title: Quadruple zygomatic implants supported rehabilitation in failed maxillary bone reconstruction.
abstract: Extreme atrophy of the jaws constitutes a challenge for maxillofacial surgeons. The technique involving Le Fort I osteotomy, bone grafting, and endosseous implants remains the gold standard treatment for class V and class VI atrophy of the maxilla. As severe maxillary atrophy is associated to impaired microvascularization of overlying soft tissues, reconstruction using vascularized free fibula flaps together with endosseous implants is one of the possible treatment plans. When this approach fails, however, retreating these patients using traditional techniques often proves unsatisfactory. This study outlines our clinical experience with full-arch zygoma implant-supported prosthetic rehabilitation to treat severe atrophic maxilla following failure of strategies including multiple Le Fort I procedures or vascularized free fibular flaps.
authors.affiliation: Section of Oral and Maxillofacial Surgery, Department of Surgery, University of Verona, Verona, Italy.|Department of Surgery, Section of Dentistry and Maxillofacial Surgery, University of Verona, Policlinico "Giovanni Battista Rossi" Piazzale Ludovico Antonio Scuro, 10, 37134, Verona, Italy.
authors.forename: Pier Francesco
authors.initials: PF
authors.lastname: Nocini
authors.affiliation: Section of Oral and Maxillofacial Surgery, Department of Surgery, University of Verona, Verona, Italy.|Department of Surgery, Section of Dentistry and Maxillofacial Surgery, University of Verona, Policlinico "Giovanni Battista Rossi" Piazzale Ludovico Antonio Scuro, 10, 37134, Verona, Italy.
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Trevisiol
authors.affiliation: Section of Oral and Maxillofacial Surgery, Department of Surgery, University of Verona, Verona, Italy. antonio.dagostino@univr.it.|Department of Surgery, Section of Dentistry and Maxillofacial Surgery, University of Verona, Policlinico "Giovanni Battista Rossi" Piazzale Ludovico Antonio Scuro, 10, 37134, Verona, Italy. antonio.dagostino@univr.it.
authors.forename: Antonio
authors.initials: A
authors.lastname: D'Agostino
authors.affiliation: Section of Oral and Maxillofacial Surgery, Department of Surgery, University of Verona, Verona, Italy.|Department of Surgery, Section of Dentistry and Maxillofacial Surgery, University of Verona, Policlinico "Giovanni Battista Rossi" Piazzale Ludovico Antonio Scuro, 10, 37134, Verona, Italy.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Zanette
authors.affiliation: Section of Oral and Maxillofacial Surgery, Department of Surgery, University of Verona, Verona, Italy.|Department of Surgery, Section of Dentistry and Maxillofacial Surgery, University of Verona, Policlinico "Giovanni Battista Rossi" Piazzale Ludovico Antonio Scuro, 10, 37134, Verona, Italy.
authors.forename: Vittorio
authors.initials: V
authors.lastname: Favero
authors.affiliation: Section of Oral and Maxillofacial Surgery, Department of Surgery, University of Verona, Verona, Italy.|Department of Surgery, Section of Dentistry and Maxillofacial Surgery, University of Verona, Policlinico "Giovanni Battista Rossi" Piazzale Ludovico Antonio Scuro, 10, 37134, Verona, Italy.
authors.forename: Pasquale
authors.initials: P
authors.lastname: Procacci
mesh_terms: D016301:Alveolar Bone Loss / Q000534:rehabilitation / Q000601:surgery*; D019232:Dental Restoration Failure; D005260:Female; D006801:Humans; D063175:Mandibular Reconstruction / Q000379:methods* / Q000534:rehabilitation; D008437:Maxilla / Q000473:pathology* / Q000601:surgery*; D008439:Maxillary Diseases / Q000534:rehabilitation / Q000601:surgery*; D008447:Maxillofacial Prosthesis; D008875:Middle Aged; D019340:Osteotomy, Le Fort / Q000534:rehabilitation; D011183:Postoperative Complications / Q000534:rehabilitation / Q000601:surgery*; D012086:Reoperation / Q000534:rehabilitation; D015050:Zygoma / Q000601:surgery*
keywords: Dental prosthesis failure; Maxillofacial surgery; Rehabilitation; Zygomatic implants