dental_mooos
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Date: 20/01/2011 18:26
Zygoma implant-supported midfacial prosthetic rehabilitation: a 4-year follow-up study including assessment of quality of life.pdf | #post320 | BY
Constantin Alexander Landes, Maxillofacial and Plastic Facial Surgery, The J.-W. Goethe University Medical centre, Frankfurt, Germany
Objective: Successful prosthetic rehabilitation is crucial for quality of life in cases of large maxillary defects when surgical reconstruction is not advisable because of general health or patient refusal. For this purpose, the extended indications for Zygomaticuss fixtures in different defect types were evaluated.
Patients and methods: Twelve patients received 28 zygoma implants and 23 dental implants (if a segment of alveolar process was available) and were followed-up 14–53 months. Zygoma implants were positioned classically in the maxillary molar region and to reduce leverage, a premolar and a canine position was developed. The quality of life was assessed by a validated questionnaire after complete rehabilitation.
Results: Cumulative zygoma implant survival was 82%. Three losses occurred because of persistent infection and gradual loosening. Lost implants were immediately replaced in...........................................
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