Zygoma fixture in the management of advanced atrophy of the maxilla: technique and long-term results.

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Brånemark, Per-IngvarGothenburg University,Göteborgs universitet,Odontologiska institutionen,Institute of Odontology (författare)

Zygoma fixture in the management of advanced atrophy of the maxilla: technique and long-term results.

Artikel/kapitelEngelska2004

Förlag, utgivningsår, omfång ...

2009-07-08
Informa UK Limited,2004

Nummerbeteckningar

LIBRIS-ID:oai:gup.ub.gu.se/55378
https://gup.ub.gu.se/publication/55378URI
https://doi.org/10.1080/02844310310023918DOI

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Språk:engelska

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Ämneskategori:ref swepub-contenttype
Ämneskategori:art swepub-publicationtype

Anmärkningar

Despite refinements in surgical technique, including bone grafting and sophisticated prosthetic reconstructions, there are limitations to what can be achieved with bone-anchored fixed prostheses in patients with advanced atrophy of the maxillae. A new approach was suggested by a long-term study on onlay bone grafting and simultaneous placement of a fixture based on a new design: the zygoma fixture, and the aim of this study was to assess its potential. Twenty-eight consecutive patients with severely resorbed edentulous maxillae were included, 13 of whom had previously had multiple fixture surgery in the jawbone that had failed. A total of 52 zygoma fixtures and 106 conventional fixtures were installed. Bone grafting was deemed necessary in 17 patients. All patients have been followed for at least five years, and nine for up to 10 years. All patients were followed up with clinical and radiographic examinations, and in some cases rhinoscopy and sinoscopy as well. Three zygoma fixtures failed; two at the time of connection of the abutment and the third after six years. Of the conventional fixtures placed at the time of the zygoma fixture, 29 (27%) were lost. The overall prosthetic rehabilitation rate was 96% after at least five years of function. There were no signs of inflammatory reaction in the surrounding antral mucosa. Four patients with recurrent sinusitis recovered after inferior meatal antrostomy. To conclude, the zygoma fixture seems to be a valuable addition to our repertoire in the management of the compromised maxilla.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Odontologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Dentistry hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kirurgi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Surgery hsv//eng
Bone Transplantation
Dental Implantation
Endosseous
methods
Dental Implants
Dental Prosthesis Design
Humans
Jaw
Edentulous
radiography
surgery
Maxilla
surgery
Treatment Outcome
Zygoma
surgery

Biuppslag (personer, institutioner, konferenser, titlar ...)

Gröndahl, Kerstin,1948Gothenburg University,Göteborgs universitet,Odontologiska institutionen,Institute of Odontology(Swepub:gu)xgroke (författare)
Öhrnell, Lars-OlovGothenburg University,Göteborgs universitet,Odontologiska institutionen,Institute of Odontology (författare)
Nilsson, PeterGothenburg University,Göteborgs universitet,Odontologiska institutionen,Institute of Odontology(Swepub:gu)xnpete (författare)
Petruson, Björn,1939Gothenburg University,Göteborgs universitet,Institutionen för särskilda specialiteter, Avdelningen för öron, näs- och halssjukdomar,Institute of Selected Clinical Sciences, Department of Otolaryngology(Swepub:gu)xpetbj (författare)
Svensson, BarbroGothenburg University,Göteborgs universitet,Odontologiska institutionen,Institute of Odontology (författare)
Engstrand, PerGothenburg University,Göteborgs universitet,Odontologiska institutionen,Institute of Odontology(Swepub:gu)xengsp (författare)
Nannmark, Ulf,1958Gothenburg University,Göteborgs universitet,Institutionen för anatomi och cellbiologi,Institute of Anatomy and Cell Biology(Swepub:gu)xnanul (författare)
Göteborgs universitetOdontologiska institutionen (creator_code:org_t)

Sammanhörande titlar

Ingår i:Scandinavian journal of plastic and reconstructive surgery and hand surgery / Nordisk plastikkirurgisk forening [and] Nordisk klubb for handkirurgi: Informa UK Limited38:2, s. 70-850284-4311

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Av författaren/redakt...: Brånemark, Per-I ...; Gröndahl, Kersti ...; Öhrnell, Lars-Ol ...; Nilsson, Peter; Petruson, Björn, ...; Svensson, Barbro; visa fler...; Engstrand, Per; Nannmark, Ulf, 1 ...; visa färre...

Om ämnet

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Odontologi

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Kirurgi

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Av lärosätet: Göteborgs universitet

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