REHABILITATION OF A SEVERELY ATROPHIC MAXILLA USING IMMEDIATELY LOADED ZYGOMATIC IMPLANTS PLACED WITH PIEZOELECTRIC PREPARATION OF THE IMPLANT TUNNEL

R. Pistilli¹, C. Barausse², L. Bonifazi², G. Pellegrino², S. Tayeb², C. Angelino² and P. Felice²

¹Oral and Maxillofacial Unit, San Camillo Hospital, Rome, Italy;
²Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy

Correspondence to:
Pietro Felice MD, DDS, PhD
Department of Biomedical and Neuromotor Sciences,
Unit of Oral Surgery,
Alma Mater Studiorum,
University of Bologna,
Via San Vitale, 59
40120 Bologna – Italy
e-mail: pietro.felice@unibo.it

Received: 29 April 2024 Accepted: 04 Jun 2024

ISSN 2975-1276 [online] Copyright 2024 © by BIOLIFE This publication and/or article is for individual use only and may not be further reproduced without written permission from the copyright holder. Unauthorized reproduction may result in financial and other penalties. Disclosure: all authors report no conflicts of interest relevant to this article.

ABSTRACT

                A surgical approach to implant site preparation in the rehabilitation of an atrophic maxilla with immediately loaded zygomatic implants is described. A 60-year-old systemically healthy female with severe maxillary atrophy was treated with immediately loaded zygomatic implants, placed after preparing the implant site with a piezoelectric device. Two different types of piezoelectric inserts were used to make the procedure safer. Wound healing was uneventful. There was no paraesthesia or neurological damage, and postoperative edema was minimal. Clinical and radiographic examinations showed the success of prosthetic rehabilitation from both the functional and esthetic points of view.

KEYWORDS: maxillary atrophy, immediate loading, zygomatic implants, piezoelectric