Discussion : A novel report on the use of an oncology zygomatic implant-retained maxillary obturator in a paediatric patient [3]
The use of modified zygomatic implants (Fig. 1) allows improved hygiene by the patient of the implants within the maxillary defect. The threaded portion of the implants is fully engaged into the bone with only the smooth portion protruding into the defect. Clearly this ongoing hygiene by the patient is of utmost importance in preventing peri-implant soft and hard tissue changes, but the implant design here has facilitated that extremely well in this young patient, and no additional professionally directed hygiene measures to maintain excellent peri-implant health have been required to date.
The evidence for loading zygomatic implants immediately is very clear in the literature [11] in a cross-arch manner but not in a unilateral situation as has been utilised in this case. Whilst the stability of the implants achieved at surgery was excellent, it was decided to adopt a delayed loading approach which also gave time for the maxillectomy defect to stabilise prior to the construction of the definitive prosthesis.
Serial posts:
- Background : A novel report on the use of an oncology zygomatic implant-retained maxillary obturator in a paediatric patient [1]
- Background : A novel report on the use of an oncology zygomatic implant-retained maxillary obturator in a paediatric patient [2]
- Case presentation : A novel report on the use of an oncology zygomatic implant-retained maxillary obturator in a paediatric patient [1]
- Case presentation : A novel report on the use of an oncology zygomatic implant-retained maxillary obturator in a paediatric patient [2]
- Discussion : A novel report on the use of an oncology zygomatic implant-retained maxillary obturator in a paediatric patient [1]
- Discussion : A novel report on the use of an oncology zygomatic implant-retained maxillary obturator in a paediatric patient [2]
- Discussion : A novel report on the use of an oncology zygomatic implant-retained maxillary obturator in a paediatric patient [3]
- Conclusions : A novel report on the use of an oncology zygomatic implant-retained maxillary obturator in a paediatric patient
- References : A novel report on the use of an oncology zygomatic implant-retained maxillary obturator in a paediatric patient
- Author information : A novel report on the use of an oncology zygomatic implant-retained maxillary obturator in a paediatric patient
- Rights and permissions : A novel report on the use of an oncology zygomatic implant-retained maxillary obturator in a paediatric patient
- About this article : A novel report on the use of an oncology zygomatic implant-retained maxillary obturator in a paediatric patient
- Fig. 1. Zygomatic oncology implant with cleansable polished surface for intra-oral component : A novel report on the use of an oncology zygomatic implant
- Fig. 2. Palatal swelling (post-biopsy) between upper right first and second premolar teeth : A novel report on the use of an oncology zygomatic implant
- Fig. 3. Low-level right-sided maxillectomy with the insertion of two zygomatic oncology implants at time of surgery : A novel report on the use of an oncology zygomatic implant
- Fig. 4. Twelve-week review post-surgery prior to definitive impressions for the implant-supported prosthesis : A novel report on the use of an oncology zygomatic implant
- Fig. 5. Zygomatic implant bar utilising Rhein attachments for retention : A novel report on the use of an oncology zygomatic implant
- Fig. 6. Intaglio surface of definitive acrylic obturator with bar attachments in place. Note the absence of any other retaining clasps and the simple nature of this prosthesis : A novel report on the use of an oncology zygomatic implant
- Fig. 7. Smile view of definitive implant-retained obturator at initial fitting (April 2014) : A novel report on the use of an oncology zygomatic implant
- Fig. 8. Anterior view of definitive obturator prosthesis in occlusion : A novel report on the use of an oncology zygomatic implant
- Fig. 9. Palatal view of definitive implant-retained obturator at initial fitting (April 2014) : A novel report on the use of an oncology zygomatic implant
- Fig. 10. Full facial view of definitive implant-retained obturator at initial fitting (April 2014) : A novel report on the use of an oncology zygomatic implant
- Fig. 11. Facial radiograph at 22-month follow-up : A novel report on the use of an oncology zygomatic implant
- Fig. 12. Facial photograph views at 22-month follow-up : A novel report on the use of an oncology zygomatic implant