Case 7 Zygoma implantt as rescue therapy after failed bone graft

Use of a zygoma implants as rescue therapy in case with sinuslifting and failing implants

Dr Luc Vrielinck, MD DDS Oral and Maxillofacial Surgery Comments at: Luc@Vrielinck.be Genk Belgium

• At intake: patient is referred for retreatment of a failed implant after sinus lifting • Status: – Situation after sinus lifting and implant placement and prosthetic reconstruction on locators – Failure and migration of the right distal implant in the maxillary sinus – Initial surgical and prosthetic treatment was done before referral to our dpt – Rescue treatment performed in Genk: Removal of failed implant, delayed zygomatic implant placement, delayed prosthetic reconstruction on overdenture bar

Chronology • • • • •

05/05/5008: 14/07/2008: 26/08/2008: 03/03/2009: 26/08/2010:

Removal of failed implant Conebeamscan and planning Placement of zygoma implant Second stage zygoma implant Follow-up 1.5 year

Evolution bone level Dte

ZR

14

13

11

21

23

24

08/07/2008

P

P

P

P

P

P

15/04/2008

X

X

26/08/2008 Pzyg

P

X

X

25/08/2009

0

X

X

-4

-4

-2

-2

26/08/2010

0

X

X

-3

-4

-4

-1

P: Placement X: implant lost

04/06/2007: Intake

04/06/2007: Intake

30/07/2007: Bilateral sinuslifting, hipgraft

15/04/2008: the migrating implant

Locator s good id are not a ea in th ese indicati ons ?

X

X

15/04/2008: the migrating implant

26/08/2008: Placement of a rescue zygomatic implant

Placement of a zygoma implant with some threads exposed Covered wit a Titanium mesh

03/03/2009: Vrijleggen zygoma

25/08/2009: Final result

25/08/2009: Final result

Insufficient room for cleaning

25/08/2009: Final result

25/08/2009: Final result

26/08/2010: Follow-up 1,5 year

26/08/2010: Follow-up 1,5 year

26/08/2010: Follow-up 1,5 year

?

ZR

-3

11

-4

-4

21

26/08/2010: Follow-up 1,5 year

-1

23

24

26/08/2010: Follow-up 1,5 year

26/08/2010: Follow-up 1,5 year

26/08/2010: Follow-up 1,5 year

26/08/2010: Follow-up 1,5 year

26/08/2010: Follow-up 1,5 year

26/08/2010: Follow-up 1,5 year

26/08/2010: Follow-up 1,5 year