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Volume 29 , Issue 1
January/February 2014

Pages e22e29


Combined Immediate Loading of Zygomatic and Mandibular Implants: A Preliminary 2-Year Report of 19 Patients


Caesar C. Butura, DDS/Daniel F. Galindo, DDS


PMID: 24451884
DOI: 10.11607/jomi.te38

Purpose: A retrospective study was performed to evaluate the feasibility of simultaneous use of immediately loaded zygomatic and mandibular implants for full maxillomandibular restoration. Materials and Methods: A total of 40 zygomatic and 112 conventional implants were placed in 19 edentulous and partially edentulous patients and restored with full-arch acrylic resin prostheses within 3 hours of surgery. Implant insertion torque values were between 35 and 45 Ncm. Results: During the 1-year follow-up period, none of the 19 patients experienced implant or prosthesis failures. The patients did not experience any sinus infections or any other surgical complications from the performed procedures. Conclusion: Zygomatic and conventional implants can be simultaneously placed in the maxilla and mandible and successfully loaded with an acrylic resin prosthesis using the All-on-Four concept.


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