Craniofacial Surgery

Biography

Biography: Nhan Van Vo

Abstract

Full mouth rehabilitation in edentulous patients, especially in patient with ectodermal dysplasia is considered as a challenge for implant surgeons because of the severe atrophy of these patients' alveolar ridges. Traditional protocol using zygomatic implants or conventional implants remains some disadvantages of risk of soft-tissue infection and difficulty in practicing oral hygiene, high rate of sinusitis and increased stress on the implant head. Objectives: To evaluate the satisfaction, the improvement of quality life of patients and the outcome of modified technique of zygomatic implant for maxillary edentulous patients. Methods: Sixteen patients with severely atrophic edentulous maxilla and two ectodermal dysplasia patients were enrolled using the modified technique of zygomatic implant. Total 56 zygomatic implants, 30 standard implants were used in follow up times of 1 to 5 years. All patients were investigated the bone volume and sinus pathology by Cone Beam computed tomography and used the Nobel Clinician software (Nobel Biocare, Switzerland) for treatment plans. Findings: All implant showed good osseointegration. The survival rate of both zygomatic implants and standard implants are 100%. No infections or inflammations of soft tissue around implants were recorded. Final restorations were stable and retentive restoring patient’s chewing function and aesthetic. All patients were satisfied with final prostheses that significantly improve their quality of life. Conclusions: Zygomatic implant with modified technique is a predictable procedure that overcomes disadvantages of traditional protocol in edentulous rehabilitation of severely atrophic jaw and in patients with ectodermal dysplasia, especially significantly improved the patient’s quality of life.