Success rates of zygomatic implants for the rehabilitation of severely atrophic maxilla: a systematic review

Zygomatic implants are a treatment solution for patients with severe maxillary atrophy. This treatment option allows delivering immediate fixed teeth within 24 h. Numerous peer-reviewed publications have reported different success rates, resulting in a disagreement on the topic. Therefore, the overa...

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Bibliographic Details
Authors: Solà Pérez, Aleix, Pastorino, David, Aparicio, Carlos, Pegueroles Neyra, Marta|||0000-0002-7895-8337, Khan, Rabia Sannam, Wright, Simon, Ucer, Cemal
Format: article
Publication Date:2022
Country:España
Institution:Universitat Politècnica de Catalunya (UPC)
Repository:UPCommons. Portal del coneixement obert de la UPC
Language:English
OAI Identifier:oai:upcommons.upc.edu:2117/376649
Online Access:https://hdl.handle.net/2117/376649
https://dx.doi.org/10.3390/dj10080151
Access Level:Open access
Keyword:Dental materials
Dental implants
Zygomatic implants
Atrophic maxilla
Cumulative success rate
Implants artificials
Materials dentals
Àrees temàtiques de la UPC::Enginyeria biomèdica::Biomaterials
Description
Summary:Zygomatic implants are a treatment solution for patients with severe maxillary atrophy. This treatment option allows delivering immediate fixed teeth within 24 h. Numerous peer-reviewed publications have reported different success rates, resulting in a disagreement on the topic. Therefore, the overall efficacy and predictability of this rehabilitation is still a matter of discussion. With this study, we aimed to identify the published literature on the use of zygomatic implants for the reconstruction of the severely atrophic maxilla and report the cumulative success rate (CSR) as a function of follow-up time. A systematic review of the literature on zygomatic implant for the treatment of severe maxillary atrophy was performed and 196 publications were included in the study. The cumulative success rate of zygomatic implants for the treatment of severe maxillary atrophy was 98.5% at less than 1 year, 97.5% between 1 and 3 years, 96.8% between 3 and 5 years and 96.1% after more than 5 years. The most commonly reported complications were soft tissue dehiscence, rhinosinusitis and prosthetic failures. The treatment of severe lack of bone in the upper maxilla with zygomatic implants is a safe procedure, reaching a cumulative success rate of 96.1% after more than 5 years.