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Long (zygoma) implants and locators

Luc@Vrielinck.be


Situation • Patient desires: fixed prosthesis in the upper jaw • Diagnosis: – Dorsal atrophy Upper jaw

• Treatment plan: – 4 standard implants in the front, 2 long implants with pterygoid anchorage dorsally, delayed loading │Overdenture


Chronology • 10/04/2003: Implant placement • 03/11/2003: Second stage (failure 2 frontal implants) • 31/10/2008: Follow-up 5 year • 25/02/2011: Follow-up > 7 year


Treatment plan 17/02/2003


17/02/2003: Treatment plan


17/02/2003: Treatment plan


17/02/2003: Treatment plan


17/02/2003: Treatment plan


Stereolithographic drill guides and parafernalia


Stereolithographic drill guides and parafernalia


Stereolithographic drill guides and parafernalia


Stereolithographic drill guides and parafernalia


Stereolithographic drill guides and parafernalia


Stereolithographic drill guides and parafernalia


Stereolithographic drill guides and parafernalia


Stereolithographic drill guides and parafernalia


Treatment Surgery 10/04/2003


Rubber stops for controlling depth of drilling of the long “zygoma” drills

SurgiGuide™

Zygoma implant twist drills

10/04/2003: Implant placement

Guiding tubes for SAFE System™


10/04/2003: Implant placement


Result of flapless implant placement

10/04/2003: Implant placement


Healing after 2 weeks with partial closure of the gingiva

24/04/2003: 2 weeks postoperative


Postoperative Study of Accuracy


CT taken immediately postoperative


CT taken immediately postoperative


CT taken immediately postoperative


CT taken immediately postoperative


CT taken immediately postoperative


CT taken immediately postoperative


Second Stage Surgery 03/11/2003


Second stage with failure of 2 standard implants in the front

X X

X

03/11/2003: Second stage

X


Further treatment • We proposed to place two additional implants • In the mean time the patient was helped with placement 4 locators on the implants (as a temporary measure) • The patient was so satisfied with this solution that he kindly refused additional treatment


Follow-up 5 years 31/10/2008


5 jaar follow up: 31/10/2008


Follow up> 7 year 25/02/2011


Did you know that the locators fitted into the old machined zygoma implant, but NOT the new machined zygoma implants from NobelBiocare?

25/02/2011: Follow-up > 7 year


25/02/2011: Follow-up > 7 year


Unfavourable cantilever

25/02/2011: Follow-up > 7 year


25/02/2011: Follow-up > 7 year


25/02/2011: Follow-up > 7 year


25/02/2011: Follow-up > 7 year


25/02/2011: Follow-up > 7 year


25/02/2011: Follow-up > 7 year


25/02/2011: Follow-up > 7 year


Long (zygomatic) implants and locators