ORAL REHABILITATION WITH IMPLANT-SUPPORTED PROSTHESIS ANCHORED IN THE ZYGOMATIC BONE

Autores

  • Marcelo Gabriel de Oliveira UNESP
  • Isis Garcia Dias Ferreira UNESP
  • Thiago Borges Mattos UNINCOR
  • Lídia Batista Conrado Martins UFJF
  • Paola Ferreira Galito UNINCOR
  • Ive Freitas Couto UNINCOR
  • Luiz Eduardo Meireles Mayrink NEEO, Brasil

DOI:

https://doi.org/10.66104/qbm0k167

Palavras-chave:

Dental Implants; Zygomatic Implants; Maxilla Atrophy; Oral Rehabilitation; Osseointegration; Periodontal Health; Quality of Life.

Resumo

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.

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Referências

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

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Publicado

2026-04-23

Como Citar

ORAL REHABILITATION WITH IMPLANT-SUPPORTED PROSTHESIS ANCHORED IN THE ZYGOMATIC BONE. (2026). REMUNOM, 13(07), 1-12. https://doi.org/10.66104/qbm0k167