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