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Dental Treatment 2018 Dentistry and Craniofacial Research
ISSN: 2576-392X Page 21
September 10-11, 2018
Zurich, Switzerland
25th International Conference on
Dental Treatment
Background: The zygomatic implants represent a valid alternative
to regenerative surgery of severe maxillary atrophies. With a right
clinical indication and a correct training for the operator it is
possible to treat complex cases with immediate loading to reduce
the patient’s discomfort. Actually the classic technique with burs
and intra-sinusal approach is very destructive way. The minimally
invasive technique developed by author with ESACROM, Imola,
Italy, using piezoelectric dedicated inserts, helps the surgeon
to realize an easy surgery, less demolishing, more predictable
because the osteotomy preparation is always outside the sinus,
totally with use of piezoelectric instrumentation.
Aim & Introduction: The zygomatic implants increase quality
of life and can be considered as the treatment of choice for the
totally edentulous patient suffering of atrophic jaws. Usually,
the zygomatic implant site preparation is still performed with
long drills difficult to control. In addition, the classic intrasinus
approach involves the maxillary sinus, increasing the morbidity,
the operating times, and other complications difficult to resolve.
The aim of this work is to evaluate a new minimally invasive
technique using piezoelectric dedicated inserts and extra-sinusal
approach.
Material & Methods: A total of 62 conventional implants were
placed together with 53 zygomatic implants. The patients, 17
male and 9 female, no smokers, in good health, with a removable
prosthesis, were followed up 24 months. After CT cone beam and
software planning design, each surgery was performed placing
for each patient two or four straight implants in the frontal area
and two zygomatic implants in the zygomatic bone. Some cases
have been treated with 4 zygomatic implants. Only one surgery
was performed placing an oncology zygomatic implant. After
planning the surgery a stereolithographic model was created for
each patient. The insertion torque was over 35 Nc. The surgeries
were performed under general anesthesia.
Results: No zygomatic implant was lost during the observation
period. The survival rate for the zygomatic implantswas 100%over
an average of 24 months observation period. Two conventional
implants were lost and there were no significant complications.
Discussion: The zygomatic implants are a valid alternative to
grafting procedure for the rehabilitation of the atrophic maxilla,
in many cases using an immediate function protocols. The
zygomatic implants were placed outside the sinus and anchored
in the maxillary alveolar process and in the zygomatic cortical
bone.
Conclusion: Extrasinusal approach: no sinus complication.
Piezoelectric strumentation (ESACROM, Imola, Italy)
Dedicated inserts
No instruments vibration
No dangerous
The surgery follows 3 steps: more accuracy
Greater visibility
Less time
Less post-operative discomfort.
Biography
Tedesco Andrea Graduated in “ Dentistry and Prosthodontic “ at the University
of Florence, Italy. He specialized in “ Oral Surgery “ at the Oral and Maxillofacial
Department of the Traumatologic Orthopaedic Center Hospital of Florence.
Post-graduate at the Oral and Maxillofacial Department of the Guy‘s and St.
Thomas Hospital, London, UK. He is enrolled in the General Dental Council of
London Member of the European Association for Osseointegration. Fellow
Membership, Royal Society of Medicine, London, UK. Honorary Member of
Oral Surgery Academy, London UK. He devised a new Zygomatic Minimally
Invasive Technique associatedwith Piezoelectric Surgery. Winner for best Oral
Presentation: “ The treatment of atrophic maxilla using zygomatic implants “
Advances in Maxillofacial Implantology “, The Royal Society of Medicine, Lon-
don, Uk . Fellow Research Oral Surgery Department - Pisa University - Dir. Prof.
M. Gabriele. Currently he published his first book entitled “ Gli impianti zigo-
matici: attualita’ nelle riabilitazioni implanto-protesiche dei mascellari atrofici “
by Quintessenza Editor. Mr Tedesco is a specialist Oral Surgeon and is an ex-
pert in Zygomatic Implant Dentistry and has recently published a book on this
topic “Gli impianti zigomatici: attualita’ nelle riabilitazioni implanto-protesiche
dei mascellari atrofici”. He’s recently devised a new minimally invasive tech-
nique for the use of zygomatic implants associated with Piezoelectric Surgery.
Zygomatic implant treatment: a new minimally invasive
technique with piezoelectric instrumentation
Andrea Tedesco
University of Pisa, Italy
Andrea Tedesco, J Dent Craniofac Res 2018, Volume 3
DOI: 10.21767/2576-392X-C3-008