International Journal of Prosthodontics and Restorative Dentistry

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VOLUME 12 , ISSUE 4 ( October-December, 2022 ) > List of Articles

CASE REPORT

Accelerating Midfacial Prosthetic Rehabilitation Using Zygomatic Implants and Intraoperative Facial Impression: A Case Report

Tengku Fazrina Tengku Mohd Ariff, Christopher J Butterworth

Keywords : Case report, Nasal prosthesis, Rhinectomy, Zygomatic implant

Citation Information : Ariff TF, Butterworth CJ. Accelerating Midfacial Prosthetic Rehabilitation Using Zygomatic Implants and Intraoperative Facial Impression: A Case Report. Int J Prosthodont Restor Dent 2022; 12 (4):209-213.

DOI: 10.5005/jp-journals-10019-1378

License: CC BY-NC 4.0

Published Online: 03-05-2023

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

Prosthetic rehabilitation of rhinectomy defects with a custom-made silicone prosthesis can provide excellent results for patients. However, prosthesis stability, retention, and time to full rehabilitation remain a concern for many patients. The aim of this clinical report is to describe the early prosthetic rehabilitation of a rhinectomy defect with a zygomatic implant-supported nasal prosthesis. Bilateral horizontal zygomatic implant placement, performed at the time of tumor resection in this Brown class VI nasomaxillary resection, provided predictable remote anchorage for a subsequent prosthesis, with the initial implant-retained prosthesis being provided just 2 weeks following surgery. High implant stability was achieved, which allowed early loading of the implants and facilitated early rehabilitation for the patient through the engagement of high-quality bone in the zygomatic body. The technique has offered an accelerated restoration of facial cosmesis following rhinectomy, allowing early recovery for the patient even prior to postoperative (post-OP) radiotherapy.


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