9:55am – The Zygomatic Implant Approach …. Have we evolved to a different first choice?
The atrophic maxilla presents a significant challenge to the surgical and restorative team. Ultimately patients seek a long-term solution in the restoration of function, esthetics, and ultimately their quality of life. Prosthetic rehabilitation of patients with severe maxillary bone resorption is often challenging due to the inability to obtain sufficient skeletal anchorage. The utilization of osseous support beyond the immediate oral cavity supplies predictable expeditious return to function, shortening treatment times. The prosthetic and surgical team is faced with the choice of grafting and staged implant placement or a one-step surgical prosthetic solution with identical results. The edentulous mandible continues represent one of the most common clinical challenges. The advent of CAD / CAM technology and stent driven surgical surgery now affords the dental team to provide a permanent fixed restoration on the day of surgery.
The surgical and restorative goals are to achieve anatomically consistent implant placement thus maximizing esthetics and function within the “normal” alveolar tooth envelope. The zygoma implant allows for shortened surgical sequences and reduced treatment time—while meeting the patients’ expectations of success.
This discussion will focus on utilization of zygomatic implant using an immediate load protocol. The team approach in utilizing a prosthetic driven treatment plan will be highlighted. The presentation will review multiple patient treatments utilizing the zygoma implant with emphasis on the immediate load quad zygoma implant that has been followed for over 7 years with 98% success rate
Goals
-Become familiar with the surgical and prosthetic treatment planning of the zygomatic solution
-Understand the indications and limitations of the zygomatic approach
-Become familiar the surgical procedures and immediate loading concept as they relate to the zygoma implant.
-Understand the concept of one day surgery for a final mandibular prostheses
-Become familiar with the final prosthetic solutions and design for restorations that are supported by the zygomatic implant