ORAL REHABILITATION WITH IMPLANT-SUPPORTED PROSTHESIS ANCHORED IN THE ZYGOMATIC BONE
DOI:
https://doi.org/10.66104/qbm0k167Keywords:
Dental Implants; Zygomatic Implants; Maxilla Atrophy; Oral Rehabilitation; Osseointegration; Periodontal Health; Quality of Life.Abstract
Introduction: The rehabilitation of severely atrophic maxillae represents a challenge in Implant Dentistry due to the limited bone volume available for the placement of conventional implants. In this context, zygomatic implants emerge as a therapeutic alternative, allowing anchorage in bone structures with higher density and avoiding extensive reconstructive procedures. Case report: A melanoderma patient, residing in the Zona da Mata region, underwent a surgical procedure performed under local anesthesia, following a sequential instrumentation protocol for preparation of the bone bed and placement of implants with insertion torque between 60 and 65 N·cm, indicating satisfactory primary stability. Subsequently, angled prosthetic abutments were installed to correct parallelism and enable implant-supported rehabilitation. Clinical and radiographic follow-up revealed adequate peri-implant tissue health, marginal bone stability, and functional restoration, with no signs of complications. Conclusion: Zygomatic implants can be considered a viable alternative for the rehabilitation of severely atrophic maxillae when conventional implants are unfeasible, providing structural support and functional rehabilitation.
Downloads
References
CHESSA, J. G. R.; OLATE, S.; NETTO, H. D.; SHILBLI, J.; MORAES, M.; MAZZONETTO, R. Treatment of atrophic maxilla with zygomatic implants in 29 consecutives patients. International Journal of Clinical and Experimental Medicine, v. 7, p. 426-443, 2014.
· STIÉNART, M.; MALEVEZ, C. Rehabilitation of totally atrophied maxilla by means of four zygomatic implants and fixed prosthesis: a 6-40 month follow up. International Journal of Oral and Maxillofacial Surgery, v. 39, p. 358-363, 2010. DOI: https://doi.org/10.1016/j.ijom.2010.01.009
· NARY, Hugo Filho. Principais indicações das fixações zigomáticas como alternativa cirúrgica no tratamento da maxila atrófica. In: FRANCISCHONE, et al. Osseointegração e o tratamento multidisciplinar. São Paulo: Quintessence, 2006. p. [inserir páginas se houver].
· DAVÓ, R.; PONS, O. Prostheses supported by four immediately loaded zygomatic implants: a 3-year prospective study. European Journal of Oral Implantology, v. 6, n. 3, p. 263-269, 2013.
· FIAMONCINI, E. S.; GUIMARÃES, G. M. M. F.; ALCALDE, L. F. A.; MELLO, M. A. B.; FERREIRA, O. J.; CARVALHO, P. S. P. Complicações na utilização de implantes zigomáticos para o tratamento reabilitador de maxilas atróficas: revisão de literatura. Journal of Multidisciplinary Dentistry, v. 3, n. 1, p. 41-45, 2020. DOI: https://doi.org/10.46875/jmd.v10i1.32
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Marcelo Gabriel de Oliveira, Isis Garcia Dias Ferreira, Thiago Borges Mattos, Lídia Batista Conrado Martins, Paola Ferreira Galito, Ive Freitas Couto, Luiz Eduardo Meireles Mayrink
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish in this journal agree to the following terms:
Authors retain copyright and grant the journal the right of first publication, with the work simultaneously licensed under the Creative Commons Attribution License, which permits the sharing of the work with proper acknowledgment of authorship and initial publication in this journal;
Authors are authorized to enter into separate, additional agreements for the non-exclusive distribution of the version of the work published in this journal (e.g., posting in an institutional repository or publishing it as a book chapter), provided that authorship and initial publication in this journal are properly acknowledged, and that the work is adapted to the template of the respective repository;
Authors are permitted and encouraged to post and distribute their work online (e.g., in institutional repositories or on their personal websites) at any point before or during the editorial process, as this may lead to productive exchanges and increase the impact and citation of the published work (see The Effect of Open Access);
Authors are responsible for correctly providing their personal information, including name, keywords, abstracts, and other relevant data, thereby defining how they wish to be cited. The journal’s editorial board is not responsible for any errors or inconsistencies in these records.
PRIVACY POLICY
The names and email addresses provided to this journal will be used exclusively for the purposes of this publication and will not be made available for any other purpose or to third parties.
Note: All content of the work is the sole responsibility of the author and the advisor.
