International Dentistry Journal | Volume , Issue 1 | Case Report | Open Access DOI

A Case Report: Zygomatic Implant Treatment in the Edentulous Mouth

GizemEcem Kocak Nuhoglu*

Gizem Ecem Kocak Nuhoğlu1*, Nedim Özer2 ,Aybike Şeker DDS3, Fathullah Safar3, Buse Sarpkaya4

1Assistant Professor Doctor, Department of Oral and Maxillofacial Surgery, Kent University, Faculty of Dentistry, Istanbul, Turkey

2Professor Doctor, Department of Oral and Maxillofacial Surgery, Kent University, Faculty of Dentistry, Istanbul, Turkey

3Phd Student , Department of Oral and Maxillofacial Surgery, Kent University, Faculty of Dentistry, Istanbul, Turkey

4Student of Dentistry, Kent University, Faculty of Dentistry, Istanbul, Turkey

*Correspondence to: GizemEcem Kocak Nuhoglu 

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Abstract

As a result of periodontal or endodontic diseases; local and systemic factors such as tooth extractions, early tooth loss, tumor resections, traumas, and some other types of developmental anomalies may lead to advanced horizontal and vertical bone resorption in maxilla. Jaw bones that have horizontal and vertical resorption, the retention and resistance of the prosthesis is negatively affected, which disrupts the stabilization of the prosthesis and reduces patient comfort. On the other hand, the reconstruction and rehabilitation of the atrophic maxilla by using grafts is challenging for several reasons. It requires a good surgical technique, high-quality soft tissues covering the graft, and a favorable overall health standard for repair, as well as patient cooperation, which involves risk factors. In this case presentation, a 36-year-old male maxillary edentulous patient with history of long-term prosthesis use presented to our clinic with a desire for improved prosthesis retention and a request for fixed prostheses. After evaluating the patient’s all blood tests and CBCT image, total of 2 zygomatic implants were placed where the level of teeth numbers #24 and #14, under general anesthesia. The bone was determined to be D4 in softness, so to increase the retention region dental implants were placed in the regions of teeth numbers #12, #22 and #18. On the same day, temporary fixed prosthesis were placed with surgical procedures. The patient was edentulous for many years and used removable denture; so in his clinical images there were oral epulis fissuratums. After the osseointegration is complete, epulis fissuratums are removed with diode lasers and vestibul deepening is made at the same session. The patient is given the new total prosthesis after 2 weeks of soft tissue healing. This case report's purpose is to give newsworthy information about a zygomatic implantation made in an edentulous mouth, its indications, advantages, and methods.

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Citation:

Gizem Ecem Kocak Nuhoğlu, Nedim Özer ,Aybike Şeker DDS, Fathullah Safar, Buse Sarpkaya. A Case Report: Zygomatic Implant Treatment in the Edentulous Mouth. Int Dent Jour. 2024;1(1):1-6.