Cited by 32Dental Implant Techniques and OutcomesDental materials and restorationsScientific and Engineering Research Topics

Managing the severely atrophic maxilla: Farewell to zygomatic implants and extensive augmentations?

Korn, Philippe, Gellrich, Nils-Claudius, Spalthoff, Simon, Jehn, Philipp, Eckstein, Fabian, Lentge, Fritjof, Zeller, Alexander-Nicolai, Rahlf, Björn·2022·Journal of Stomatology, Oral and Maxillofacial Surgery

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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Crossref · 10.1016/j.jormas.2021.12.007

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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
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
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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