A Novel Prosthetically Driven Workflow Using Zygomatic Implants The Restoratively Aimed Zygomatic Implant Routine

Purpose: Zygomatic implants present a unique treatment option for patients with severe resorption of the maxilla; however, palatally positioned zygomatic implant platforms will result in a significant buccopalatal cantilever, speech disturbances, and unhygienic prosthesis contours. The purpose of the present study was to introduce a novel preoperative workflow to help attain predictable surgical and prosthetic outcomes with zygomatic implants. Methods: To minimize prosthetic complications, an appropriate preoperative workup is imperative. A restoratively driven approach commonly used in traditional intra-alveolar implant dentistry has been adapted for zygomatic implant rehabilitation and described in the present report. Results: With zygomatic implants, applying a prosthetically driven approach is possible. However, it involves a unique application of traditional biomechanical and soft tissue principles of implant dentistry and digital integration of the prosthetic and surgical treatment plans. Conclusions: Striving to attain zygomatic implant platforms as close as possible to the central fossae and cingulum of prosthetic teeth should be the goal when placing zygomatic implants. The restoratively aimed zygomatic implant routine introduced in the present report is a progressive and modern approach to prosthetically driven implant rehabilitation. (C) 2020 American Association of Oral and Maxillofacial Surgeons