Zygoma Implants or Sinus Lift for the Atrophic Maxilla with a Dentate Mandible: Which is the Better Option?

Enif A Dominguez; Cesar Guerrero; Ehab Shehata; Joseph E Van Sickels

doi:10.1016/j.cden.2019.02.013

Zygoma Implants or Sinus Lift for the Atrophic Maxilla with a Dentate Mandible: Which is the Better Option?

Dent Clin North Am. 2019 Jul;63(3):499-513. doi: 10.1016/j.cden.2019.02.013.

Authors

Enif A Dominguez¹, Cesar Guerrero², Ehab Shehata³, Joseph E Van Sickels⁴

Affiliations

¹ Division of Oral and Maxillofacial Surgery, Department of Oral Health Science, University of Kentucky, College of Dentistry, Albert B. Chandler Hospital, D508, 800 Rose Street, Lexington, KY 40536, USA. Electronic address: enif.dominguez@uky.edu.
² Private Practice, Clear Choice Dental Implant Center, 929 Gessner Road, Suite 2050, Houston, TX 77024, USA; The Woodlands Oral & Facial Surgery Center, 10857 Kuykendahl Road. Ste 150, The Woodlands, Tx 77382, USA; Private Practice, Oral and Maxillofacial Surgery, 907 Bay Area Boulevard, Houston, TX 77058, USA.
³ Division of Oral and Maxillofacial Surgery, Department of Oral Health Science, University of Kentucky, College of Dentistry, Albert B. Chandler Hospital, D508, 800 Rose Street, Lexington, KY 40536, USA; Department of Maxillofacial and Plastic Surgery, College of Dentistry, Alexandria University, Alexandria, Egypt.
⁴ Division of Oral and Maxillofacial Surgery, Department of Oral Health Science, University of Kentucky, College of Dentistry, Albert B. Chandler Hospital, D508, 800 Rose Street, Lexington, KY 40536, USA.

PMID: 31097141
DOI: 10.1016/j.cden.2019.02.013

Abstract

Rehabilitation of maxillary atrophy with dental implants is challenging to the clinician despite the wide variety of surgical techniques available. Finding the right indication for a procedure is highly important for the long-term stability of dental implants. With the introduction of the concept of "teeth-in-a-day," clinicians have explored innovative techniques to attain the goal of immediate implant-supported provisional prosthesis. However, costs and comorbidities are limitations to advancing these techniques. This article focuses on algorithms to rehabilitate the atrophic maxilla with the purpose of providing immediate provisional prosthetic teeth regardless of the mandibular dentition.

Keywords: Delayed loading; Immediate loading; Maxillary sinus grafting; Tilted implants; Zygoma implant.

Publication types

Review

MeSH terms

Atrophy
Dental Implantation, Endosseous
Dental Implants*
Dental Prosthesis Design
Dental Prosthesis, Implant-Supported
Dental Restoration Failure
Follow-Up Studies
Humans
Mandible
Maxilla
Zygoma*

Substances

Dental Implants