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Year 2024, Volume: 8 Issue: 1, 6 - 11, 15.07.2024

Abstract

References

  • [1]Sun J, Shen Y, Li J. Reconstruction of high maxillectomy defects with the fibula osteomyocutaneous flap in combination with titanium mesh or a zygomatic implant. Plast Reconstr Surg(2011) 127:150–160.
  • [2]Futran ND, Mendez E. Developments in reconstruction of midface and maxilla. The Lancet Oncology(2006) 7:249–258.
  • [3]Sherry JS, Balshi TJ, Sims LO. Treatment of a severely atrophic maxilla using an immediately loaded, implant-supported fixed prosthesis without the use of bone grafts: a clinical report. J Prosthet Dent(2010) 103:133–138.
  • [4]Stiévenart M, Malevez C. Rehabilitation of totally atrophied maxilla by means of four zygomatic implants and fixed prosthesis: a 6-40-month follow-up. Int J Oral Maxillofac Surg(2010) 39:358–363.
  • [5]Wen H, Guo W, Liang R. Finite element analysis of three zygomatic implant techniques for the severely atrophic edentulous maxilla. J Prosthet Dent(2014) 111:203–215.
  • [6]Migliorança RM, Coppedê A, Dias Rezende RC. Restoration of the edentulous maxilla using extrasinus zygomatic implants combined with anterior conventional implants: a retrospective study. Int J Oral Maxillofac Implants(2011) 26:665–672.
  • [7]Balshi SF, Wolfinger GJ, Balshi TJ. A retrospective analysis of 110 zygomatic implants in a single-stage immediate loading protocol. Int J Oral Maxillofac Implants(2009) 24:335–341.
  • [8]Binon P. Immediately loaded fixed maxillary implant treatment for a patient with advanced periodontal disease: a clinical report. JProsthet Dent(2010) 104:353–358.
  • [9]Cordero EB, Benfatti CA, Bianchini MA. The use of zygomatic implants for the rehabilitation of atrophic maxillas with 2 different techniques: Stella and Extrasinus. Oral Surg Oral Med Oral Pathol Oral Radiol Endod(2011) 112:49–53.
  • [10]Parel SM, Brånemark PI, Ohrnell LO. Remote implant anchorage for the rehabilitation of maxillary defects. J Prosthet Dent(2001) 86:377–381.
  • [11]Kreissl ME, Heydecke G, Metzger MC. Zygoma implant-supported prosthetic rehabilitation after partial maxillectomy using surgical navigation: a clinical report. J Prosthet Dent(2007) 97:121–128.
  • [12]Freedman M, Ring M, Stassen L. Effect of alveolar bone support on zygomatic implants: a finite element analysis study. Int J Oral Maxillofac Surg(2013) 42:671–676.
  • [13]Aparacio C, Hatano N. The use of zygomatic implants for prosthetic rehabilitation of severely resorbed maxilla. Periodontol(2000) 47:162–171.
  • [14]Aramany MA. Basic principles of obturator design for partially edentulous patients. Part II: design principles. J Prosthet Dent(1978) 40:656–662.
  • [15]Aramany MA. Basic principles of obturator design for partially edentulous patients. Part I: classification. J Prosthet Dent(1978) 40:554–557.
  • [16]Miyashita ER, Mattos B, Noritomi PY. Finite element analysis of maxillary bone stress caused by Aramany class IV obturator prostheses. J Prosthet Dent(2012) 107(5):336–342.
  • [17]Li J, Li H, L S. A mathematical model for simulating the bone remodelling process under mechanical stimulus. Dent Mater(2007) 23:1073–1078.[18]Bedrossian E, rd LS, Beckely ML, Indresano T. The zygomatic implant: preliminary data on treatment of severely resorbed maxillae. A clinical report. International Journal of Oral and Maxillofacial Implants(2002) 17(6):861–865.
  • [19]Nkenke E, Hahn M, Lell M. Anatomic site evaluation of the zygomatic bone for dental implant placement. Clin Oral Implants Res(2003) 14:72–79.
  • [20]Malevez C, Abarca M, Durdu F. Clinical outcome of 103 consecutive zygomatic implants: a 6–48 months follow-up study. Clin Oral Implants Res(2004) 15:18–22.
  • [21]Sadowsky SJ. Treatment considerations for maxillary implant overdentures: a systematic review. J Prosthet Dent(2007) 97:340–348.
  • [22]Bozkaya D, Muftu S, Muftu A. Evaluation of load transfer characteristics of five different implants in compact bone at different load levels by finite elements analysis. J Prosthet Dent(2004) 92:523–530.
  • [23]Akay C, Yaluğ S. Biomechanical 3-Dimensional Finite Element Analysis of Obturator Prostheses Retained with Zygomatic and Dental Implants in Maxillary Defects. Med Sci Monit(2015) 21:604–611.
  • [24]Miyamoto S, Ujigawa K, Kizu Y. Biomechanical three-dimensional finite-element analysis of maxillary prostheses with implants, design Özdemir and Hülagü/ Three-Dimensional Finite Element Analysis of Zygoma Implants in A Patient with Maxillary Defect11of number and position of implants for maxillary prostheses after hemimaxillectomy. Int J Oral Maxillofac Surg(2010) 39:1120–1126.
  • [25]Ramezanzade S, Yates J, Tuminelli FJ. Zygomatic implants placed in atrophic maxilla: an overview of current systematic reviews and meta-analysis. Maxillofac Plast Reconstr Surg(2021) 43(1).
  • [26]Gracher A, Moura MB, Silva Peres P. Full arch rehabilitation in patients with atrophic upper jaws with zygomatic implants: a systematic review. Int J Implant Dent(2021) 7(1).
  • [27]Romeed SA, Hays RN, Malik R. Extrasinus Zygomatic Implant Placement in the Rehabilitation of the Atrophic Maxilla: Three-Dimensional Finite Element Stress Analysis. J Oral Implant(2015) 41(2).
  • [28]Ayinala M, Shetty G. Rehabilitation of Maxillary Defect Using Zygomatic Implant Retained Obturator. Case Rep Dent(2021) 2021(2391331).
  • [29]Vosselman N, Glas HH, Merema BJ. Three-Dimensional Guided Zygomatic Implant Placement afterMaxillectomy. J Pers Med(2022) 12(4).
  • [30]Ujigawa K, Kato Y, Kizu Y. Three-dimensional finite elemental analysis of zygomatic implants in craniofacial structures. Int J Oral Maxillofac Surg(2007) 36:620–625.
  • [31]Cattaneo PM, Dalstra M, Melsen B. The transfer of occlusal forces through the maxillary molars: a finite element study. Am J Orthod Dentofacial Orthop(2003) 123:367–373.
  • [32]Gross MD, Arbel G, Hershkovitz I. Three dimensional finite element analysis of the facial skeleton on simulated occlusal loading. J Oral Rehabil(2001) 28:684–694.
  • [33]Korkmaz FM, Korkmaz Y, Yalug S. Impact of dental and zygomatic implants on stress distribution in maxillary defects: a 3-D FEA study. J Oral Implantol(2012) 38:557–567.
  • [34]Tuxen A, Bakke M, Pinholt EM. Comparative data from young men and women on masseter muscle fibres, function and facial morphology. Arch Oral Biol(1999) 44:509–518.
  • [35]Zarone F, Apicella A, Nicolais L. Mandibular flexure and stress build-up in mandibular full-arch fixed prostheses supported by osseointegrated implants. Clin Oral Implants Res(2003) 14:103–114.
  • [36]Wegener J, Reichert TE, Scheller H. Zygomatic fixtures-indications and first clinical experience. In: 9th International Congress on Reconstructive Preprosthetic Surgery(2001).

Three-Dimensional Finite Element Analysis of Zygoma Implants in A Patient with a Maxillary Defect

Year 2024, Volume: 8 Issue: 1, 6 - 11, 15.07.2024

Abstract

The purpose of this study was to analyze stress distributions in zygoma implants (ZIs), supporting bones, superstructures, and implant screws placed in the defective and non-defective areas of the maxillary bone of a patient with a maxillary defect. Three-dimensional (3D) finite element models (FEMs) were constructed based on computed tomography (CT) data. ZIs of the same size were placed in the defective and non-defective areas. After applying the force, the stress on the implants, surrounding bones, and implant screws was evaluated. Stress distribution and displacement were greater in the implant and surrounding bone on the defective side. While the stress was higher in the cortical bone on the defective side, the stress was more on the cancellous bone on the defective side. More stress was observed on the implant screw on the defective side. A ZI placed in the defective area in patients with maxillary defects should be supported by another ZI on the non-defective side.

References

  • [1]Sun J, Shen Y, Li J. Reconstruction of high maxillectomy defects with the fibula osteomyocutaneous flap in combination with titanium mesh or a zygomatic implant. Plast Reconstr Surg(2011) 127:150–160.
  • [2]Futran ND, Mendez E. Developments in reconstruction of midface and maxilla. The Lancet Oncology(2006) 7:249–258.
  • [3]Sherry JS, Balshi TJ, Sims LO. Treatment of a severely atrophic maxilla using an immediately loaded, implant-supported fixed prosthesis without the use of bone grafts: a clinical report. J Prosthet Dent(2010) 103:133–138.
  • [4]Stiévenart M, Malevez C. Rehabilitation of totally atrophied maxilla by means of four zygomatic implants and fixed prosthesis: a 6-40-month follow-up. Int J Oral Maxillofac Surg(2010) 39:358–363.
  • [5]Wen H, Guo W, Liang R. Finite element analysis of three zygomatic implant techniques for the severely atrophic edentulous maxilla. J Prosthet Dent(2014) 111:203–215.
  • [6]Migliorança RM, Coppedê A, Dias Rezende RC. Restoration of the edentulous maxilla using extrasinus zygomatic implants combined with anterior conventional implants: a retrospective study. Int J Oral Maxillofac Implants(2011) 26:665–672.
  • [7]Balshi SF, Wolfinger GJ, Balshi TJ. A retrospective analysis of 110 zygomatic implants in a single-stage immediate loading protocol. Int J Oral Maxillofac Implants(2009) 24:335–341.
  • [8]Binon P. Immediately loaded fixed maxillary implant treatment for a patient with advanced periodontal disease: a clinical report. JProsthet Dent(2010) 104:353–358.
  • [9]Cordero EB, Benfatti CA, Bianchini MA. The use of zygomatic implants for the rehabilitation of atrophic maxillas with 2 different techniques: Stella and Extrasinus. Oral Surg Oral Med Oral Pathol Oral Radiol Endod(2011) 112:49–53.
  • [10]Parel SM, Brånemark PI, Ohrnell LO. Remote implant anchorage for the rehabilitation of maxillary defects. J Prosthet Dent(2001) 86:377–381.
  • [11]Kreissl ME, Heydecke G, Metzger MC. Zygoma implant-supported prosthetic rehabilitation after partial maxillectomy using surgical navigation: a clinical report. J Prosthet Dent(2007) 97:121–128.
  • [12]Freedman M, Ring M, Stassen L. Effect of alveolar bone support on zygomatic implants: a finite element analysis study. Int J Oral Maxillofac Surg(2013) 42:671–676.
  • [13]Aparacio C, Hatano N. The use of zygomatic implants for prosthetic rehabilitation of severely resorbed maxilla. Periodontol(2000) 47:162–171.
  • [14]Aramany MA. Basic principles of obturator design for partially edentulous patients. Part II: design principles. J Prosthet Dent(1978) 40:656–662.
  • [15]Aramany MA. Basic principles of obturator design for partially edentulous patients. Part I: classification. J Prosthet Dent(1978) 40:554–557.
  • [16]Miyashita ER, Mattos B, Noritomi PY. Finite element analysis of maxillary bone stress caused by Aramany class IV obturator prostheses. J Prosthet Dent(2012) 107(5):336–342.
  • [17]Li J, Li H, L S. A mathematical model for simulating the bone remodelling process under mechanical stimulus. Dent Mater(2007) 23:1073–1078.[18]Bedrossian E, rd LS, Beckely ML, Indresano T. The zygomatic implant: preliminary data on treatment of severely resorbed maxillae. A clinical report. International Journal of Oral and Maxillofacial Implants(2002) 17(6):861–865.
  • [19]Nkenke E, Hahn M, Lell M. Anatomic site evaluation of the zygomatic bone for dental implant placement. Clin Oral Implants Res(2003) 14:72–79.
  • [20]Malevez C, Abarca M, Durdu F. Clinical outcome of 103 consecutive zygomatic implants: a 6–48 months follow-up study. Clin Oral Implants Res(2004) 15:18–22.
  • [21]Sadowsky SJ. Treatment considerations for maxillary implant overdentures: a systematic review. J Prosthet Dent(2007) 97:340–348.
  • [22]Bozkaya D, Muftu S, Muftu A. Evaluation of load transfer characteristics of five different implants in compact bone at different load levels by finite elements analysis. J Prosthet Dent(2004) 92:523–530.
  • [23]Akay C, Yaluğ S. Biomechanical 3-Dimensional Finite Element Analysis of Obturator Prostheses Retained with Zygomatic and Dental Implants in Maxillary Defects. Med Sci Monit(2015) 21:604–611.
  • [24]Miyamoto S, Ujigawa K, Kizu Y. Biomechanical three-dimensional finite-element analysis of maxillary prostheses with implants, design Özdemir and Hülagü/ Three-Dimensional Finite Element Analysis of Zygoma Implants in A Patient with Maxillary Defect11of number and position of implants for maxillary prostheses after hemimaxillectomy. Int J Oral Maxillofac Surg(2010) 39:1120–1126.
  • [25]Ramezanzade S, Yates J, Tuminelli FJ. Zygomatic implants placed in atrophic maxilla: an overview of current systematic reviews and meta-analysis. Maxillofac Plast Reconstr Surg(2021) 43(1).
  • [26]Gracher A, Moura MB, Silva Peres P. Full arch rehabilitation in patients with atrophic upper jaws with zygomatic implants: a systematic review. Int J Implant Dent(2021) 7(1).
  • [27]Romeed SA, Hays RN, Malik R. Extrasinus Zygomatic Implant Placement in the Rehabilitation of the Atrophic Maxilla: Three-Dimensional Finite Element Stress Analysis. J Oral Implant(2015) 41(2).
  • [28]Ayinala M, Shetty G. Rehabilitation of Maxillary Defect Using Zygomatic Implant Retained Obturator. Case Rep Dent(2021) 2021(2391331).
  • [29]Vosselman N, Glas HH, Merema BJ. Three-Dimensional Guided Zygomatic Implant Placement afterMaxillectomy. J Pers Med(2022) 12(4).
  • [30]Ujigawa K, Kato Y, Kizu Y. Three-dimensional finite elemental analysis of zygomatic implants in craniofacial structures. Int J Oral Maxillofac Surg(2007) 36:620–625.
  • [31]Cattaneo PM, Dalstra M, Melsen B. The transfer of occlusal forces through the maxillary molars: a finite element study. Am J Orthod Dentofacial Orthop(2003) 123:367–373.
  • [32]Gross MD, Arbel G, Hershkovitz I. Three dimensional finite element analysis of the facial skeleton on simulated occlusal loading. J Oral Rehabil(2001) 28:684–694.
  • [33]Korkmaz FM, Korkmaz Y, Yalug S. Impact of dental and zygomatic implants on stress distribution in maxillary defects: a 3-D FEA study. J Oral Implantol(2012) 38:557–567.
  • [34]Tuxen A, Bakke M, Pinholt EM. Comparative data from young men and women on masseter muscle fibres, function and facial morphology. Arch Oral Biol(1999) 44:509–518.
  • [35]Zarone F, Apicella A, Nicolais L. Mandibular flexure and stress build-up in mandibular full-arch fixed prostheses supported by osseointegrated implants. Clin Oral Implants Res(2003) 14:103–114.
  • [36]Wegener J, Reichert TE, Scheller H. Zygomatic fixtures-indications and first clinical experience. In: 9th International Congress on Reconstructive Preprosthetic Surgery(2001).
There are 35 citations in total.

Details

Primary Language English
Subjects Medical Biotechnology (Other)
Journal Section Research Articles
Authors

Hatice Ozdemir This is me

Burak Hülagü

Publication Date July 15, 2024
Submission Date November 2, 2023
Acceptance Date April 6, 2024
Published in Issue Year 2024 Volume: 8 Issue: 1

Cite

APA Ozdemir, H., & Hülagü, B. (2024). Three-Dimensional Finite Element Analysis of Zygoma Implants in A Patient with a Maxillary Defect. International Journal of Innovative Research and Reviews, 8(1), 6-11.