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Extra-Sinus Zygomatic Implants to Avoid Chronic Sinusitis and Prosthetic Arch Malposition: 12 Years of Experience.
J Oral Implantol. 2019 Feb; 45(1):73-78.JO

Abstract

This report retrospectively at the 12-year follow-up results of the treatment and rehabilitation of edentulous maxillae, applying extra-sinus zygomatic implants alone or in combination with intra-sinus zygomatic implants. We recruited 22 patients with 35 zygomatic Brånemark system implants; 24 implants in the standard Brånemark protocol through the sinus and 11 extra-sinus implants outside the sinus. Additionally, 147 regular implants were placed. The minimum follow-up period was 50 months to a maximum of 152 months. The zygoma survival rate after 12 years was 97.15%. Chronic sinusitis occurred in 11.42% of patients. We lost 1 (2.85%) zygomatic implant placed through the sinus and none of those in the extra-sinus position. The survival rate of the regular implants was 93.87%. Chronic sinusitis occurred in 4 patients (11.42%) who received zygomatic implants using standard protocol through the sinus. None of the extra-sinus zygoma patients developed sinusitis. Peri-implantitis was detected with only 3 zygomatic implants. In the original P-I Brånemark zygoma protocol the implants were passing through the sinus, which resulted in chronic sinusitis in some patients and malposition of the prosthetic platform toward the palate. These complications can be avoided by the extra-sinus placement of zygoma implants as demonstrated in this study.

Authors+Show Affiliations

1 Department of Periodontology, Medical University of Lublin, Poland.1 Department of Periodontology, Medical University of Lublin, Poland.2 Department of Neurology, Medical University of Lublin, Poland.3 Department of Clinical Genetics, Medical University of Lublin, Poland.4 Department of Otolaryngology and Laryngological Oncology, Medical University of Lublin, Poland.1 Department of Periodontology, Medical University of Lublin, Poland.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30074849

Citation

Aleksandrowicz, Paweł, et al. "Extra-Sinus Zygomatic Implants to Avoid Chronic Sinusitis and Prosthetic Arch Malposition: 12 Years of Experience." The Journal of Oral Implantology, vol. 45, no. 1, 2019, pp. 73-78.
Aleksandrowicz P, Kusa-Podkańska M, Grabowska K, et al. Extra-Sinus Zygomatic Implants to Avoid Chronic Sinusitis and Prosthetic Arch Malposition: 12 Years of Experience. J Oral Implantol. 2019;45(1):73-78.
Aleksandrowicz, P., Kusa-Podkańska, M., Grabowska, K., Kotuła, L., Szkatuła-Łupina, A., & Wysokińska-Miszczuk, J. (2019). Extra-Sinus Zygomatic Implants to Avoid Chronic Sinusitis and Prosthetic Arch Malposition: 12 Years of Experience. The Journal of Oral Implantology, 45(1), 73-78. https://doi.org/10.1563/aaid-joi-D-18-00034
Aleksandrowicz P, et al. Extra-Sinus Zygomatic Implants to Avoid Chronic Sinusitis and Prosthetic Arch Malposition: 12 Years of Experience. J Oral Implantol. 2019;45(1):73-78. PubMed PMID: 30074849.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Extra-Sinus Zygomatic Implants to Avoid Chronic Sinusitis and Prosthetic Arch Malposition: 12 Years of Experience. AU - Aleksandrowicz,Paweł, AU - Kusa-Podkańska,Marta, AU - Grabowska,Katarzyna, AU - Kotuła,Lidia, AU - Szkatuła-Łupina,Anna, AU - Wysokińska-Miszczuk,Joanna, Y1 - 2018/08/03/ PY - 2018/8/4/pubmed PY - 2019/7/2/medline PY - 2018/8/4/entrez KW - SP - 73 EP - 78 JF - The Journal of oral implantology JO - J Oral Implantol VL - 45 IS - 1 N2 - This report retrospectively at the 12-year follow-up results of the treatment and rehabilitation of edentulous maxillae, applying extra-sinus zygomatic implants alone or in combination with intra-sinus zygomatic implants. We recruited 22 patients with 35 zygomatic Brånemark system implants; 24 implants in the standard Brånemark protocol through the sinus and 11 extra-sinus implants outside the sinus. Additionally, 147 regular implants were placed. The minimum follow-up period was 50 months to a maximum of 152 months. The zygoma survival rate after 12 years was 97.15%. Chronic sinusitis occurred in 11.42% of patients. We lost 1 (2.85%) zygomatic implant placed through the sinus and none of those in the extra-sinus position. The survival rate of the regular implants was 93.87%. Chronic sinusitis occurred in 4 patients (11.42%) who received zygomatic implants using standard protocol through the sinus. None of the extra-sinus zygoma patients developed sinusitis. Peri-implantitis was detected with only 3 zygomatic implants. In the original P-I Brånemark zygoma protocol the implants were passing through the sinus, which resulted in chronic sinusitis in some patients and malposition of the prosthetic platform toward the palate. These complications can be avoided by the extra-sinus placement of zygoma implants as demonstrated in this study. SN - 0160-6972 UR - https://www.unboundmedicine.com/medline/citation/30074849/Extra_Sinus_Zygomatic_Implants_to_Avoid_Chronic_Sinusitis_and_Prosthetic_Arch_Malposition:_12_Years_of_Experience_ L2 - http://www.joionline.org/doi/10.1563/aaid-joi-D-18-00034?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -