Atlas de implantes cigomáticos
Diagnóstico y tratamiento clínico
by Miguel Peñarrocha / Juan Alberto Fernández / David Peñarrocha
Description
This book is an eminently clinical guide that has been created from the knowledge and experience of years in the authors' profession and a highly qualified multidisciplinary team.
Atlas of zygomatic implants, offers the reader a protocol necessary to know the anatomy, diagnosis, classification, treatment plans, anesthetic and surgical techniques, such as regenerations for the placement of zygomatic implants.
Current digital techniques in oral surgery and implantology have placed us in a new technological scenario, and this has also reached zygomatic implants. In a large maxillary atrophy we can place zygomatic implants and make immediate loading, something that, in extreme atrophies, without zygomatic implants is practically unthinkable.
It is true that zygomatic implants are only indicated in a small number of patients, those with extreme maxillary atrophies, among all those treated with dental implants. Zygomatics were introduced to the scientific world by Brånemark in 1998, and since then changes have been made, both in the implants and in the procedure, which have led to a considerable decrease in their complications, in the short and long term. Two important figures in implantology collaborated with him in Spain: Carlos Aparicio Magallón, who has contributed greatly to the scientific development of zygomatic implants with numerous bibliographical contributions and a book, and Joan Pi Urgell, who for many years worked and learned directly with Brånemark . They taught us, formed a school in Spain, and got many other professionals in our country to be grateful for their contributions to Spanish implantology.
It is important that readers who approach this topic know that it is a difficult technique, not without serious complications, and that it should always be performed by an experienced surgeon. It is a procedure reserved for professionals with extensive surgical experience and not carrying out the proper training, with a teacher to guide you, can pose serious problems for the dentist and the patient. Therefore, the first requirement to use zygomatic implants is humility: we must recognize our limitations and train properly before launching into complex treatment like this.
To finish we want to say to those who read this book that we have written it with the idea that it helps professionals to better understand this technique and to know when they can apply it to their patients. Zygomatic implant surgery is a delicate procedure and not without complications, which should only be performed when one has learned from the hand of a teacher and as long as one has sufficient training and surgical experience to do so.
Table of Contents:
Chapter 1: History of zygomatic implants
Reginaldo Migliorança • Javier Aizcorbe-Vicente • André Irschlinger • David Peñarrocha-Oltra • Juan Alberto Fernández-Ruíz • Miguel Peñarrocha-Diago
Chapter 2: Anatomy applied to zygomatic implants
Juan Guarinos-Carbó • María Díaz-Sánchez • Pedro Serrano-Carbó • Miguel Puche-Torres • Francisco Martínez- Soriano • Miguel Peñarrocha-Diago.
Summary
Malar bone
Bone atrophy
Infraorbital region
Neurovascular and muscular elements
Preoperative radiological study
conclusion
Message to remember
Bibliography
Chapter 3: Radiographic examination and guided surgery in zygomatic implants
María Peñarrocha-Diago • Juan Carlos Bernabeu-Mira • Xulio Pouso-Rey • Juan Alberto Fernández-Ruíz • David Peñarrocha-Oltra
Summary
Introduction
Radiological anatomy of the zygomatic bone
Types of radiographic methods
Preoperative radiological study
Postoperative radiological study
Preoperative and postoperative radiological study procedure
Guided surgery on zygomatic implants
Message to remember
Bibliography
Chapter 4: Diagnosis, Classifications, and Treatment Plan: A Prosthetic and Surgical Perspective
Miguel Peñarrocha-Diago • Javier Aizcorbe-Vicente • Juan Alberto Fernández-Ruíz • David Peñarrocha-Oltra.
Summary
Introduction
Anatomical flying buttresses
Frontomaxilar or canine flying buttress
Fronto-zygomatic flying buttress
Pterygomaxillary flying buttress
Zygomatic implants vs. Bone grafts and conventional implants
Prosthetic diagnosis of the maxillary edentulous
Types of prosthesis in atrophic upper jaw
Extraoral examination
Occlusion vertical dimension (DVO)
Lip support
Lip length, smile line and transition line
Position of the incisal edge of the central incisor
Intraoral examination
Occlusion and antagonistic dentition
Result of the aesthetic and functional analysis of the patient's prosthesis
Surgical diagnosis of the maxillary toothless
Patient's medical condition
Degree of atrophy of the upper jaw
Implant distribution
Surgical determination of the prosthetic space
Obtaining primary stability
Message to remember
Bibliography
Chapter 5: Conscious sedation in complex dental surgery
Maite Bovaira-Forner • Paula Bovaira-Forner
Summary
Introduction
Preoperative evaluation
Monitoring: material and equipment
Drugs
Oral sedation
IV sedation
Inhalation sedation
Recovery and discharge
Message to remember
Bibliography
Chapter 6: Surgical technique for the placement of zygomatic implants
Juan Alberto Fernández-Ruíz • Miguel Peñarrocha-Diago • David Soto-Peñaloza • David Peñarrocha-Oltra
Summary
Introduction
Anesthetic technique for the placement of zygomatic implants
Local anesthesia
Endovenous sedation accompanied by local anesthesia
General anesthesia
Washing, carving and preparing the operative field
Pre-surgical measures
Preparation of the operative field
Material needed for the surgical approach to the zygomatic process
General use material
Incision material
Instruments for detachment
Rotary material
Osteoctomy supplies
Surgical technique - incisions, detachment, bed preparation, implant selection
Incision
Exposure of the operative field
Preparation of the implant bed
Classic approach or intrasinusal technique
Sinus slot technique
Establishment of benchmarks
Implant placement sequence
Selection of the type of implant to use
Classification according to the angulation of the implant head
Classification according to the type of surface treatment
Zygomatic implant length and insertion
Multiunit abutment placement
Flap closure
Revision regime
Immediate postoperative
Postoperative mediate
Late postoperative
Drug guidelines
Patient recovery
Informed consent
Informed consent document for zygomatic implants
Message to remember
Bibliography
Chapter 7: Bone and soft tissue regeneration in zygomatic implants
Miguel Peñarrocha-Diago • Juan Carlos Bernabeu-Mira • Juan Alberto Fernández-Ruíz • David Peñarrocha-Oltra
Introduction
Bone regeneration around zygomatic implants
Palatal bone regeneration
Vestibular bone regeneration
Palatal and vestibular bone regeneration
Soft tissue regeneration around zygomatic implants
Palatal rotation pedicled connective tissue scarf or graft technique
Scarf technique along with Bichat ball replacement
Connective tissue graft
Bone and soft tissue regeneration around zygomatic implants
Message to remember
Bibliography
Chapter 8: Zygomatic implants and jaw reconstruction
Federico Hernández-Alfaro • Adaia Valls Ontañón
Summary
Introduction
Indications
Step by step procedure
Surgical planning
Surgical act
Prosthetic load
Conclusions
Message to remember
Bibliography
Chapter 9: Biomechanics of Angled and Zygomatic Implants
David Soto-Peñaloza • Juan Alberto Fernández-Ruíz • Miguel Peñarrocha-Diago • Blanca Serra Pastor • David Peñarrocha-Oltra
Summary
Introduction
Biomechanics of forces in the middle facial skeleton
Transmission of forces from the tooth to the bone
Transmission of forces from the implant to the bone
Biomechanics of implant-supported restorations with zygomatic implants
Biomechanics of angled implants
Biomechanics of zygomatic implants
Message to remember
Bibliography
Chapter 10: Immediate loading on zygomatic implants
Miguel Peñarrocha-Diago • Javier Aizcorbe-Vicente • Blanca Serra Pastor • Juan Alberto Fernández-Ruíz • David Peñarrocha-Oltra
Summary
Introduction
Immediate loading concept
Objectives, requirements and considerations of immediate loading on zygomatic implants
Surgical Considerations: Primary Stability
Prosthetic considerations
Clinical procedures
Direct technique
Direct-indirect technique
Indirect technique
conclusion
Message to remember
Bibliography
Chapter 11: Complications in zygomatic implants
Miguel Peñarrocha-Diago • María Díaz-Sánchez • Juan Alberto Fernández-Ruíz • Hilario Pellicer-Chover • Miguel Armengot-Carceller • David Peñarrocha Oltra
Summary
Early complications
Lip laceration
Orbital injury or periorbital hematoma
Infraorbital nerve injury
Nasal bleeding
Rupture of the maxillary sinus wall
Pain and edema
Acute maxillary odontogenic sinusitis (early onset)
Immediate failure of the zygomatic implant
Intracranial penetration of the zygomatic implant
Prevention of early complications
Late complications
Mucositis and peri-implantitis
Vestibular dehiscence of the zygomatic implant
Orosinusal communication
Chronic maxillary sinusitis, late onset
Impaired speech and functionality
Failure of the zygomatic implant
Survival in zygomatic implants
Conclusions
Message to remember
Chapter 12: Clinical cases of zygomatic implants
Miguel Peñarrocha-Diago • María Díaz-Sánchez • David Peñarrocha-Oltra • Juan Alberto Fernández-Ruíz
Zygomatic implants with 15 years of evolution (Cawood and Howell grade V atrophy)
Zygomatic implants with 14 years of evolution evolution (Cawood and Howell grade VI atrophy)
Zygomatic implants with palatal bone regeneration, without immediate loading
Zygomatic implants with vestibular and palatal bone regeneration, without immediate loading
Four zygomatic implants without bone regeneration, with soft tissue grafting and without immediate loading
Zygomatic implants with bone regeneration, soft tissue grafting and immediate loading
Zygomatic implants with bone regeneration and immediate loading
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LISERMED PUBLISHING
We are a young publisher, but with great experience in the sector, mainly in dentistry. Reputed national and international authors with great experience and who trust in our professionalism.
View all titlesBibliographic Information
- Publisher Lisermed Editorial SL
- Publication Date June 2020
- Orginal LanguageSpanish
- ISBN/Identifier 9788494231896
- Publication Country or regionSpain
- Pages340
- Publish StatusPublished
- Original Language TitleSpanish
- Editionfirst
- Copyright Year2020
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