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Brånemark System® Zygoma Fixture

 

 

A Unique Solution for Rehabilitation of the Severely Resorbed Maxilla

By Nobel Biocare

Grafting procedures involving the severely resorbed maxilla have always been a challenge for both the clinician and the patient. Complex surgical procedures, prolonged treatment time and the increased likelihood of implant failures are just a few of the many factors that concern you and your patient. Now there is an alternative: The Zygoma Fixture.

Due to extreme bone loss in the maxillary molar regions, patients would normally have needed bilateral posterior bone grafts. This treatment would have required additional surgery and prolonged treatment time.

 

What is the Protocol?

Zygoma fixtures are utilized in the severely resorbed maxilla in conjunction with two to four conventional fixtures. The Zygoma fixture penetrates through the maxillary sinus and anchors in the very dense zygomatic bone. The head of the fixture normally emerges in a slightly palatal position in the second premolar/first molar area of the maxilla.

The restoration of these fixtures follow standard Brånemark System prosthetic procedures, with one overriding consideration -- Zygoma fixtures must always function within a rigid framework.

Indications:

  1. Where sufficient anterior bone remains for the installation of standard Brånemark System Fixtures and the posterior alveolar crest has resorbed to such an extent, that additional fixtures would otherwise require an only or inlay graft.

  2. Where an anterior only graft is required for implant placement and the need to extend the graft posteriorly can be eliminated by placing the Zygoma fixture.

  3. Unilateral maxillary cases where the remaining bone anatomy allows placement of two additional standard fixtures, either anterior or posterior to sinus.

The Zygoma fixture is available at Advanced Dental Care Center.

 

Factors to consider when planning a Zygoma-implant patient:

  • Clinically symptom free and pathology free sinuses
  • Appropriate radiographic imaging of the maxillary sinuses and zygoma regions
  • Possibility of placing at least two ordinary implants in the frontal maxilla
  • Possibility of controling or decreasing bending moments by cross-arch stabilization, decreased cantilevers and balanced occlusion

 

 

 

 

 

 

 

 

 

 

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Advanced Dental Care Centre

#20, First Floor, Sector 18-A, Chandigarh, Punjab, India

 

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