Zygomatic implants placed in atrophic maxilla: an overview of current systematic reviews and meta-analysis
Tóm tắt
Zygomatic implants are a treatment option for severely atrophic maxilla. This study aimed to summarize and evaluate systematic reviews assessing the clinical outcomes of zygomatic implants including survival/failure rate and complications. PubMed-MEDLINE, Google Scholar, LILACS, and the Cochrane Database were searched up to April 2020. Risk of bias assessment was conducted by the AMSTAR tool. Initial searches yielded 175 studies. These were assessed, and following title abstract and full-text evaluation, 7 studies (2 meta-analyses) were included in the final review. According to the AMSTAR tool, 1 was deemed high quality, 4 were classified as medium, and 2 as low quality. The mean AMSTAR score (±SD) was 5.28 of 9 (±2.36) ranging from 2/9 to 9/9. The reported survival rates ranged from 95.2 to 100% except for resected maxillas, which established higher failure rates up to 21.43%. Concerning the complications with the zygomatic implants, various surgical and prosthetic complications were reported with sinusitis being the most frequently observed complication. Zygomatic implants appears to offer a promising alternative to formal bone grafting techniques with lower costs, less complications, less morbidity, shorter treatment times, and comparably high survival rates. Complications were rare and usually easy to manage. However, the treatment should be directed by appropriately trained clinicians with noticeable surgical experience.
Tài liệu tham khảo
Friberg B (2008) The posterior maxilla: clinical considerations and current concepts using Brånemark System implants. Periodontol 2000 47:67–78
Petrungaro PS, Kurtzman GM, Gonzales S, Villegas C (2018) Zygomatic implants for the management of severe alveolar atrophy in the partial or completely edentulous maxilla. Compend Contin Educ Dent 39:636–645
Starch-Jensen T, Jensen JD (2017) Maxillary sinus floor augmentation: a review of selected treatment modalities. J Oral Maxillofac Res 8:e3
Ali SA, Karthigeyan S, Deivanai M, Kumar A (2014) Implant rehabilitation for atrophic maxilla: a review. J Indian Prosthodont Soc 14:196–207
Merli M, Moscatelli M, Pagliaro U, Mariotti G, Merli I, Nieri M (2018) Implant prosthetic rehabilitation in partially edentulous patients with bone atrophy. An umbrella review based on systematic reviews of randomised controlled trials. Eur J Oral Implantol 11:261–280
Candel-Marti E, Carrillo-Garcia C, Penarrocha-Oltra D, Penarrocha-Diago M (2012) Rehabilitation of atrophic posterior maxilla with zygomatic implants: review. J Oral Implantol 38:653–657
Jokstad A, Sanz M, Ogawa T, Bassi F, Levin L, Wennerberg A et al (2016) A systematic review of the role of implant design in the rehabilitation of the edentulous maxilla. Int J Oral Maxillofac Implants 31(Suppl):s43–s99
ten Bruggenkate CM, van den Bergh JP (1998) Maxillary sinus floor elevation: a valuable pre-prosthetic procedure. Periodontol 2000 17:176–182
Nisand D, Renouard F (2014) Short implant in limited bone volume. Periodontol 2000 66:72–96
Jensen SS, Terheyden H (2009) Bone augmentation procedures in localized defects in the alveolar ridge: clinical results with different bone grafts and bone-substitute materials. Database of Abstracts of Reviews of Effects (DARE): Quality-Assessed Reviews [Internet]: Centre for Reviews and Dissemination, UK.
Aparicio C, Manresa C, Francisco K, Claros P, Alandez J, Gonzalez-Martin O et al (2014) Zygomatic implants: indications, techniques and outcomes, and the zygomatic success code. Periodontol 2000 66:41–58
Brånemark PI, Adell R, Albrektsson T, Lekholm U, Lindström J, Rockler B (1984) An experimental and clinical study of osseointegrated implants penetrating the nasal cavity and maxillary sinus. J Oral Maxillofac Surg 42:497–505
Parel SM, Brånemark PI, Ohrnell LO, Svensson B (2001) Remote implant anchorage for the rehabilitation of maxillary defects. J Prosthet Dent 86:377–381
Malevez C, Daelemans P, Adriaenssens P, Durdu F (2003) Use of zygomatic implants to deal with resorbed posterior maxillae. Periodontol 2000 33:82–89
Chrcanovic BR, Albrektsson T, Wennerberg A (2016) Survival and complications of zygomatic implants: an updated systematic review. J Oral Maxillofac Surg 74:1949–1964
Sharma A, Rahul GR (2013) Zygomatic implants/fixture: a systematic review. J Oral Implantol 39:215–224
Moher D, Liberati A, Tetzlaff J, Altman D, Group P (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. BMJ 339:b2535
Higgins JP, Green S (2011) Cochrane handbook for systematic reviews of interventions version 5, p 3
Sorni M, Guarinos J, Penarrocha M (2005) Implants in anatomical buttresses of the upper jaw. Med Oral Patol Oral Cir Bucal 10:163–168
Vega LG, Gielincki W, Fernandes RP (2013) Zygoma implant reconstruction of acquired maxillary bony defects. Oral Maxillofac Surg Clin North Am 25:223–239
Hugo Filho N, Amaral WS, Curra C, dos Santos PL, Cardoso CL (2016) Zygomatic implant: late complications in a period of 12 years of experience. Rev Clín Periodoncia Implantol Rehabil Oral
Neugarten J, Tuminelli FJ, Walter L (2017) Two bilateral zygomatic implants placed and immediately loaded: a retrospective chart review with up-to-54-month follow-up. Int J Oral Maxillofac Implants 32:1399–1403
Hackett S, El-Wazani B, Butterworth C (2020) Zygomatic implant-based rehabilitation for patients with maxillary and midfacial oncology defects: a review. Oral Dis
Bedrossian E, Bedrossian EA (2018) Prevention and the management of complications using the zygoma implant: a review and clinical experiences. Int J Oral Maxillofac Implants 33:e135–ee45
Cid Cisternas FA, Soto Neira BD (2016) Success rate of zygomatic implants forrehabilitation of severely atrophied maxillae: a review of the literature. Int J Med Surg Sci (Print) 3:771–777
Davo R, David L (2019) Quad zygoma: technique and realities. Oral Maxillofac Surg Clin North Am 31:285–297
Dominguez EA, Guerrero C, Shehata E, Van Sickels JE (2019) Zygoma implants or sinus lift for the atrophic maxilla with a dentate mandible: which is the better option? Dent Clin North Am 63:499–513
Block MS, Haggerty CJ, Fisher GR (2009) Nongrafting implant options for restoration of the edentulous maxilla. J Oral Maxillofac Surg 67:872–881
Galan Gil S, Penarrocha Diago M, Balaguer Martinez J, Marti Bowen E (2007) Rehabilitation of severely resorbed maxillae with zygomatic implants: an update. Med Oral Patol Oral Cir Bucal 12:216–220
Meenakshi S, Ganapathy D (2016) Status of zygomatic implants-a review. J Pharm Sci Res 8:480
Pandita A, Jangid M, Nayyar AS, Satpathy A (2016) Rehabilitation of resorbed maxilla with zygomatic implants-a review
Prithviraj D, Vashisht R, Bhalla HK (2014) From maxilla to zygoma: a review on zygomatic implants. J Dent Implants 4:44
Rosenstein J, Dym H (2020) Zygomatic implants: a solution for the atrophic maxilla. Dent Clin North Am 64:401–409
Gulia S, Vigarniya MM (2017) A comprehensive review on zygomatic implants. Nitte Univ J Health Sci 7:40–45
Aeran A, Srivastava R, Palekar U, Choukse V, Jain R. Zygomatic implants–a review.
Chrcanovic BR, Pedrosa AR, Neto Custodio AL (2013) Zygomatic implants: a critical review of the surgical techniques. Oral Maxillofac Surg 17:1–9
Malevez C (2012) Zygomatic anchorage concept in full edentulism. Rev Stomatol Chir Maxillofac 113:299–306
Pineau M, Nicot R, Lauwers L, Ferri J, Raoul G (2018) Zygomatic implants in our daily practice. Part I: treatment plan and surgical technique. Swiss Dent J 128:689–693
Esposito M, Worthington HV (2013) Interventions for replacing missing teeth: dental implants in zygomatic bone for the rehabilitation of the severely deficient edentulous maxilla. Cochrane Database Syst Rev 2013(9):Cd004151
Esposito M, Worthington HV, Thomsen P, Coulthard P (2003) Interventions for replacing missing teeth: dental implants in zygomatic bone for the rehabilitation of the severely deficient edentulous maxilla. Cochrane Database Syst Rev:Cd004151
Galve A (2019) Zygoma quad compared with 2 zygomatic implants–a systematic review and meta-analysis. Clin Oral Implants Res 30:402
Garcia P, Mendes CB, Ribeiro-Jr D, Lima F, Zahoui A (2014) Survival and complications of zygomatic implants rehabilitation: evidence-based literature review. Clin Oral Implants Res 25
Shea BJ, Reeves BC, Wells G, Thuku M, Hamel C, Moran J et al (2017) AMSTAR 2: a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both. BMJ 358:j4008
Tuminelli FJ, Walter LR, Neugarten J, Bedrossian E (2017) Immediate loading of zygomatic implants: a systematic review of implant survival, prosthesis survival and potential complications. Eur J Oral Implantol 10(Suppl 1):79–87
Chrcanovic BR, Abreu MH (2013) Survival and complications of zygomatic implants: a systematic review. Oral Maxillofac Surg 17:81–93
Goiato MC, Pellizzer EP, Moreno A, Gennari-Filho H, dos Santos DM, Santiago JF Jr et al (2014) Implants in the zygomatic bone for maxillary prosthetic rehabilitation: a systematic review. Int J Oral Maxillofac Surg 43:748–757
Molinero-Mourelle P, Baca-Gonzalez L, Gao B, Saez-Alcaide LM, Helm A, Lopez-Quiles J (2016) Surgical complications in zygomatic implants: a systematic review. Med Oral Patol Oral Cir Bucal 21:e751–e7e7
Aboul-Hosn Centenero S, Lazaro A, Giralt-Hernando M, Hernandez-Alfaro F (2018) Zygoma quad compared with 2 zygomatic implants: a systematic review and meta-analysis. Implant Dent. https://doi.org/10.1097/ID.0000000000000726
Wang F, Monje A, Lin GH, Wu Y, Monje F, Wang HL et al (2015) Reliability of four zygomatic implant-supported prostheses for the rehabilitation of the atrophic maxilla: a systematic review. Int J Oral Maxillofac Implants 30:293–298
Schmidt BL, Pogrel MA, Young CW, Sharma A (2004) Reconstruction of extensive maxillary defects using zygomaticus implants. J Oral Maxillofac Surg 62:82–89
Aparicio C, Ouazzani W, Aparicio A, Fortes V, Muela R, Pascual A et al (2010) Immediate/early loading of zygomatic implants: clinical experiences after 2 to 5 years of follow-up. Clin Implant Dent Relat Res 12(Suppl 1):e77–e82
Aromataris E, Fernandez R, Godfrey CM, Holly C, Khalil H, Tungpunkom P (2015) Summarizing systematic reviews: methodological development, conduct and reporting of an umbrella review approach. Int J Evid Based Healthc 13:132–140
Baj A, Trapella G, Lauritano D, Candotto V, Mancini GE, Giannì AB (2016) An overview on bone reconstruction of atrophic maxilla: success parameters and critical issues. J Biol Regul Homeost Agents 30:209–215
Yan M, Liu R, Bai S, Wang M, Xia H, Chen J (2018) Transalveolar sinus floor lift without bone grafting in atrophic maxilla: a meta-analysis. Sci Rep 8:1451
Bedrossian E, Stumpel L 3rd, Beckely ML, Indresano T (2002) The zygomatic implant: preliminary data on treatment of severely resorbed maxillae. A clinical report. Int J Oral Maxillofac Implants 17:861–865
Araujo MG, Lindhe J (2009) Ridge alterations following tooth extraction with and without flap elevation: an experimental study in the dog. Clin Oral Implants Res 20:545–549
Westerlund LE, Borden M (2020) Clinical experience with the use of a spherical bioactive glass putty for cervical and lumbar interbody fusion. J Spine Surg 6:49–61
Nkenke E, Hahn M, Lell M, Wiltfang J, Schultze-Mosgau S, Stech B et al (2003) Anatomic site evaluation of the zygomatic bone for dental implant placement. Clin Oral Implants Res 14:72–79
Aparicio C (2011) A proposed classification for zygomatic implant patient based on the zygoma anatomy guided approach (ZAGA): a cross-sectional survey. Eur J Oral Implantol 4:269–275
Landes CA (2005) Zygoma implant-supported midfacial prosthetic rehabilitation: a 4-year follow-up study including assessment of quality of life. Clin Oral Implants Res 16:313–325
Reher P, Chrcanovic BR, Springett R, Harris M (2011) Near infrared spectroscopy: a diagnostic tool to evaluate effects of radiotherapy in the mandible? Spectroscopy 26:11–32
Davó R, de Val JEMS (2020) Quad zygoma: immediate function in the severely atrophic maxilla. In: Zygomatic implants. Springer, Switzerland, pp 109–127
Kahnberg KE, Henry PJ, Hirsch JM, Ohrnell LO, Andreasson L, Brånemark PI et al (2007) Clinical evaluation of the zygoma implant: 3-year follow-up at 16 clinics. J Oral Maxillofac Surg 65:2033–2038
Davo R, Malevez C, Rojas J, Rodriguez J, Regolf J (2008) Clinical outcome of 42 patients treated with 81 immediately loaded zygomatic implants: a 12- to 42-month retrospective study. Eur J Oral Implantol 9(Suppl 1):141–150
Duarte LR, Filho HN, Francischone CE, Peredo LG, Branemark PI (2007) The establishment of a protocol for the total rehabilitation of atrophic maxillae employing four zygomatic fixtures in an immediate loading system--a 30-month clinical and radiographic follow-up. Clin Implant Dent Relat Res 9:186–196
Hui E, Chow R (2020) Digital workflow in zygomatic implant therapy. In: Zygomatic implants. Springer, Switzerland, pp 33–62
Bothur S, Jonsson G, Sandahl L (2003) Modified technique using multiple zygomatic implants in reconstruction of the atrophic maxilla: a technical note. Int J Oral Maxillofac Implants 18:902–904
Davo R, Pons O (2013) Prostheses supported by four immediately loaded zygomatic implants: a 3-year prospective study. Eur J Oral Implantol 6:263–269
Timmenga NM, Raghoebar GM, Liem RS, van Weissenbruch R, Manson WL, Vissink A (2003) Effects of maxillary sinus floor elevation surgery on maxillary sinus physiology. Eur J Oral Sci 111:189–197
Chow J, Wat P, Hui E, Lee P, Li W (2010) A new method to eliminate the risk of maxillary sinusitis with zygomatic implants. Int J Oral Maxillofac Implants 25:1233–1240
Jung J-H, Choi B-H, Zhu S-J, Lee S-H, Huh J-Y, You T-M et al (2006) The effects of exposing dental implants to the maxillary sinus cavity on sinus complications. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 102:602–605
Becktor JP, Isaksson S, Abrahamsson P, Sennerby L (2005) Evaluation of 31 zygomatic implants and 74 regular dental implants used in 16 patients for prosthetic reconstruction of the atrophic maxilla with cross-arch fixed bridges. Clin Implant Dent Relat Res 7:159–165
Bedrossian E (2010) Rehabilitation of the edentulous maxilla with the zygoma concept: a 7-year prospective study. Int J Oral Maxillofac Implants 25:1213–1221
Davo R (2009) Zygomatic implants placed with a two-stage procedure: a 5-year retrospective study. Eur J Oral Implantol 2:115–124