zygoma implant and cleft palate
DESCRIPTION
A case report of a patient with cleft palate treated with zygoma implants, follow-up of 9 yearTRANSCRIPT
![Page 2: Zygoma implant and cleft palate](https://reader030.vdocuments.site/reader030/viewer/2022020322/568c36031a28ab023596691a/html5/thumbnails/2.jpg)
Situation (1)
• Before 2000: Iliac crest reconstruction and 6 implants with failure of all implants
• Referral to our Clinic 2001: patient desires fixed prosthesis
• Diagnosis
– Class III
– Cleft palate right side
– Buccosinusal fistula
– Situation after failed bonegrafts and implants
![Page 3: Zygoma implant and cleft palate](https://reader030.vdocuments.site/reader030/viewer/2022020322/568c36031a28ab023596691a/html5/thumbnails/3.jpg)
Situation (2)
• Treatment plan:
– Cleft palate right side
– 2 zygoma implants
– 2 pterygoid implant
– 1 implant left canine
![Page 4: Zygoma implant and cleft palate](https://reader030.vdocuments.site/reader030/viewer/2022020322/568c36031a28ab023596691a/html5/thumbnails/4.jpg)
Chronology
• Before 2000: iliac crest reconstruction and 6
implants with failure of all implants
• 2001: referral to our clinic
• 12/04/2001: Implant placement UJ
• 15/10/2001: Second stage
• 17/02/2011: > 9 year follow-up
![Page 5: Zygoma implant and cleft palate](https://reader030.vdocuments.site/reader030/viewer/2022020322/568c36031a28ab023596691a/html5/thumbnails/5.jpg)
Intake
![Page 6: Zygoma implant and cleft palate](https://reader030.vdocuments.site/reader030/viewer/2022020322/568c36031a28ab023596691a/html5/thumbnails/6.jpg)
23/01/2001: Intake
![Page 7: Zygoma implant and cleft palate](https://reader030.vdocuments.site/reader030/viewer/2022020322/568c36031a28ab023596691a/html5/thumbnails/7.jpg)
Treatment planning
![Page 8: Zygoma implant and cleft palate](https://reader030.vdocuments.site/reader030/viewer/2022020322/568c36031a28ab023596691a/html5/thumbnails/8.jpg)
06/03/2001: study casts
![Page 9: Zygoma implant and cleft palate](https://reader030.vdocuments.site/reader030/viewer/2022020322/568c36031a28ab023596691a/html5/thumbnails/9.jpg)
06/03/2001: study casts
![Page 10: Zygoma implant and cleft palate](https://reader030.vdocuments.site/reader030/viewer/2022020322/568c36031a28ab023596691a/html5/thumbnails/10.jpg)
06/03/2001: Implantplanning Simplant
![Page 11: Zygoma implant and cleft palate](https://reader030.vdocuments.site/reader030/viewer/2022020322/568c36031a28ab023596691a/html5/thumbnails/11.jpg)
06/03/2001: Implantplanning Simplant
![Page 12: Zygoma implant and cleft palate](https://reader030.vdocuments.site/reader030/viewer/2022020322/568c36031a28ab023596691a/html5/thumbnails/12.jpg)
06/03/2001: Implantplanning Simplant
![Page 13: Zygoma implant and cleft palate](https://reader030.vdocuments.site/reader030/viewer/2022020322/568c36031a28ab023596691a/html5/thumbnails/13.jpg)
06/03/2001: Implantplanning Simplant
![Page 14: Zygoma implant and cleft palate](https://reader030.vdocuments.site/reader030/viewer/2022020322/568c36031a28ab023596691a/html5/thumbnails/14.jpg)
06/03/2001: Implantplanning Simplant
![Page 15: Zygoma implant and cleft palate](https://reader030.vdocuments.site/reader030/viewer/2022020322/568c36031a28ab023596691a/html5/thumbnails/15.jpg)
06/03/2001: Implantplanning Simplant
2
1
3
4
5
6
6 implants planned
![Page 16: Zygoma implant and cleft palate](https://reader030.vdocuments.site/reader030/viewer/2022020322/568c36031a28ab023596691a/html5/thumbnails/16.jpg)
06/03/2001: Stereolithographic model with simulation of implant positions
![Page 17: Zygoma implant and cleft palate](https://reader030.vdocuments.site/reader030/viewer/2022020322/568c36031a28ab023596691a/html5/thumbnails/17.jpg)
06/03/2001: Stereolithographic model with simulation of implant positions
![Page 18: Zygoma implant and cleft palate](https://reader030.vdocuments.site/reader030/viewer/2022020322/568c36031a28ab023596691a/html5/thumbnails/18.jpg)
06/03/2001: Stereolithographic model with simulation of implant positions
![Page 19: Zygoma implant and cleft palate](https://reader030.vdocuments.site/reader030/viewer/2022020322/568c36031a28ab023596691a/html5/thumbnails/19.jpg)
12/04/2001: Implant placement
![Page 20: Zygoma implant and cleft palate](https://reader030.vdocuments.site/reader030/viewer/2022020322/568c36031a28ab023596691a/html5/thumbnails/20.jpg)
12/04/2001: Implant placement
SurgiGuide™ drill
guide attached
with
osteosynthesis
screwsDrill guide reinforcement of
Guiding cilinders
![Page 21: Zygoma implant and cleft palate](https://reader030.vdocuments.site/reader030/viewer/2022020322/568c36031a28ab023596691a/html5/thumbnails/21.jpg)
12/04/2001: Implant placement
![Page 22: Zygoma implant and cleft palate](https://reader030.vdocuments.site/reader030/viewer/2022020322/568c36031a28ab023596691a/html5/thumbnails/22.jpg)
12/04/2001: Implant placement
After removal of drill guide
![Page 23: Zygoma implant and cleft palate](https://reader030.vdocuments.site/reader030/viewer/2022020322/568c36031a28ab023596691a/html5/thumbnails/23.jpg)
12/04/2001: Implant placement
![Page 24: Zygoma implant and cleft palate](https://reader030.vdocuments.site/reader030/viewer/2022020322/568c36031a28ab023596691a/html5/thumbnails/24.jpg)
X
13/04/2001: RX postoperatief
1 2 3 4 5
6
![Page 25: Zygoma implant and cleft palate](https://reader030.vdocuments.site/reader030/viewer/2022020322/568c36031a28ab023596691a/html5/thumbnails/25.jpg)
Postoperative after loss of implant (6)
![Page 26: Zygoma implant and cleft palate](https://reader030.vdocuments.site/reader030/viewer/2022020322/568c36031a28ab023596691a/html5/thumbnails/26.jpg)
12/04/2001: second stage
![Page 27: Zygoma implant and cleft palate](https://reader030.vdocuments.site/reader030/viewer/2022020322/568c36031a28ab023596691a/html5/thumbnails/27.jpg)
12/04/2001: second stage
![Page 28: Zygoma implant and cleft palate](https://reader030.vdocuments.site/reader030/viewer/2022020322/568c36031a28ab023596691a/html5/thumbnails/28.jpg)
Prosthetic phase
![Page 29: Zygoma implant and cleft palate](https://reader030.vdocuments.site/reader030/viewer/2022020322/568c36031a28ab023596691a/html5/thumbnails/29.jpg)
Prosthetic phase
![Page 30: Zygoma implant and cleft palate](https://reader030.vdocuments.site/reader030/viewer/2022020322/568c36031a28ab023596691a/html5/thumbnails/30.jpg)
Prosthetic phase
![Page 31: Zygoma implant and cleft palate](https://reader030.vdocuments.site/reader030/viewer/2022020322/568c36031a28ab023596691a/html5/thumbnails/31.jpg)
Prosthetic phase
![Page 32: Zygoma implant and cleft palate](https://reader030.vdocuments.site/reader030/viewer/2022020322/568c36031a28ab023596691a/html5/thumbnails/32.jpg)
Follow-up 4 year
20/12/2005
![Page 33: Zygoma implant and cleft palate](https://reader030.vdocuments.site/reader030/viewer/2022020322/568c36031a28ab023596691a/html5/thumbnails/33.jpg)
20/12/2005: Follow-up 4 year
![Page 34: Zygoma implant and cleft palate](https://reader030.vdocuments.site/reader030/viewer/2022020322/568c36031a28ab023596691a/html5/thumbnails/34.jpg)
20/12/2005: Follow-up 4 year
Bucconasal communication is closed effectively by the prosthesis
![Page 35: Zygoma implant and cleft palate](https://reader030.vdocuments.site/reader030/viewer/2022020322/568c36031a28ab023596691a/html5/thumbnails/35.jpg)
20/12/2005: Follow-up 4 year
![Page 36: Zygoma implant and cleft palate](https://reader030.vdocuments.site/reader030/viewer/2022020322/568c36031a28ab023596691a/html5/thumbnails/36.jpg)
20/12/2005: Follow-up 4 year
![Page 37: Zygoma implant and cleft palate](https://reader030.vdocuments.site/reader030/viewer/2022020322/568c36031a28ab023596691a/html5/thumbnails/37.jpg)
Follow-up 8 year
17/02/2011
![Page 38: Zygoma implant and cleft palate](https://reader030.vdocuments.site/reader030/viewer/2022020322/568c36031a28ab023596691a/html5/thumbnails/38.jpg)
17/02/2011: Follow-up 8 year
![Page 39: Zygoma implant and cleft palate](https://reader030.vdocuments.site/reader030/viewer/2022020322/568c36031a28ab023596691a/html5/thumbnails/39.jpg)
17/02/2011: Follow-up 8 year
![Page 40: Zygoma implant and cleft palate](https://reader030.vdocuments.site/reader030/viewer/2022020322/568c36031a28ab023596691a/html5/thumbnails/40.jpg)
17/02/2011: Follow-up 8 year
![Page 41: Zygoma implant and cleft palate](https://reader030.vdocuments.site/reader030/viewer/2022020322/568c36031a28ab023596691a/html5/thumbnails/41.jpg)
17/02/2011: Follow-up 8 year
![Page 42: Zygoma implant and cleft palate](https://reader030.vdocuments.site/reader030/viewer/2022020322/568c36031a28ab023596691a/html5/thumbnails/42.jpg)
15 15 13 23 25
17/02/2011: Follow-up 8 year
![Page 43: Zygoma implant and cleft palate](https://reader030.vdocuments.site/reader030/viewer/2022020322/568c36031a28ab023596691a/html5/thumbnails/43.jpg)
17/02/2011: Follow-up 8 year
![Page 44: Zygoma implant and cleft palate](https://reader030.vdocuments.site/reader030/viewer/2022020322/568c36031a28ab023596691a/html5/thumbnails/44.jpg)
17/02/2011: Follow-up 8 year
![Page 45: Zygoma implant and cleft palate](https://reader030.vdocuments.site/reader030/viewer/2022020322/568c36031a28ab023596691a/html5/thumbnails/45.jpg)
17/02/2011: Follow-up 8 year
![Page 46: Zygoma implant and cleft palate](https://reader030.vdocuments.site/reader030/viewer/2022020322/568c36031a28ab023596691a/html5/thumbnails/46.jpg)
17/02/2011: Follow-up 8 year
![Page 47: Zygoma implant and cleft palate](https://reader030.vdocuments.site/reader030/viewer/2022020322/568c36031a28ab023596691a/html5/thumbnails/47.jpg)
17/02/2011: Follow-up 8 year
![Page 48: Zygoma implant and cleft palate](https://reader030.vdocuments.site/reader030/viewer/2022020322/568c36031a28ab023596691a/html5/thumbnails/48.jpg)
17/02/2011: Follow-up 8 year
Further measures
• Retreat the case prosthetically
– Add multiunit abutments
– CAD/CAM milled bar
– Overdenture