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Multiple Zygoma Implants in Severe Maxillary Atrophy
Dental Implant Module: Abstract/How I Do It Session 2. Slagter KW, den Hartog L, Bakker NA, Vissink A, Meijer HJ, Raghoebar GM. Immediate placement of dental implants in the esthetic zone: a systematic review and pooled analysis. J Periodontol. 2014 Jul;85(7):e241-50.
Multiple Zygoma Implants in Severe Maxillary Atrophy C. A. Guerrero: UTMB, Galveston, Texas, M. Gonzalez, R. R. Throndson Purpose: To rehabilitate patients with multiple anchorages in adjacent bone structures for severe maxillary atrophy. Data: 85 patients ages 11 (etodermal dysplasia) to 79 years old, completely edentulous and no bone for standard dental implants were treated, with 430 zygoma implants. The surgery was transmucosally and the sinus membranes were lifted inserting the fixtures into the anterior maxilla, body of the zygoma and/or tuberosity, as anchorage for a metal infrastructure hybrid denture. All patients had provisional teeth installed the day of the surgery. Results: All patients were definitively rehabilitated within 6 weeks after surgery and cosmetics and function were ideally obtained. The complications were very few: 3 sinusitis, 2 implants lost in 2 to 16 years follow up, average 7.5 years. Conclusions: Multiple zygoma implant anchorage for dental rehabilitation is stable and predictable, avoiding bone grafts and time without wearing teeth.
implant tissues to appear and function as beautifully as natural dentition. Gingival contouring is an issue following the placement of crowns on teeth or dental implants. Deficient interdental papillae, ‘‘black triangle’’ (Dental Research Journal, 2013) defects or asymmetric periodontal gingival contours. are not acceptable as thinned, depressed or otherwise inadequate papillae allow food and bacteria accumulation, which compromises the integrity of the implant and surrounding bone. I have utilized Artefill (FDA approved bovine collagen injectable cosmetic filler for facial rhytids) (fda.gov) to augment periimplant gingival tissue. In my practice, I have found persistence of the papilla fullness for the 6 months since I began using Artefill. In addition to addressing food entrapment, hygienic and functional concerns, gingival recontouring with Artefill cosmetically enhances the appearance of interdental papillae and obliterates interdental black triangle defects. I will discuss risks and limitations of collagen injections, demonstrate my technique and show photographs of several patient who have benefitted from intra-papilla Artefill injections.
CT-Guided Surgery and All-on-FourÔ: A Marriage of Technologies Made in Heaven? G. P. Orentlicher: New York Oral, Maxillofacial, and Implant Surgery
1. Guerrero C., Sabogal A. Zygoma Implants. Atlas of surgery and prosthetics. Ripano. 2009. 2. Guerrero CA, Sader G, Henriquez M, Trujillo R, Pisano R. Sabogal A, Mont’Alverne A. Implantes Zigomaticos com Desenho Pentagonal para a Reabilitacao Inmediata da Maxila. Implant News. V. 9, N 6a, PBA, Brazil Novembro/Dezembro. 2012. P. 49-64.
Surgeons placing tilted implants using the All-onFourÔ workflow may question the rationale and ability to place implants using guided surgery. This session discusses tilted implant placement, guided surgery, and combining the technologies to maximize treatment success and outcomes. Techniques for extraction/immediate placement, bone reduction, and immediate loading will be discussed.
Enhanced PeriImplant Gingival Contours With Intra-Gingival Collagen Injections
References:
References:
C. Hamilton-Hall: Aesthetic & Maxillofacial Surgery Associates of Darien Implant ‘‘success’’ is no longer measured solely by a non-mobile, functioning dental implant. Dentists and patients also expect the implant, crown and peri-
e-8
1. Orentlicher G, Goldsmith D, Abboud M. Computer Guided Planning and Placement of Dental Implants. Digital Technologies in Oral and Maxillofacial Surgery, Atlas of Oral and Maxillofacial Surgery Clinics. 20, 1, 53-79, Mar 2012. 2. Orentlicher G, Jensen O, Horowitz A, Adams M, Abboud M. Combining All-on-4 Treatment with CT-Guided Technology: Technique and report of three cases. Compend Contin Educ Dent, 34(7) 534542, 2013.
AAOMS 2015
Multiple Zygoma Implants in Severe Maxillary Atrophy C. A. Guerrero: UTMB, Galveston, Texas, M. Gonzalez, R. R. Throndson Purpose: To rehabilitate patients with multiple anchorages in adjacent bone structures for severe maxillary atrophy. Data: 85 patients ages 11 (etodermal dysplasia) to 79 years old, completely edentulous and no bone for standard dental implants were treated, with 430 zygoma implants. The surgery was transmucosally and the sinus membranes were lifted inserting the fixtures into the anterior maxilla, body of the zygoma and/or tuberosity, as anchorage for a metal infrastructure hybrid denture. All patients had provisional teeth installed the day of the surgery. Results: All patients were definitively rehabilitated within 6 weeks after surgery and cosmetics and function were ideally obtained. The complications were very few: 3 sinusitis, 2 implants lost in 2 to 16 years follow up, average 7.5 years. Conclusions: Multiple zygoma implant anchorage for dental rehabilitation is stable and predictable, avoiding bone grafts and time without wearing teeth.
implant tissues to appear and function as beautifully as natural dentition. Gingival contouring is an issue following the placement of crowns on teeth or dental implants. Deficient interdental papillae, ‘‘black triangle’’ (Dental Research Journal, 2013) defects or asymmetric periodontal gingival contours. are not acceptable as thinned, depressed or otherwise inadequate papillae allow food and bacteria accumulation, which compromises the integrity of the implant and surrounding bone. I have utilized Artefill (FDA approved bovine collagen injectable cosmetic filler for facial rhytids) (fda.gov) to augment periimplant gingival tissue. In my practice, I have found persistence of the papilla fullness for the 6 months since I began using Artefill. In addition to addressing food entrapment, hygienic and functional concerns, gingival recontouring with Artefill cosmetically enhances the appearance of interdental papillae and obliterates interdental black triangle defects. I will discuss risks and limitations of collagen injections, demonstrate my technique and show photographs of several patient who have benefitted from intra-papilla Artefill injections.
CT-Guided Surgery and All-on-FourÔ: A Marriage of Technologies Made in Heaven? G. P. Orentlicher: New York Oral, Maxillofacial, and Implant Surgery
1. Guerrero C., Sabogal A. Zygoma Implants. Atlas of surgery and prosthetics. Ripano. 2009. 2. Guerrero CA, Sader G, Henriquez M, Trujillo R, Pisano R. Sabogal A, Mont’Alverne A. Implantes Zigomaticos com Desenho Pentagonal para a Reabilitacao Inmediata da Maxila. Implant News. V. 9, N 6a, PBA, Brazil Novembro/Dezembro. 2012. P. 49-64.
Surgeons placing tilted implants using the All-onFourÔ workflow may question the rationale and ability to place implants using guided surgery. This session discusses tilted implant placement, guided surgery, and combining the technologies to maximize treatment success and outcomes. Techniques for extraction/immediate placement, bone reduction, and immediate loading will be discussed.
Enhanced PeriImplant Gingival Contours With Intra-Gingival Collagen Injections
References:
References:
C. Hamilton-Hall: Aesthetic & Maxillofacial Surgery Associates of Darien Implant ‘‘success’’ is no longer measured solely by a non-mobile, functioning dental implant. Dentists and patients also expect the implant, crown and peri-
e-8
1. Orentlicher G, Goldsmith D, Abboud M. Computer Guided Planning and Placement of Dental Implants. Digital Technologies in Oral and Maxillofacial Surgery, Atlas of Oral and Maxillofacial Surgery Clinics. 20, 1, 53-79, Mar 2012. 2. Orentlicher G, Jensen O, Horowitz A, Adams M, Abboud M. Combining All-on-4 Treatment with CT-Guided Technology: Technique and report of three cases. Compend Contin Educ Dent, 34(7) 534542, 2013.
AAOMS 2015