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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: [email protected] Genk Belgium
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Case 7 Zygoma implantt as rescue therapy after failed bone graft

Mar 10, 2016

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Luc Vrielinck

Treatment of a case with zygoma implant after failed sinuslifting and implants
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Page 1: 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 DDSOral and Maxillofacial Surgery

Comments at: [email protected] Belgium

Page 2: Case 7 Zygoma implantt as rescue therapy after failed bone graft

• 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

Page 3: Case 7 Zygoma implantt as rescue therapy after failed bone graft

Chronology• 05/05/5008: Removal of failed implant• 14/07/2008: Conebeamscan and planning• 26/08/2008: Placement of zygoma implant• 03/03/2009: Second stage zygoma implant• 26/08/2010: Follow-up 1.5 year

Page 4: Case 7 Zygoma implantt as rescue therapy after failed bone graft

Evolution bone levelDte ZR 14 13 11 21 23 2408/07/2008 P P P P P P

15/04/2008 X X

26/08/2008Pzyg

P X X

25/08/2009 0 X X -4 -4 -2 -2

26/08/2010 0 X X -3 -4 -4 -1

P: PlacementX: implant lost

Page 5: Case 7 Zygoma implantt as rescue therapy after failed bone graft

04/06/2007: Intake

Page 6: Case 7 Zygoma implantt as rescue therapy after failed bone graft

04/06/2007: Intake

Page 7: Case 7 Zygoma implantt as rescue therapy after failed bone graft

30/07/2007: Bilateral sinuslifting, hipgraft

Page 8: Case 7 Zygoma implantt as rescue therapy after failed bone graft

15/04/2008: the migrating implant

Page 9: Case 7 Zygoma implantt as rescue therapy after failed bone graft

X X

15/04/2008: the migrating implant

Locators are not a good idea in these indications ?

Page 10: Case 7 Zygoma implantt as rescue therapy after failed bone graft
Page 11: Case 7 Zygoma implantt as rescue therapy after failed bone graft

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

Page 12: Case 7 Zygoma implantt as rescue therapy after failed bone graft

03/03/2009: Vrijleggen zygoma

Placement of a zygoma implant with some threads exposedCovered wit a Titanium mesh

Page 13: Case 7 Zygoma implantt as rescue therapy after failed bone graft

25/08/2009: Final result

Page 14: Case 7 Zygoma implantt as rescue therapy after failed bone graft

25/08/2009: Final result

Page 15: Case 7 Zygoma implantt as rescue therapy after failed bone graft

25/08/2009: Final result

Insufficient room for cleaning

Page 16: Case 7 Zygoma implantt as rescue therapy after failed bone graft

25/08/2009: Final result

Page 17: Case 7 Zygoma implantt as rescue therapy after failed bone graft

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

Page 18: Case 7 Zygoma implantt as rescue therapy after failed bone graft

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

Page 19: Case 7 Zygoma implantt as rescue therapy after failed bone graft

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

Page 20: Case 7 Zygoma implantt as rescue therapy after failed bone graft

ZR 11 21 23 24

? -3 -4 -4 -1

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

Page 21: Case 7 Zygoma implantt as rescue therapy after failed bone graft

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

Page 22: Case 7 Zygoma implantt as rescue therapy after failed bone graft

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

Page 23: Case 7 Zygoma implantt as rescue therapy after failed bone graft

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

Page 24: Case 7 Zygoma implantt as rescue therapy after failed bone graft

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

Page 25: Case 7 Zygoma implantt as rescue therapy after failed bone graft

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

Page 26: Case 7 Zygoma implantt as rescue therapy after failed bone graft

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

Page 27: Case 7 Zygoma implantt as rescue therapy after failed bone graft

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