Zygomatic implants as a rehabilitation approach for a severely deficient maxilla

• Published in: The International journal of oral and maxillofacial implants Vol. 29; no. 6; p. e283
• Main Authors: Al-Thobity, Ahmad M, Wolfinger, Glenn J, Balshi, Stephen F, Flinton, Robert J, Balshi, Thomas J
• Format: Journal Article
• Language: English
• Published: United States 01.11.2014
• Subjects: Computer-Aided Design; Cone-Beam Computed Tomography - methods; Dental Implantation, Endosseous; Dental Implants; Dental Prosthesis, Implant-Supported; Denture Design; Denture, Complete, Immediate; Denture, Complete, Upper; Humans; Immediate Dental Implant Loading; Jaw, Edentulous - rehabilitation; Male; Maxilla - injuries; Middle Aged; Patient Care Planning; Pterygopalatine Fossa - surgery; Tooth Extraction - methods; Wounds, Gunshot - rehabilitation; Zygoma - surgery
• ISSN: 1942-4434
• DOI: 10.11607/jomi.3662

A gunshot injury is one of the main trauma injuries that affect the head and neck region. Severe esthetic, functional, and psychologic deficiencies are consequences of gunshot injuries. The use of implants anchored in the zygomatic bone has been advocated as an approach to the prosthetic rehabilitation of a severely deficient maxilla. This approach provides the patient with an immediate, high-quality, esthetic, and functional complete fixed prosthesis and eliminates the need for bone grafting. In this case report, a patient with a severely deficient maxilla caused by a gunshot injury was rehabilitated by placement of four zygomatic and two pterygomaxillary implants, which were immediately loaded with a complete fixed all-acrylic resin interim prosthesis. The definitive CM Prosthesis (CM Prosthetics) was constructed using computer-aided design/computer-assisted manufacture (CAD/CAM) technology.