Implantes cigomáticos en pacientes con edentulismo maxilar y reabsorción ósea severa
Resumen
El tratamiento con implantes convencionales no puede hacer parte de la rehabilitación implantosoportada en maxilares edéntulos totales en algunos pacientes, debido a la resorción ósea avanzada o por neumatización del seno maxilar, lo que conduce a cantidades inadecuadas de tejido óseo para el anclaje de los implantes. Durante más de tres décadas, técnicas quirúrgicas para colocación de injertos óseos antes o simultáneamente con la colocación del implante se ha convertido en la rutina en rehabilitación oral. Diversas técnicas de aumento óseo, como la elevación de seno maxilar o injerto óseo, se han descrito con el objetivo común de aumentar el volumen de hueso de soporte. Actualmente con el desarrollo de la técnica en implantes cigomáticos se pueden evitar estas técnicas de injertos óseos devolviendo a los pacientes mejor calidad de vida y estética adecuada con un trauma menor y facilitando el tratamiento y el pronóstico del mismo.
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Referencias bibliográficas
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Schiroli G, Angiero F, Silvestrini-Biavati A, Benedicenti S. Zygomaticostic implant placement with flapless computer-guided surgery: a proposed clinical protocol. J Oral Maxillofac Surg Off J Am Assoc Oral Maxillofac Surg. 2011;69(12):2979–2989. https://www.ncbi.nlm.nih.gov/pubmed/21835528
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Rotaru H, Schumacher R, Kim SG, Dinu C. Selective laser melted titanium implants: a new technique for the reconstruction of extensive zygomatic complex defects. Maxillo fac plast reconstr surg. 2015;37(1)380-384. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4309900/
Kato Y, Kizu Y, Tonogi M, Ide Y, Yamane G. Internal structure of zygomaticostic bone related to zygomatic fixture. J Oral Maxillofac Surg Off J Am Assoc Oral Maxillofac Surg. 2005;63(9):1325–1329. https://www.ncbi.nlm.nih.gov/pubmed/16122597
Vega LG, Gielincki W, Fernandes RP. zygomaticos implant reconstruction of acquired maxillary bony defects. Oral Maxillofac Surg Clin N Am. 2013;25(2):223–239. https://www.ncbi.nlm.nih.gov/pubmed/16122597
Malevez C.Zygomaticostic anchorage concept in full edentulism. Rev Stomatol Chir Maxillofac. 2012;113(4):299–306. https://www.ncbi.nlm.nih.gov/pubmed/23642670
Schiroli G, Angiero F, Silvestrini-Biavati A, Benedicenti S. Zygomaticostic implant placement with flapless computer-guided surgery: a proposed clinical protocol. J Oral Maxillofac Surg Off J Am Assoc Oral Maxillofac Surg. 2011;69(12):2979–2989. https://www.ncbi.nlm.nih.gov/pubmed/21835528
De Santis D, Trevisiol L, Cucchi A, Canton LC, Nocini PF. zygomaticostic and maxillary implants inserted by means of computer-assisted surgery in a patient with a cleft palate. J Craniofac Surg. 2010;21(3):858–862. http://www.apariciozygomatic.com/wp-content/uploads/2015/05/Z-guided-report-de-Santis2010.pdf
Aparicio C, Ouazzani W, Aparicio A, Fortes V, Muela R, Pascual A, et al. Extrasinus Zygomaticostic implants: three year experience from a new surgical approach for patients with pronounced buccal concavities in the edentulous maxilla. Clin Implant Dent Relat Res. 2010;12(1):55–61. http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1708-8208/issues
Maló P, Nobre M de A, Lopes A, Ferro A, Moss S. Five-year outcome of a retrospective cohort study on the rehabilitation of completely edentulous atrophic maxillae with immediately loaded zygomatic implants placed extra-maxillary. Eur J Oral Implantol. 2014;7(3):267–281.
Bedrossian E. Rehabilitation of the edentulous maxilla with the cigomáticos concept: a 7-year prospective study. Int J Oral Maxillofac Implants. 2010;25(6):1213–1221. https://www.ncbi.nlm.nih.gov/pubmed/25237671
Pi Urgell J, Revilla Gutiérrez V, Gay Escoda CG. Rehabilitation of atrophic maxilla: a review of 101 zygomatic implants. Med Oral Patol Oral Cir Bucal. 2008;13(6):E363–370. https://www.ncbi.nlm.nih.gov/pubmed/18521062
Peñarrocha M, García B, Martí E, Boronat A. Rehabilitation of severely atrophic maxillae with fixed implant-supported prostheses using zygomatic implants placed using the sinus slot technique: clinical report on a series of 21 patients. Int J Oral Maxillofac Implants. 2007;22(4):645–650. https://www.ncbi.nlm.nih.gov/pubmed/17929527
Bedrossian E, Stumpel LJ. Immediate stabilization at stage II of zygomatic implants: rationale and technique. J Prosthet Dent. 2001;86(1):10–14. https://www.ncbi.nlm.nih.gov/pubmed/11458258
Ugurlu F, Yıldız C, Sener BC, Sertgoz A. Rehabilitation of posterior maxilla with zygomatic and dental implant after tumor resection: a case report. Case Rep Dent. 2013: 1-5. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3600263/
Goiato MC, Pellizzer EP, Moreno A, Gennari-Filho H, dos Santos DM, Santiago JF,Implants in the zygomaticostic bone for maxillary prosthetic rehabilitation: a systematic review. Int J Oral Maxillofac Surg. 2014;43(6):748–757. https://www.ncbi.nlm.nih.gov/pubmed/24530034
Pu L-F, Tang CB, Shi WB, Wang DM, Wang YQ, Sun C. Age-related changes in anatomic bases for the insertion of Zygomaticostic implants. Int J Oral Maxillofac Surg. 2014;43(11):1367–1372. http://europepmc.org/abstract/med/24951178
Ferreira EJ, Kuabara MR, Gulinelli JL.“All-on-four” concept and immediate loading for simultaneous rehabilitation of the atrophic maxilla and mandible with conventional and zygomaticostic implants.Br J Oral Maxillofac Surg. 2010;48(3):218–220. http://www.bjoms.com/
Koser LR, Campos PSF, Mendes CM. Length determination of zygomaticostic implants using tridimensional computed tomography. Braz Oral Res. 2006;20(4):331–336.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242006000400009
Kuabara MR, Ferreira EJ, Gulinelli JL, Paz LGP. Rehabilitation with zygomaticostic implants: a treatment option for the atrophic edentulous maxilla--9-year follow-up. Quintessence Int. 2010;41(1):9–12.
Maló P, Nobre Md, Lopes A, Francischone C, Rigolizzo M. Three-year outcome of a retrospective cohort study on the rehabilitation of completely edentulous atrophic maxillae with immediately loaded extra-maxillary Zygomaticostic implants. Eur J Oral Implantol. 2012;5(1):37–46.
Fernández H, Gómez-Delgado A, Trujillo-Saldarriaga S, Varón-Cardona D, Castro-Núñez J. Zygomaticostic implants for the management of the severely atrophied maxilla: a retrospective analysis of 244 implants.J Oral maxillofac.Surg. 2014;72(5):887–891.
Rotaru H, Schumacher R, Kim SG, Dinu C. Selective laser melted titanium implants: a new technique for the reconstruction of extensive zygomatic complex defects. Maxillo fac plast reconstr surg. 2015;1. https://www.ncbi.nlm.nih.gov/pubmed/24576439 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4309900/
Fernández Ateca B, Colorado Bonnin M, Gay Escoda C.Implantes transcigomaticos, Av Periodon Implanto.2004;16(3):129-141. http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1699-65852004000300002
Vrielinck L. , Politis C , Schepers S, Pauwels M, Naert I. Image-based planning and clinical validation of zygoma and pterygoid implant placement in patients with severe bone atrophy using customized drill guides. Preliminary results from a prospective clinical follow-up Study. Int J Oral Maxillofac Surg. 2003;7-14. https://www.ncbi.nlm.nih.gov/pubmed/12653226
Corvello PC, Montagner A, Batista FC, Smidt R, Shinkai RS. Length of the drilling holes of zygomatic implants inserted with the standard technique or a revised method: A comparative study in dry skulls. J Craniomaxillofac Surg. . 2011;39(2).119-123. https://www.ncbi.nlm.nih.gov/pubmed/20430638
Ortiz GE. Domínguez JS. Implantes cigomáticos:soluciones implantosoportadas sin injertos. ces odonto. 2009;47-54. http://revistas.ces.edu.co/index.php/odontologia/article/view/932
Rodríguez-G J Chessa, Olate S, Duque Netto H, Shibli5 J Moraes M, Mazzonetto R. Treatment of atrophic maxilla with zygomatic implants in 29 consecutives patients. Int J Clin Exp Med. 2014;7(2)426-430. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3931599/
Balshi TJ.Wolfinger GJ. Immediate Loading of Dental Implants in the Edentulous Maxilla: Case Study of a Unique Protocol. Int J Periodontics Restorative Dent. 2003;23(1)37-45. https://www.ncbi.nlm.nih.gov/pubmed/12617367
Block Ms.Haggerty CJ,fisher GR. Nongrafting Implant Options for estoration of the Edentulous Maxilla. J Oral Maxillofac Surg. 2009;67(4)872-881. https://www.ncbi.nlm.nih.gov/pubmed/19304049
Canan akay, suat yaluğ, mehmet dalkiz. effects of dental and zygomatic implants on stress distribution in zygomatic bone. 2014;253-259. http://dergipark.ulakbim.gov.tr/sdumuhtas/article/view/1089005104
Fernández Ateca B, Colorado Bonnin M, Gay Escoda C. Implantes transcigomáticos. Av Periodon Implantol 2004;16(3)129-141. http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1699-65852004000300002
M.F. Pintor Willcock, O. Campos Salvaterra. Nueva indicación de implantes cigomáticos para la rehabilitación fija de desdentados parciales: reporte de un caso. Esp Cirug Oral y Maxilofac 2007;29(4). http://scielo.isciii.es/scielo.php?pid=S1130-05582007000400007&script=sci_arttext
Balshi TJ . Wolfinger GJ,. Petropoulos VC. Quadruple zygomatic implant support for retreatment of resorbed iliac crest bone graft transplant.Implant dent. 2003;12(1) 47-53. https://www.ncbi.nlm.nih.gov/pubmed/12704956
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2016-12-16
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Vélez AM, Torres Ángela M, Ortiz-Orrego G, Álvarez LG. Implantes cigomáticos en pacientes con edentulismo maxilar y reabsorción ósea severa. CES odontol. [Internet]. 16 de diciembre de 2016 [citado 1 de abril de 2023];29(2):40-51. Disponible en: https://revistas.ces.edu.co/index.php/odontologia/article/view/4104
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