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Video Details
Immediate Load Despite Extreme Maxillary Bone Loss with Zygoma Implants

Description:
Zygoma implants are an accepted alternative to bone augmentation in the posterior part of the Maxilla. The challenge of placing a Zygoma implant in a narrow Zygomatic bone, or even 2 implants in the same area, calls for a guided approach. The technique for making and using such a guide is shown in this concise lecture, along with a 4 zygomatic implant assembly operation.

Date Added:
8/6/2015

Author(s):

Meir J. Aviram, DMD, MPA Meir J. Aviram, DMD, MPA
Dr. Aviram is a dentist and a speaker on dental marketing and implantology. He graduated in 1991 from the 'Hadasa' medical school in Jerusalem, Israel and lat...
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Online Videos / Surgery / Implant / Immediate Load Despite Extreme Maxillary Bone Loss with Zygoma Implants




Questions & Comments
Meir Aviram - (8/12/2015 11:06 PM)

Hi and thanks for the kind words. To Dr Jones: best reference was a book by Aparicio: Zygomatic implants. Can be bought through Amazon.Com To Dr Salvoni: I think a predisposition to Peri-implantitis will be greater when using Zygoma implants that are threaded all the way, such as Nobel, and less with those with smooth surfaces such as the Norismedical-medical implants I used. Also, the amount of Keratinized tissue on the buccal is important. It is therefore important to make the incision a bit more Palatinaly, and the implant placement accordingly. The early loading in itself can obstruct the patient from cleaning the area thoroughly, and so it is very important to educate them on hygiene. I give them an Oxyget machine for free. To Dr Salama: I think the best method is the slot technique. Placing the implants through the sinus makes the prosthetics more bulky because of the very Palatinal location of the implants. Maintenance becomes more difficult and less comfortable for the patient. The external technique is less stable and there is a greater chance of dehiscence. Dr Paulo Malo from Portugal made a lot of research on Zygoma implants, and this is his preferred method too. On a personal note: placing Zygoma implants is not for the faint of heart. It is the most difficult thing I do, much more difficult than sinus lifts or bone augmentation, at least for me. After many cases I still loose my hair each time, mostly because of the proximity to the orbita and the lack of clear view of what I am doing. The guided approach helped me feel safer.

michael jones832 - (8/12/2015 8:23 AM)

Wonderful presentation, thank you. I've seen the surgery and taken the class, but am still hesitant to jump in and do my first case. Any suggestions or references that you found useful when you were starting out? Again, thank you for such an interesting case!

Maurice Salama - (8/9/2015 4:32 PM)

A gift to the profession and our members to have Drs. Alexander Salvoni and Meir Aviram share their experiences with Zygomatic Implants on this site.... a treasure of information. Thank you both. Dr. S

ALEXANDER SALVONI - (8/9/2015 11:59 AM)

Thanks for sharing your experience Dr Aviram, it would not be immediate loading a predisposition factor to periimplantitis? What are your thoughts? Thanks again...

emad habib - (8/8/2015 6:44 AM)

Thank you Dr Aviram for this wonderful surgery. Kindly, what is your implant system used?and what the companies which produce zygoma implants? Thanks again.

Maurice Salama - (8/7/2015 12:56 PM)

Meir; Outstanding presentation and thanks for sharing. In your experience, what method of Zygomatic placement do you feel provides the most predictable long term results? There are several different approaches mentioned by previous Xperts on DentalXP like Dr. Salvoni. What are your thoughts? Thanks Dr. Salama

chaya mayer - (8/7/2015 3:59 AM)

Well done!!

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