FCE2: “Where’s the Bone?” Utilizing the Zygomatic Implant and Non-Alveolar/Extra-Alveolar Implant Support for Full-Arch Immediately Loaded Implant Treatment

Speaker

1.5 CE

This session is for the periodontal professional who has limited treatment options to offer the patient who presents with a severely atrophic maxilla. Full-arch immediately-loaded implant prosthesis requires the surgeon to achieve primary stability sufficient to load the prosthesis on the day of implant surgery. Unfortunately, many of the patients who can benefit from this procedure suffer from advanced alveolar resorption and atrophy. We will discuss how, as periodontists, we can locate and utilize non-alveolar/extra-alveolar bone, including the zygomatic implant, to achieve a full-arch immediately loaded, prosthesis. Zygomatic implants and “non-traditional” bone support may be new treatment options for the periodontist to offer patients with severely atrophic maxillae and may be another area in which to expand their scope of practice.

Educational Objectives:

• Identify how to locate and use non-traditional bone support, including zygoma, pterygoid, trans-sinus, and angled implant approaches to immediately loaded full-arch implant prosthesis.
• Describe the anatomic landmarks that are necessary to identify in order to safely perform these surgical procedures.
• List potential surgical complications of performing surgery in these areas.
• Demonstrate special instrumentation needed to perform zygomatic implants.
• Compare the protocol for immediately loading zygomatic implants versus conventional implants.
• Discuss current and future technology to help the periodontist achieve these goals with minimally-invasive surgery.