situations. Thus, a technique of relative complexity becomes minimally invasive in its application. This book reviews the state of the art of zygomatic implant placement and outlines several new surgical techniques and adjunctive procedures, including the zygoma anatomy-guided approach (ZAGA). The authors cover the fundamentals of using zygomatic implants, including the rationale behind the approach, anatomical and biomechanical considerations, imaging of the zygoma, correct implant trajectory, possible sinus reactions, contraindications, prosthodontic considerations, and management of complications. With beautiful anatomical and surgical illustrations throughout, this book will arm clinicians with clear guidelines for using zygomatic implants in the maxillary rehabilitation of edentulous patients.


Contents

1. Minimization in Oral Implant Rehabilitation: A Patient-Centered Ethics-Based Approach

2. Anatomical Grounding

3. Tilted Implants as Background for Zygoma Implants

4. Biomechanical Aspects of Tilted Regular and Zygoma Implants

5. Pre- and Postoperative Radiographic Examinations of the Zygoma Implant Site

6. Sinus Reactions to Zygoma Implants

7. Indications and Contraindications for the Use of the Zygoma Implant

8. Management of Oral and Intravenous Conscious Sedation for Oral Surgical Procedures

9. The Original Surgical Technique

10. The Zygoma Anatomy-Guided Approach (ZAGA) to Implant Placement

11. ZAGA: The ABC s of Establishing the Implant Trajectory

12. Virtual Surgical Planning

13. The Zygoma Quad Approach: Rehabilitation of an Extremely Atrophied Maxilla Using Four Zygoma Implants

14. Alternative Techniques and New Developments

15. The Rationale for Fixed Reconstructions in the Maxilla

16. Modifications of the Original Brånemark Prosthetic Protocol for Immediate Function and Esthetics

17. Prosthodontic Aspects of the Zygoma Rehabilitation

18. Complications