ITI Consensus Workshop on Zygomatic Implants (2023)

Evaluation of Surgical Techniques in Survival Rate and Complications of Zygomatic Implants for the Rehabilitation of the Atrophic Edentulous Maxilla

Peer Wolfgang Kämmerer,Shengchi Fan,Edmond Bedrossian,Rubén Davó Rodríguez,Dean Morton,Gerry M Raghoebar,Sepehr Zarrine,Bilal Al-Nawas

Consensus Statements

Consensus statement 4: This statement is based on 24 studies reporting treating 918 patients. Survival rates of ZI ranged between 90.3% and 100% after a follow-up of 6 months. There are many factors potentially altering the final outcomes.

Consensus statement 10: Fifteen citations report transient infraorbital nerve (V2) paresthesia, 15 studies report oro-antral communications, and 16 report peri-abutment soft tissue recession and/or hyperplasia. In six cases, a fractured ZI was described. Failure is mostly seen within the first 6 months.

Consensus statement 11: Intraoperative-specific complications of ZI malposition, orbital cavity penetration (reported in four cases in three studies; in one case with lateral rectus muscle damage), and subcutaneous peri-malar emphysema are reported.

Consensus statement 16: Maxillary sinusitis was the most reported complication. Pooled incidence rates for sinusitis in the original surgical technique (OST) were 9.5% (0–37.5%), and in Anatomy- Guided were 4.4% (0–11.8%). In most cases, sinusitis was reported by the literature without differentiation between symptomatic and asymptomatic cases. This statement is based on descriptive data of 864 patients.

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