title: Reliability of four zygomatic implant-supported prostheses for the rehabilitation of the atrophic maxilla: a systematic review.
abstract: OBJECTIVE
  The reliability of oral rehabilitation by four zygomatic implants with no anterior support remains to be determined. The aim of this systematic review was to assess the predictability of this approach in regard to implant survival, technical and biologic complications, and quality of life.
  
  
  METHODS
  An electronic literature search was conducted from September 2000 to November 2013. Human clinical trials in which oral rehabilitation was achieved by the use of four zygomatic implants with no additional placement of standard implants were included. The primary outcome was the survival rate of the zygomatic implants. In addition, random effects meta-analyses of the selected studies were applied to avoid potential bias caused by methodologic differences among studies.
  
  
  RESULTS
  Zygomatic implant survival rate weighted mean (WM) was 96.7% (range, 95.8% to 99.9%), with a 95% confidence interval (CI) of 92.5% to 98.5%. Only a limited number of surgical complications were reported, with orbital perforation the most significant. Similar results were obtained for prosthetic complications (few occurrences). Additionally, patient satisfaction levels were shown to be high, approaching that of the general population.
  
  
  CONCLUSIONS
  Data from the present systematic review suggest that maxillary rehabilitation by four zygomatic implants with no anterior support is a reliable approach.
authors.forename: Feng
authors.initials: F
authors.lastname: Wang
authors.forename: Alberto
authors.initials: A
authors.lastname: Monje
authors.forename: Guo-Hao
authors.initials: GH
authors.lastname: Lin
authors.forename: Yiqun
authors.initials: Y
authors.lastname: Wu
authors.forename: Florencio
authors.initials: F
authors.lastname: Monje
authors.forename: Hom-Lay
authors.initials: HL
authors.lastname: Wang
authors.forename: Ruben
authors.initials: R
authors.lastname: Davó
mesh_terms: D001284:Atrophy / Q000534:rehabilitation; D002986:Clinical Trials as Topic; D019094:Dental Prosthesis, Implant-Supported / Q000379:methods* / Q000592:standards; D006801:Humans; D008437:Maxilla / Q000473:pathology*; D008439:Maxillary Diseases / Q000534:rehabilitation / Q000601:surgery*; D017060:Patient Satisfaction; D011788:Quality of Life; D015203:Reproducibility of Results; D015050:Zygoma / Q000601:surgery*