Better Postoperative Recovery Is Observed Following a Flapless Dynamically Navigated Placement of Zygomatic Implants
TAKE-HOME MESSAGE
- This randomized controlled trial of 20 patients assessed the impact of reflecting a mucoperiosteal flap on postoperative outcomes following a dynamically navigated placement of zygomatic implants. Immediate postoperative pain intensity and swelling were significantly higher in the group in which a mucoperiosteal flap was reflected (group 2) than in the flapless group (group 1). Notably, 1 patient in group 1 and 2 patients in group 2 experienced chronic sinusitis; however, no sensory alterations were reported in either group.
- While performing a dynamically navigated placement of zygomatic implants, clinicians should consider the flapless approach for a better postoperative recovery.
abstract
This abstract is available on the publisher's site.
Access this abstract nowPURPOSE
To assess the pain, swelling, infection, and alteration in sensation following the flapless placement of zygomatic implants guided by dynamic navigation.
MATERIALS AND METHODS
A randomized controlled trial was conducted on 20 patients. In group 1, the placement of the zygomatic implants was carried out without reflecting a mucoperiosteal flap (flapless). In group 2, a mucoperiosteal flap was raised (flapped). Two zygomatic implants were placed in each patient (one on each side) under local anesthesia, guided by dynamic navigation. Postoperative evaluations included pain (using the visual analogue scale [VAS]), swelling (using standard measurements), maxillary sinus infection, and alteration of sensation (using mechanical stimuli, thermal threshold detection, and a two-point discrimination test). The assessments were carried out at 2 days, 1 week, and then 1, 2, and 3 months postoperatively.
RESULTS
In group 1, all implants except for one were successfully osseointegrated. Immediate postoperative pain and swelling were both significantly greater in group 2 (P < .01). No alteration in sensation was detected in any case in the two groups. There were a total of three cases of chronic sinusitis: one in group 1 and two in group 2.
CONCLUSIONS
The flapless placement of zygomatic implants guided by dynamic navigation and under local anesthesia improves postoperative recovery.
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Additional Info
Disclosure statements are available on the authors' profiles:
The Clinical Evaluation of the Dynamically Navigated Flapless Placement of Zygomatic Implants: A Randomized Controlled Trial
Int J Oral Maxillofac Implants 2024 Feb 27;39(1)40-49, A Bhalerao, M Marimuthu, A Wahab, A AyoubFrom MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.