Five Steps for the Maintenance and Interception of Complications in Zygomatic Implants

Author:

Sanavia Consuela1,Vallerga Edoardo2,Alessi Fanny3,Tealdo Tiziano1,Bevilacqua Marco1,Alberti Christian3,Menini Maria4ORCID,Pesce Paolo1ORCID

Affiliation:

1. Department of Surgical Sciences, University of Genoa, 16126 Genoa, Italy

2. Independent Researcher, 12058 Santo Stefano Belbo, Italy

3. Independent Researcher, 36027 Rosà, Italy

4. Division of Prosthodontics and Implant Prosthodontics, Department of Surgical Sciences, University of Genoa, 16126 Genoa, Italy

Abstract

Zygomatic implants are used for the rehabilitation of the upper jaw of patients with severe and moderate bone atrophy. Possible post-surgical complications include soft tissue dehiscence, sinusitis, and prosthodontic fractures, and maintaining an accurate control is crucial. Additionally, zygomatic implants have a unique peri-implant anatomy, making traditional periodontal parameters unsuitable. The present paper aims to provide guidelines for the maintenance and interception of complications in patients rehabilitated with these kinds of implants. The proposed protocol includes: 1. intra/extraoral and temporo-mandibular joint examination; 2. soft tissue and transmucosal path observation with magnifiers; 3. peri-implant health indices and digital stimulation of tissues; 4. examination of prosthodontic devices; and 5. photographic recording. These steps facilitate the comprehensive evaluation and monitoring of clinical conditions of zygomatic-supported rehabilitations, including dehiscence and occlusal wear during follow-up appointments.

Publisher

MDPI AG

Subject

General Dentistry

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