Multiple Zygomatic Implants as an Alternative for Rehabilitation of the Extremely Atrophic Maxilla: A Case Letter With 55 Months of Follow-Up

Initial clinical aspect.

Initial cone beam computed tomography. (a) and (b) refers to transversal reconstruction and (c) panoramic reconstruction. Observe the severe maxillary atrophy, bilateral pneumatization, and the absence of opacification of the maxillary sinuses.

Figure 3. Placement of 3 zygomatic implants in the right maxilla using immediate loading. Figure 4. Placement of 1 zygomatic implant and 2 conventional implants in the left maxilla using immediate loading. Figure 5. Placement of abutments and protective caps. Observe the formation of a polygon. Figure 6. Immediate postoperative panoramic radiograph of the maxilla. Figure 7. Installation of complete maxillary metal-resin prosthesis over implants in the maxilla.

Figure 8. Radiographical follow-up at 9 months postsurgery. Figure 9. Radiographical follow-up at 17 months postsurgery. Figure 10. Clinical follow-up at 28 months postsurgery. Figure 11. Radiographical follow-up at 36 months postsurgery. Figure 12. Radiographical follow-up at 55 months postsurgery.
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