Computer-Aided Rehabilitation of Maxillary Oncological Defects Using Zygomatic Implants: A Defect-Based Classification.

Purpose: A complete maxillectomy for neoplastic lesions leads to serious oral dysfunction. Zygomatic implants for fixed bridge support are considered beneficial for maxillary defects after tumor resection.Materials and Methods: This clinical study examined the management of patients with different m...

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Publicado en:Journal of Oral & Maxillofacial Surgery (02782391) Vol. 73; no. 12; pp. 2446.e1 - 24461
Autores principales: Pellegrino, Gerardo, Tarsitano, Achille, Basile, Francesco, Pizzigallo, Angelo, Marchetti, Claudio
Formato: research Journal Article
Publicado: W B Saunders Dec2015
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2015
      vid: 73
      iid: 12
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      pub: W B Saunders
      place: Philadelphia, Pennsylvania
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        10.1016/j.joms.2015.08.020
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        110941121
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        atl: Computer-Aided Rehabilitation of Maxillary Oncological Defects Using Zygomatic Implants: A Defect-Based Classification.
      aug:
        au:
          Pellegrino, Gerardo
          Tarsitano, Achille
          Basile, Francesco
          Pizzigallo, Angelo
          Marchetti, Claudio
        affil: PhD Student, Oral and Maxillofacial Surgery Division, Department of Biomedical and Neuromotor Sciences, University of Bologna, Italy
      sug:
        subj:
          Surgery, Computer-Assisted Methods
          Maxilla Surgery
          Zygoma Surgery
          Dental Implantation Methods
          Maxillary Neoplasms Surgery
          Prosthesis Failure
          Quality of Life
          Dental Prosthesis, Implant-Supported
          Aged, 80 and Over
          Middle Age
          Aged
          Prosthesis Design
          Human
          Aged, 80 & over
          Middle Aged: 45-64 years
          Aged: 65+ years
      ab: Purpose: A complete maxillectomy for neoplastic lesions leads to serious oral dysfunction. Zygomatic implants for fixed bridge support are considered beneficial for maxillary defects after tumor resection.Materials and Methods: This clinical study examined the management of patients with different maxillary defect types who underwent delayed rehabilitation using zygomatic implants and immediate prosthetic loading. Virtual preoperative planning and intraoperative navigation were performed in all cases.Results: Five patients were treated with this new method. The total number of zygomatic implants positioned was 17. Four patients had immediate loading of a fixed prosthesis and 1 had delayed loading. One patient had 1 failed implant.Conclusion: The use of preoperative virtual surgical planning and an intraoperative navigation system allows the surgeon to achieve safer implant positioning in a complex anatomic site. A systematic bone defect classification was created and a specific treatment protocol is proposed for each type of defect.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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