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ORIS Criteria of Success for the Zygoma-Related Rehabilitation: The (Revisited) Zygoma Success Code
ZAGA Ctr Barcelona, Dept Zygomat Implantol, Hepler Bone Clin, Roman Macaya 22-24, Barcelona 08022, Spain..
Adv Oral Surg Inst ICOA, Madrid, Spain..
Malmö University, Faculty of Odontology (OD).
2020 (English)In: International Journal of Oral & Maxillofacial Implants, ISSN 0882-2786, E-ISSN 1942-4434, Vol. 35, no 2, p. 366-378Article in journal (Refereed) Published
Abstract [en]

Zygomatic-related implant rehabilitation differs from traditional implant treatment in biomechanics, clinical procedures, outcomes, and eventual complications such as soft tissue incompetence or recession that may lead to recurrent sinus/soft tissue complications. The extreme maxillary atrophy that indicates the use of zygomatic implants prevents use of conventional criteria to describe implant success/failure. Currently, results and complications of zygomatic implants reported in the literature are inconsistent and lack a standardized systematic review. Moreover, protocols for the rehabilitation of the atrophic maxilla using zygomatic implants have been in continuous evolution. The current zygomatic approach is relatively new, especially if the head of the zygomatic implant is located in an extramaxillary area with interrupted alveolar bone around its perimeter. Specific criteria to describe success/survival of zygomatic implants are necessary, both to write and to read scientific literature related to zygomatic implant-based oral rehabilitations. The aim of this article was to review the criteria of success used for traditional and zygomatic implants and to propose a revisited Zygomatic Success Code describing specific criteria to score the outcome of a rehabilitation anchored on zygomatic implants. The ORIS acronym is used to name four specific criteria to systematically describe the outcome of zygomatic implant rehabilitation: offset measurement as evaluation of prosthetic positioning; rhino-sinus status report based on a comparison of presurgical and postsurgical cone beam computed tomography in addition to a clinical questionnaire; infection permanence as evaluation of soft tissue status; and stability report, accepting as success some mobility until dis-osseointegration signs appear. Based on these criteria, the assessment of five possible conditions when evaluating zygomatic implants is possible.

Place, publisher, year, edition, pages
QUINTESSENCE PUBLISHING CO INC , 2020. Vol. 35, no 2, p. 366-378
Keywords [en]
criteria of success, ORIS, review (narrative), ZAGA, zygomatic implants, zygomatic success code
National Category
Clinical Medicine
Identifiers
URN: urn:nbn:se:mau:diva-17079DOI: 10.11607/jomi.7488ISI: 000519127500017PubMedID: 32142574Scopus ID: 2-s2.0-85081944964OAI: oai:DiVA.org:mau-17079DiVA, id: diva2:1424823
Available from: 2020-04-20 Created: 2020-04-20 Last updated: 2024-02-05Bibliographically approved

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Albrektsson, Tomas

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