Managing the severely atrophic maxilla: Farewell to zygomatic implants and extensive augmentations?
Abstract
Background Dental rehabilitation of severe atrophic upper jaws remains challenging. A new generation of subperiosteally placed and rigid multi-vector bone-anchored patient-specific implants proposes an innovative line extension in implant dentistry. This single-center retrospective study focused on treating severely atrophic maxillae using these implants.Methods All patients who were treated with a patient-specific implant (IPS Implant® Preprosthetic, KLS-Martin, Tuttlingen, Germany) at Hannover Medical School due to severe atrophy of the maxilla who had no history of malignancy, cleft lip or palate, or trauma were evaluated regarding implant stability and prosthetic restoration, as well as complications.Results Out of a total of 58 inserted implants, 13 implants in 10 patients, which were placed to treat a severely atrophic upper jaw, were identified. The mean follow-up period was 8.2 months (1-29 months). All implants were clinically stable over the entire period. All patients with an observation period of over 2 months received prosthetics for restoration. Minor complications, screw fractures, infection, and exposure of the framework were observed, but these did not lead to failure.Conclusion This initial follow-up suggests that this new generation of implants represents a valuable treatment alternative, especially for patients with a history of failed dental implant placement. Larger numbers of cases and longer observation periods are required to confirm our findings.
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The general feasibility of the IPS Implants® Preprosthetic is already proven in former work of our group.
“However, the general feasibility of the IPS Implants® Preprosthetic is already proven in former work of our group [15, 19, 22].”
Cites
A classification of the edentulous jaws
Cawood, J. I., & Howell, R. A. (1988) · International Journal of Oral and Maxillofacial Surgery · doi:10.1016/s0901-5027(88)80047-x · Cited by 1,475 · see citing works
McAllister, B. S., & Haghighat, K. (2007) · Journal of Periodontology · doi:10.1902/jop.2007.060048 · Cited by 731 · see citing works
Zygoma fixture in the management of advanced atrophy of the maxilla: technique and long‐term results
Brånemark, P., Gröndahl, K., Öhrnell, L., et al. (2004) · Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery · doi:10.1080/02844310310023918 · Cited by 368 · see citing works
Fan, T., Li, Y., Deng, W., et al. (2016) · Clinical Implant Dentistry and Related Research · doi:10.1111/cid.12432 · Cited by 116 · see citing works
Additively manufactured sub-periosteal jaw implants
Mommaerts, M. Y. (2017) · International Journal of Oral and Maxillofacial Surgery · doi:10.1016/j.ijom.2017.02.002 · Cited by 109 · see citing works
Tilted Implants in the Immediate Loading Rehabilitation of the Maxilla
Menini, M., Signori, A., Tealdo, T., et al. (2012) · Journal of Dental Research · doi:10.1177/0022034512455802 · Cited by 81 · see citing works
Gellrich, N.-C., Zimmerer, R. M., Spalthoff, S., Jehn, P., Pott, P.-C., Rana, M., & Rahlf, B. (2017) · Journal of Cranio-Maxillofacial Surgery · doi:10.1016/j.jcms.2017.07.022 · Cited by 75 · see citing works
Self-citationClinical outcomes of pterygoid implants: Systematic review and meta-analysis
Araújo, R. Z., Santiago, J. F., Cardoso, C. L., et al. (2019) · Journal of Cranio-Maxillofacial Surgery · doi:10.1016/j.jcms.2019.01.030 · Cited by 73 · see citing works
Bathla, S. C., Fry, R. R., & Majumdar, K. (2018) · Journal of Indian Society of Periodontology · doi:10.4103/jisp.jisp_236_18 · Cited by 71 · see citing works
Schramm, A. R., Gellrich, N., Schimming, R., et al. (2000) · Oral and Maxillofacial Surgery · doi:10.1007/s100060000211 · Cited by 68 · see citing works
Self-citationGellrich, N., Rahlf, B., Zimmerer, R. M., et al. (2017) · Head & Face Medicine · doi:10.1186/s13005-017-0151-3 · Cited by 60 · see citing works
Self-citationA 41‐year history of a mandibular subperiosteal implant
Schou, S., Pallesen, L., Hjørting-Hansen, E., et al. (2000) · Clinical Oral Implants Research · doi:10.1034/j.1600-0501.2000.110210.x · Cited by 47 · see citing works
Trimmel, B., Gede, N., Hegyi, P. J., et al. (2020) · Clinical Oral Implants Research · doi:10.1111/clr.13690 · Cited by 46 · see citing works
Starch‐Jensen, T., Deluiz, D., Bruun, N. H., et al. (2020) · Journal of Oral and Maxillofacial Research · doi:10.5037/jomr.2020.11302 · Cited by 43 · see citing works
D’Agostino, A., Lombardo, G., Favero, V., et al. (2021) · Journal of Cranio-Maxillofacial Surgery · doi:10.1016/j.jcms.2021.01.020 · Cited by 36 · see citing works
Oral health-related quality of life in tumour patients treated with patient-specific dental implants
Jehn, P., Spalthoff, S., Korn, P., Stoetzer, M., Gercken, M., Gellrich, N.-C., & Rahlf, B. (2020) · International Journal of Oral and Maxillofacial Surgery · doi:10.1016/j.ijom.2020.01.011 · Cited by 33 · see citing works
Self-citationGracher, A. H. P., de Moura, M. B., Peres, P. D. S., et al. (2021) · International Journal of Implant Dentistry · doi:10.1186/s40729-021-00297-z · Cited by 29 · see citing works
Pellegrino, G., Lizio, G., Basile, F., et al. (2020) · Methods and Protocols · doi:10.3390/mps3040075 · Cited by 18 · see citing works
Vertical and Horizontal Augmentation of Deficient Maxilla and Mandible for Implant Placement
Andre, A., & Ogle, O. E. (2020) · Dental Clinics of North America · doi:10.1016/j.cden.2020.09.009 · Cited by 17 · see citing works
The Use of Tooth Derived Bone Graft Materials in Sinus Augmentation Procedures: a Systematic Review
Shavit, E., Shavit, I., Pinchasov, D., et al. (2019) · Journal of Oral and Maxillofacial Research · doi:10.5037/jomr.2019.10201 · Cited by 11 · see citing works
Azar, R., Semyari, H., & Kharazifard, M. J. (2020) · Frontiers in Dentistry · doi:10.18502/fid.v17i1.3964 · Cited by 5 · see citing works
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Exceptional Cases Demand Exceptional Personalized Solutions: The Next Level in Dental Rehabilitation
Gellrich, N.-C., Korn, P., Jehn, P., Neuhaus, M., Lentge, F., & Rahlf, B. (2024) · Journal of Personalized Medicine · doi:10.3390/jpm14030294 · Cited by 15 · see citing works
Self-citationGellrich, N.-C., Korn, P., Jehn, P., Lentge, F., Neuhaus, M.-T., & Rahlf, B. (2025) · Head & Face Medicine · doi:10.1186/s13005-025-00549-y · Cited by 2 · see citing works
“16, 17, 18, 19 and 20).”
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- Authors
- Korn, P., Gellrich, N.-C., Spalthoff, S., Jehn, P., Eckstein, F., Lentge, F., Zeller, A.-N., & Rahlf, B.
- Affiliations
- Medizinische Hochschule Hannover (DE)
- Corresponding author
- Korn, Philippe
- ORCID
- Venue
- Journal of Stomatology, Oral and Maxillofacial Surgery
- Publisher
- Elsevier BV
- Published
- 2022-10
- Volume
- 123
- Issue
- 5
- Pages
- 562-565
- ISSN
- 2468-7855 (ISSN-L)
- OpenAlex
- W4200318253
- Cited by
- 32
- References
- 21
- Citations by year
- 2026: 6 · 2025: 15 · 2024: 7 · 2023: 4
- FWCI
- 2.81
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Journal of Stomatology Oral and Maxillofacial Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Dentistry › Oral Surgery › Dental Implant Techniques and Outcomes
- Health Sciences › Dentistry › Orthodontics › Dental materials and restorations
- Health Sciences › Dentistry › Periodontics › Scientific and Engineering Research Topics
- Keywords
- severely atrophic maxilla, patient-specific implants, subperiosteal implants, zygomatic implants, implant stability, prosthetic restoration, implant complications, screw breakage
- MeSH terms
- Atrophy, Dental Implantation, Endosseous, Follow-Up Studies, Humans, Jaw, Edentulous, Maxilla, Retrospective Studies, Zygoma, Dental Implants, Dental Prosthesis, Implant-Supported
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