Rehabilitation of Maxillectomy Patients Using Zygoma Implants.

IF 0.6 Q4 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Maxillofacial & Oral Surgery Pub Date : 2025-08-01 Epub Date: 2025-02-03 DOI:10.1007/s12663-024-02417-9

Pushpa Kumari, Anita Kapri, Ashish Chakranarayan, Sudhanshu Shekhar Mohapatra, Akshay Kannan, Vaibhav Jain, Shakil Nagori

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引用次数: 0

Abstract

Aim: The aim of the present study was to rehabilitate extensive acquired maxillary defects using zygomatic implant and endosseous dental implant-retained obturator/prosthesis. The objective was to provide a stable, well-retained obturator and to determine the use of zygomatic implants as a reconstructive option to overcome the loss of retentive anatomy following maxillectomy. A total of eight OPD patients - six male and two female of all age groups were selected.

Methodology: Scales assessed were: a) Oral Health impact Profile -14 (OHIP-14) and b) Obturator functioning scale (OFS). Parameters recorded preoperatively and 3 months postoperatively. Clip on denture was delivered to the patient within 7 days with immediate loading concept.

Results: The age groups of the patients ranged between 32 and 54 years with mean age of 44.875. The OHIP-14 scores showed significant differences in all domains with conventional obturator/ with implant-retained obturator: mean functional limitation - 4.13 /0.75; mean physical pain - 5.88 / 0.63. The obturator function scores significantly improved from 4.5 to 30.63.

Conclusion: Although currently limited, the evidence suggests overall good survival rates for the use of zygomatic implants; however, there are varied institutional results reported, most likely due to differing levels of experience with these techniques which have a distinct learning curve.

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颧骨种植体在上颌切除术患者康复中的应用。

目的：本研究的目的是利用颧种植体和骨内种植体保留的闭孔/假体修复广泛的获得性上颌缺损。目的是提供一个稳定的，保留良好的闭孔，并确定使用颧骨植入物作为重建选择，以克服上颌切除术后保留解剖结构的损失。共有8名门诊病人，男6名，女2名，来自所有年龄组。方法：评估的量表为：a)口腔健康影响量表-14 （OHIP-14）和b)闭孔功能量表（OFS）。术前及术后3个月参数记录。义齿夹在7天内送到患者，立即加载概念。结果：患者年龄32 ~ 54岁，平均年龄44.875岁。OHIP-14评分显示，常规闭孔/种植体保留闭孔在所有领域的差异显著：平均功能限制- 4.13 /0.75；平均身体疼痛- 5.88 / 0.63。闭孔功能评分由4.5分显著提高至30.63分。结论：尽管目前的证据有限，但有证据表明使用颧骨植入物的总体生存率良好；然而，各机构报告的结果各不相同，很可能是由于对这些技术的经验水平不同，学习曲线不同。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Maxillofacial & Oral Surgery DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

1.90

自引率

0.00%

发文量

138

期刊介绍： This journal offers comprehensive coverage of new techniques, important developments and innovative ideas in Oral and Maxillofacial Surgery. Practice-applicable articles help develop the methods used to handle dentoalveolar surgery, facial injuries and deformities, TMJ disorders, oral cancer, jaw reconstruction, anesthesia and analgesia. The journal also includes specifics on new instruments, diagnostic equipment’s and modern therapeutic drugs and devices. Journal of Oral and Maxillofacial Surgery is recommended for first or priority subscription by the Dental Section of the Medical Library Association. Specific topics covered recently have included: ? distraction osteogenesis ? synthetic bone substitutes ? fibroblast growth factors ? fetal wound healing ? skull base surgery ? computer-assisted surgery ? vascularized bone grafts Benefits to authorsWe also provide many author benefits, such as free PDFs, a liberal copyright policy, special discounts on Elsevier publications and much more. Please click here for more information on our author services.