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

• Published in: International Journal of Prosthodontics and Restorative Dentistry
• Main Author: Ariff T.F.T.M.; Butterworth C.J.
• Format: Article
• Language: English
• Published: Jaypee Brothers Medical Publishers (P) Ltd 2023
• Online Access: https://www.scopus.com/inward/record.uri?eid=2-s2.0-85162200878&doi=10.5005%2fjp-journals-10019-1378&partnerID=40&md5=6f0a07deb093298dd799d06f91b4c873

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. ©TheAuthor(s). 2022OpenAccess.