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ORAL REHABILITATION Cite this article: Lombardo G, Pardo A, Mascellaro A, Corrocher G, Marincola M, Costantinescu FE, Nocini PF. Rehabilitation of severely resorbed maxillae with zygomatic implants: a literature review. Stoma Edu J. 2015;2(1):70-79 REHABILITATION OF SEVERELY RESORBED MAXILLAE WITH ZYGOMATIC IMPLANTS: A LITERATURE REVIEW Abstract Giorgio Lombardo1a*, Alessia Pardo1b, Anna Mascellaro1c, Giovanni Corrocher1d, Mauro Marincola2e, Florin-Eugen Costantinescu3f, Pier Francesco Nocini1g Clinic of Dentistry and Maxillofacial Surgery, University of Verona, Verona, Italy 2 State University of Cartagena, Cartagena, Colombia 3 Holistic Dental Medicine Institute-ROPOSTURO, Bucharest, Romania 1 a. MD, DDS, Associate Professor b. Dental Hygienist c. Dentistry Student d. DDS, MSC e. MD, DDS, Clinical Assistant Professor f. DDS, PhD Student g. MD, DDS, Full Professor, Director Background: The use of endosseous implants is a routine treatment modality for replacing missing teeth. However, the use of dental implants is limited by the presence of adequate bone volume permitting their anchorage. Several bone augmentation techniques have been applied to solve this problem. During the last two decades zygomatic implants have become a proposed alternative to bone augmentation procedures for the severely atrophic maxilla. The main advantages of this kind of rehabilitation could be that bone grafting may not be needed and a fixed prosthesis could be applied sooner. Objective: The purpose of this review is to examine the evidence concerning the management of severely resorbed edentulous maxillae using implants placed in the zygomatic bone. Data collection: The articles reported in this literature review were searched on pubmed/medline database, considering only the English-written scientific journals. Outcomes: A Zygomatic Success Code, describing criteria to score the success of a rehabilitation anchored on zygomatic implants, is represented by the outcomes of these variables: implant stability, associated sinus pathology, peri-implant soft tissues condition and prosthetic results. Excellent results were observed for zygomatic implants. Many studies showed an implant survival rate of 100% combined to similar prosthetic results.The cumulative survival rate (CSR) and patients’ satisfaction indicate that zygomatic implants could be an effective alternative for the management of an atrophic maxilla and, in some cases, be the only treatment solution. However, there are no well-defined criteria that help the clinician to evaluate this prosthetic rehabilitation. Conclusions: Thus, further studies are necessary to assess the longterm prognosis of the zygoma implant and whether these implants offer some advantages over other techniques for treating atrophic maxillae. Keywords: atrophic maxilla, zygomatic implants, dental implants, surgical technique, implants success criteria Background The use of endosseous implants is currently a routine treatment modality for prosthetic reconstruction of the Received: May, 5th 2015 edentulous maxilla, allowing to achieve Accepted: June 2nd 2015 acceptable long-term results in patients * Corresponding author: with sufficient bone volume (1). However, inadequate bone volume can Giorgio Lombardo, MD, DDS Associate Professor,Clinic of Dentistry and be the result of a resorption process Maxillofacial Surgery, University of Verona following teeth extraction, traumatic P.le L.A. Scuro 10 I-37134 Verona, Italy Tel: +39 045 8124867, Fax: +39 045 8124865 injuries, odontogenous infections and e-mail: [email protected] maxillary sinus pneumatisation (2-4), STOMA.EDUJ (2015) 2 (1) which present challenges to implant rehabilitation. Many techniques have been applied to increase the bone volumes. The most studied were sinus floor augmentation, onlay bone grafting, Le Fort I osteotomy with interpositional bone grafting and free revascularized flaps (5-14). However, these treatment protocols may extend the overall treatment time, the need for hospitalization and the inability to wear a pre-existing prosthesis during the healing period. Additionally, increased 69