{"title":"在 HIV 阳性患者严重吸收的上颌牙弓上植入颧骨种植体。医疗工作和治疗计划中的考虑因素：病例报告","authors":"Dana C. Jackson Sr. , Priti P. Lotlikar","doi":"10.1016/j.omsc.2024.100350","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>The indications for using zygomatic implantsinvolve cases with severe resorption of the maxillary arch resulting in inadequate bone volume. The case report aims to review the HIV virus and current protocols, perioperative management and the surgical approach of zygomatic implant placement in combination with traditional implants in an HIV-positive patient.</p></div><div><h3>Case report</h3><p>A 59-year-old HIV positive male patient presents with atrophic maxillary and mandibular arches. Surgical placement of two zygomatic implants, two endosseous implants in the maxillary arch, and six endosseous implants in the mandibular arch. A reduction of a large palatal tori was also performed. The patient exhibited no complications after the surgical procedure. The hybrid prostheses were inserted post surgically without any issues.</p></div><div><h3>Conclusion</h3><p>Zygomatic implants can be an optimal treatment option for prosthetic rehabilitation in patients with atrophic maxilla for better functionality and aesthetics. This case demonstrates the perioperative work up and placement of zygomatic implants in a medically stable HIV-positive patient with no adverse effects five months post-operation. Various surgical approaches may be utilized with excellent patient acceptance and predictable outcomes.</p></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214541924000063/pdfft?md5=c857f445c72e1b9ddae41c9f59302d8d&pid=1-s2.0-S2214541924000063-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Zygomatic implant on a severely resorbed maxillary arch in a HIV positive patient. Considerations in medical work up and treatment planning: A case report\",\"authors\":\"Dana C. Jackson Sr. , Priti P. Lotlikar\",\"doi\":\"10.1016/j.omsc.2024.100350\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>The indications for using zygomatic implantsinvolve cases with severe resorption of the maxillary arch resulting in inadequate bone volume. The case report aims to review the HIV virus and current protocols, perioperative management and the surgical approach of zygomatic implant placement in combination with traditional implants in an HIV-positive patient.</p></div><div><h3>Case report</h3><p>A 59-year-old HIV positive male patient presents with atrophic maxillary and mandibular arches. Surgical placement of two zygomatic implants, two endosseous implants in the maxillary arch, and six endosseous implants in the mandibular arch. A reduction of a large palatal tori was also performed. The patient exhibited no complications after the surgical procedure. The hybrid prostheses were inserted post surgically without any issues.</p></div><div><h3>Conclusion</h3><p>Zygomatic implants can be an optimal treatment option for prosthetic rehabilitation in patients with atrophic maxilla for better functionality and aesthetics. This case demonstrates the perioperative work up and placement of zygomatic implants in a medically stable HIV-positive patient with no adverse effects five months post-operation. Various surgical approaches may be utilized with excellent patient acceptance and predictable outcomes.</p></div>\",\"PeriodicalId\":38030,\"journal\":{\"name\":\"Oral and Maxillofacial Surgery Cases\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-03-22\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S2214541924000063/pdfft?md5=c857f445c72e1b9ddae41c9f59302d8d&pid=1-s2.0-S2214541924000063-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Oral and Maxillofacial Surgery Cases\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2214541924000063\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Dentistry\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Oral and Maxillofacial Surgery Cases","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2214541924000063","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Dentistry","Score":null,"Total":0}
引用次数: 0
摘要
背景使用颧骨种植体的适应症包括上颌牙弓严重吸收导致骨量不足的病例。本病例报告旨在回顾一名 HIV 阳性患者的 HIV 病毒和当前方案、围手术期管理以及颧骨种植体植入结合传统种植体的手术方法。手术植入了两颗颧骨种植体，在上颌牙弓植入了两颗骨内种植体，在下颌牙弓植入了六颗骨内种植体。此外，还进行了一个大腭环的缩小手术。手术后患者没有出现任何并发症。结论颧骨种植体可以作为上颌骨萎缩患者修复的最佳治疗方案，以获得更好的功能性和美观性。本病例展示了一名病情稳定的艾滋病病毒阳性患者的围手术期工作和颧骨种植体植入情况，术后五个月无不良反应。可以采用多种手术方法，患者接受度高，效果可预测。
Zygomatic implant on a severely resorbed maxillary arch in a HIV positive patient. Considerations in medical work up and treatment planning: A case report
Background
The indications for using zygomatic implantsinvolve cases with severe resorption of the maxillary arch resulting in inadequate bone volume. The case report aims to review the HIV virus and current protocols, perioperative management and the surgical approach of zygomatic implant placement in combination with traditional implants in an HIV-positive patient.
Case report
A 59-year-old HIV positive male patient presents with atrophic maxillary and mandibular arches. Surgical placement of two zygomatic implants, two endosseous implants in the maxillary arch, and six endosseous implants in the mandibular arch. A reduction of a large palatal tori was also performed. The patient exhibited no complications after the surgical procedure. The hybrid prostheses were inserted post surgically without any issues.
Conclusion
Zygomatic implants can be an optimal treatment option for prosthetic rehabilitation in patients with atrophic maxilla for better functionality and aesthetics. This case demonstrates the perioperative work up and placement of zygomatic implants in a medically stable HIV-positive patient with no adverse effects five months post-operation. Various surgical approaches may be utilized with excellent patient acceptance and predictable outcomes.
期刊介绍：
Oral and Maxillofacial Surgery Cases is a surgical journal dedicated to publishing case reports and case series only which must be original, educational, rare conditions or findings, or clinically interesting to an international audience of surgeons and clinicians. Case series can be prospective or retrospective and examine the outcomes of management or mechanisms in more than one patient. Case reports may include new or modified methodology and treatment, uncommon findings, and mechanisms. All case reports and case series will be peer reviewed for acceptance for publication in the Journal.
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