RESUMO
INTRODUCTION AND IMPORTANCE: The aim of this case report is to present a technical report for rehabilitation of patients with atrophic maxilla with the use of extra-long transnasal implants associated with unilateral zygomatic implants. CASE PRESENTATION: The indications, contraindications, planning and surgical procedure are described in order to give surgeons confidence in the management of this surgical approach to how to increase the range of rehabilitative options available to surgeons and patients. CLINICAL DISCUSSION: Maxillary bone atrophy is a challenge demanding a high degree of experience of dental surgeons who trains themselves to rehabilitate these patients, whose treatment options range from bone grafts through to zygomatic implants. Extensive regions of atrophy require the use of 4 zygomatic implants which, in spite of offering predictability of the treatment, increase the surgical risk, require zygomatic bone with volume for anchoring 2 zygomatic implants. Generally, this bone density is reduced in elderly patients, making apical anchorage of the implants unfeasible. CONCLUSION: The case report presented is a feasible alternative for replacing the placement of a second zygomatic implant, thereby diminishing the surgical risk, and making it possible for the technique to be more extensively used and performed by a larger number of surgeons.
RESUMO
The aim of this case report was to show the 10-year follow-up of a zygomatic implant supported rehabilitation treatment to replace the hybrid dental prosthesis with resin teeth - one by one - with ceramic teeth. The complications that occurred were described right from the time when the first implant supported prosthesis with immediate loading was placed, through the fabrication of a personalized dental prosthesis with twelve ceramic crowns, with a view to achieving esthetic excellence and restoring the patient's self-esteem. It was concluded that all patients with zygomatic implants must participate in a preventive maintenance program to assure the predictability of this type of treatment.
RESUMO
PURPOSE: To evaluate the satisfaction of individuals with atrophic maxilla, rehabilitated with fixed dental prostheses, anchored on zygomatic implants, with variables being the anesthetic procedure: general anesthesia, or local with sedation. MATERIALS AND METHODS: By means of the clinical record charts from the Training Course in Advanced Hospital Surgeries for Implant Dentists conducted at the Campinas-SP unit of the São Leopoldo Mandic School of Dentistry, 30 individuals were randomly selected. They had zygomatic implant placement surgeries performed, and were rehabilitated with fixed implant supported complete dentures, between the years 2005 and 2011. One group of 15 individuals underwent surgery in hospital, under general anesthesia. The other 15 were treated in the post-graduation clinic at the School of Dentistry, under local anesthesia and sedation. RESULTS: From the emotional point of view, the Wilcoxon test revealed that irrespective of the anesthesia procedure used, at the beginning of treatment, the emotional condition of individuals differed from that verified after conclusion of the treatment (p < 0.0001). CONCLUSION: There was no difference between the two groups as regards the anesthetic procedure. General satisfaction was high; there was emotional improvement after conclusion of the treatment, thus improving the quality of life.