ITI consensus report on zygomatic implants: indications, evaluation of surgical techniques and long-term treatment outcomes.

Autor: Al-Nawas B; Department of Oral and Maxillofacial Surgery, Plastic Operations, University Medical Center Mainz, Mainz, Germany. al-nawas@uni-mainz.de., Aghaloo T; Section of Oral and Maxillofacial Surgery, UCLA School of Dentistry, Los Angeles, CA, USA., Aparicio C; Indiana University School of Dentistry, Indianapolis, USA.; Hepler Bone Clinic, ZAGA Center Barcelona, Barcelona, Spain., Bedrossian E; Department of Oral and Maxillofacial Surgery University of the Pacific, Dugoni School of Dentistry, San Francisco, CA, USA., Brecht L; Department of Dental Medicine and Oral and Maxillofacial Surgery, Northwell Health, New Hyde Park, New York, USA.; Division of Prosthodontics and Restorative Dentistry, NYC College of Dentistry, New York, USA., Brennand-Roper M; Department of Restorative Dentistry, Bristol Dental Hospital, Bristol, UK., Chow J; Brånemark Osseointegration Center, Hong Kong SAR, China., Davó R; Medimar International Hospital, Department of Implantology and Maxillofacial Surgery, Vithas Davó Instituto Dental, Alicante, Spain., Fan S; Department of Oral and Maxillofacial Surgery, Plastic Operations, University Medical Center Mainz, Mainz, Germany.; Second Dental Center, School of Medicine, Ninth People's Hospital Affiliated to Shanghai Jiao Tong University, Shanghai, China., Jung R; Clinic of Reconstructive Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland., Kämmerer PW; Department of Oral and Maxillofacial Surgery, Plastic Operations, University Medical Center Mainz, Mainz, Germany., Kumar VV; Oral Rehabilitation Center, Bangalore, India.; Department of Surgical Sciences, Odontology and Maxillofacial Surgery, Medical Faculty, Uppsala University, Uppsala, Sweden., Lin WS; Department of Prosthodontics, Indiana University School of Dentistry, Indianapolis, USA., Malevez C; Department of Oral and Maxillofacial Surgery, Clinique Saint-Jean, Brussels, Belgium., Morton D; Department of Prosthodontics, Indiana University School of Dentistry, Indianapolis, USA., Pijpe J; Department of Oral and Maxillofacial Surgery, Special Care and Orthodontics, Erasmus Medical Center Rotterdam, Rotterdam, The Netherlands.; Department of Oral and Maxillofacial Surgery, Catharina Hospital, Eindhoven, The Netherlands., Polido WD; Department of Oral and Maxillofacial Surgery, Indiana University School of Dentistry, Indianapolis, USA., Raghoebar GM; Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands., Stumpel LJ; San Francisco, USA., Tuminelli FJ; Department of Veterans Affairs, New York Harbor Healthcare System, New York, USA., Verdino JB; Hyères, France., Vissink A; Department of Oral and Maxillofacial Surgery, University Medical Center Groningen and University of Groningen, Groningen, The Netherlands., Wu Y; Second Dental Center, School of Medicine, Ninth People's Hospital Affiliated to Shanghai Jiao Tong University, Shanghai, China., Zarrine S; Saint-Dié-Des-Vosges, France.
Jazyk: angličtina
Zdroj: International journal of implant dentistry [Int J Implant Dent] 2023 Sep 12; Vol. 9 (1), pp. 28. Date of Electronic Publication: 2023 Sep 12.
DOI: 10.1186/s40729-023-00489-9
Abstrakt: Objectives: The aim of the ITI Consensus Workshop on zygomatic implants was to provide Consensus Statements and Clinical Recommendations for the use of zygomatic implants.
Materials and Methods: Three systematic reviews and one narrative review were written to address focused questions on (1) the indications for the use of zygomatic implants; (2) the survival rates and complications associated with surgery in zygomatic implant placement; (3) long-term survival rates of zygomatic implants and (4) the biomechanical principles involved when zygoma implants are placed under functional loads. Based on the reviews, three working groups then developed Consensus Statements and Clinical Recommendations. These were discussed in a plenary and finalized in Delphi rounds.
Results: A total of 21 Consensus Statements were developed from the systematic reviews. Additionally, the group developed 17 Clinical Recommendations based on the Consensus Statements and the combined expertise of the participants.
Conclusions: Zygomatic implants are mainly indicated in cases with maxillary bone atrophy or deficiency. Long-term mean zygomatic implant survival was 96.2% [95% CI 93.8; 97.7] over a mean follow-up of 75.4 months (6.3 years) with a follow-up range of 36-141.6 months (3-11.8 years). Immediate loading showed a statistically significant increase in survival over delayed loading. Sinusitis presented with a total prevalence of 14.2% [95% CI 8.8; 22.0] over a mean 65.4 months follow-up, representing the most common complication which may lead to zygomatic implant loss. The international experts suggested clinical recommendations regarding planning, surgery, restoration, outcomes, and the patient's perspective.
(© 2023. Deutsche Gesellschaft für Implantologie im Zahn‐, Mund‐ und Kieferbereich e.V., Japanese Society of Oral Implantology.)
Databáze: MEDLINE
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