Tag Archives: Zygomatic Implants

Management of Soft Tissue Irritation Around Exposed Zygomatic Implant in a Hemimaxillectomy Patient: A Technical Report

Int J Oral Maxillofac Implants. 2014 Dec 5. doi: 10.11607/jomi.3615. [Epub ahead of print]

Balshi TJ, Wolfinger GJ, Balshi SF.

Patients missing portions or all of the maxillary alveolar bone who are restored with zygomatic implants frequently have threads exposed that can be a mucosal irritant. If such irritation is reported, covering the threads with a highly polished titanium sleeve is recommended. The technique of placing said custom sleeve is described. This adjunctive treatment method has eliminated mucosal irritation.

Article in PDF

Zygomatic implants as a rehabilitation approach for a severely deficient maxilla

Al-Thobity AM, Wolfinger GJ, Balshi SF, Flinton RJ, Balshi TJ.

Int J Oral Maxillofac Implants. 2014 Nov-Dec;29(6):e283-9. doi: 10.11607/jomi.3662. Epub 2014 Aug 20.

Abstract: A gunshot injury is one of the main trauma injuries that affect the head and neck region. Severe esthetic, functional, and psychologic deficiencies are consequences of gunshot injuries. The use of implants anchored in the zygomatic bone has been advocated as an approach to the prosthetic rehabilitation of a severely deficient maxilla. This approach provides the patient with an immediate, high-quality, esthetic, and functional complete fixed prosthesis and eliminates the need for bone grafting. In this case report, a patient with a severely deficient maxilla caused by a gunshot injury was rehabilitated by placement of  four zygomatic and two pterygomaxillary implants, which were immediately loaded with a complete fixed all-acrylic resin interim prosthesis. The definitive CM Prosthesis (CM Prosthetics) was constructed using computer-aided design/computer-assisted manufacture (CAD/CAM) technology.

Article in PDF

A Retrospective Analysis of 110 Zygomatic Implants in a Single-Stage Immediate Loading Protocol

Int J Oral Maxillofac Implants.Vol 24, No. 2, 335-341, 2009.

Balshi SF, Wolfinger GJ, Balshi TJ
Institute for Facial Esthetics, Prosthodontics Intermedica, Fort Washington, Pennsylvania, USA.

This clinical study using a specific technique was carried out to determine the clinical effectiveness of zygomatic implants under an immediate loading protocol. All patients treated between May 2000 and October 2006 who received zygomatic implants were included in this retrospective analysis. All patients were treated using the same surgical and restorative protocol. The following data were recorded: gender, age, type of implant, number of implants placed, dimensions of implants, and implant and prosthesis survival. Fifty-six consecutive patients (29 women, 27 men; mean age of 60.58 years [range, 38.78 to 84.01]) were treated. All were in need of oral reconstruction and had maxillary atrophy that warranted zygomatic implant placement. One hundred ten zygomatic implants were placed in these 56 patients. Four of the 110 zygomatic implants failed, resulting in a cumulative survival rate of 96.37% with follow-up data no less than 9 months and in excess of 5 years. All four failures were turned-surface zygomatic implants. There have been no failures to date with the titanium anodized-surface zygomatic implants. The prosthesis survival rate was 100.0%. In this retrospective analysis of 56 patients receiving 110 zygomatic implants, the survival rate of zygomatic implants was in excess of 96% over a period of 9 months to 5 years. This technique resulted in a stable and predictable prosthetic reconstruction.

Article in PDF

Case of the Month: No Bone Solution™ Computer Guided Implant Surgery Protocol for Prosthodontic Rehabilitation of the Severely Atrophic Maxilla

Thomas J. Balshi, DDS, PhD, FACP, Glenn J. Wolfinger, DMD, FACP, John J. Thaler, James R. Bowers, Stephen F. Balshi

The Journal of Implant and Advanced Clinical Dentistry, Volume 1, No. 2, April 2009.

Background: Prosthodontic rehabilitation of the severely atrophic maxilla presents significant challenges to the restoring dental team. Inadequate bone quantity often necessitates time dependent augmentation procedures that considerably delay delivery of the final dental prostheses. This case report demonstrates a newly developed specialized  computer guided dental implant surgery protocol for prosthetic rehabilitation of the severely atrophic maxilla: the No Bone Solution.™

Article in PDF