3D Lateral image with planned bridge (pink) and implants
3D Lateral image with planned bridge (pink) and implants
Axial view with pterygoid(Zygoma) implant head on alveolar ridge . One-stage placed implants
Axial view
To plan
To plan
Modification from zygomatic implant position to posterior pterygoid position
To plan
Sagittal view
To plan
To plan
To Surgiguide
To Surgiguide - Plaster Model
SurgiGuide for Pterygoid placed Zygomatic Implant
Surgiguide for Biomet 3i Implants
To guide – Visualisation using plaster model
– Showing Zygoma Implant with angulated head and angulated abutment
Pre-operative
Drilling with long drill through SurgiGuide with pterygoid(Zygoma) implant: 10mm high metal sleeve.
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Angulated 45 degree of head of pterygoid(zygomatic )implant demonstrating parallelism of abutment to implants placed anteriolly
Clinical Photograph of surgery – One stage Healing Abutments
To guideClinical Photograph of surgery – tooth 37
Clinical Photograph Multi-unit Abutment on Implant 27
Photograph of Prosthetic Restoration (Dr.Moshe Kaplan,Jerusalem)
To guideClinical Photograph of surgery – tooth 37
Postoperative bridge
Virtual planning versus Post-operative stage
Final bridgework
Conclusion
This new modification of the zygomatic implant technique ,where the pterygoid placed implant emerges on the dento-alveolar crest makes it an excellent supportfor prosthetic work.By the use of a drill guide the implant is placed in exact position without raising a mucosal flap reducing operation time and morbidiy,as an alternative to sinus augmentation.