title: Prosthetic improvement of pronounced buccally positioned zygomatic implants: a clinical report.
abstract: This report presents a prosthetic technique for the improvement of surgically positioned, buccally placed zygomatic implants with the use of custom abutments for improved retention screw position and an esthetic implant reconstruction. The patient presented four zygomatic implants with pronounced buccal inclination. The anterior implants were inclined toward the location where the anterior artificial teeth should be placed during rehabilitation. As the manufacturer does not provide angulated abutments, we attempted the waxing and overcasting of a prosthetic abutment, repositioning the access holes of the prosthetic screws to a more palatal position. This clinical report demonstrates that abutment customization could be an interesting way to relocate the access holes of the prosthetic screws in cases of zygomatic implants with pronounced buccal inclination.
authors.affiliation: Department of Prosthodontics and Periodontics, Piracicaba Dental School, UNICAMP, Piracicaba, Brazil.
authors.forename: Ataís
authors.initials: A
authors.lastname: Bacchi
authors.forename: Mateus Bertolini Fernandes dos
authors.initials: MB
authors.lastname: Santos
authors.forename: Marcele Jardim
authors.initials: MJ
authors.lastname: Pimentel
authors.forename: Mauro Antonio de Arruda
authors.initials: MA
authors.lastname: Nóbilo
authors.forename: Rafael Leonardo Xediek
authors.initials: RL
authors.lastname: Consani
mesh_terms: D001284:Atrophy; D002858:Chromium Alloys / Q000737:chemistry; D059605:Dental Implant-Abutment Design; D015921:Dental Implants; D003819:Denture Bases; D003779:Denture Design; D003827:Denture, Complete, Upper; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007574:Jaw Relation Record; D007575:Jaw, Edentulous / Q000534:rehabilitation; D008437:Maxilla / Q000473:pathology; D008875:Middle Aged; D014093:Tooth, Artificial; D016896:Treatment Outcome; D015050:Zygoma / Q000601:surgery*
chemical_list: D002858:Chromium Alloys; D015921:Dental Implants
keywords: Zygomatic implants; prosthesis