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Zygomatic Implant Insertion in MRONJ: A Case Report with a Follow-Up of 3 Years

The oral rehabilitation of MRONJ patients represents a challenging situation. Conventional dental implant insertion is not indicated because of the risk of creating a new necrotic area. This case study describes the oral rehabilitation of a 78-year-old female patient, who developed an osteonecrotic...

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Autores principales: Goker, Funda, Grecchi, Emma, Del Fabbro, Massimo, Longoni, Salvatore, Stefanelli, Luigi Vito, Grecchi, Francesco
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10179021/
https://www.ncbi.nlm.nih.gov/pubmed/37176739
http://dx.doi.org/10.3390/jcm12093300
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author Goker, Funda
Grecchi, Emma
Del Fabbro, Massimo
Longoni, Salvatore
Stefanelli, Luigi Vito
Grecchi, Francesco
author_facet Goker, Funda
Grecchi, Emma
Del Fabbro, Massimo
Longoni, Salvatore
Stefanelli, Luigi Vito
Grecchi, Francesco
author_sort Goker, Funda
collection PubMed
description The oral rehabilitation of MRONJ patients represents a challenging situation. Conventional dental implant insertion is not indicated because of the risk of creating a new necrotic area. This case study describes the oral rehabilitation of a 78-year-old female patient, who developed an osteonecrotic lesion in the fourth year of bisphosphonate treatment. The patient underwent a series of surgeries, including resection of the necrotic tissue on the right maxillary region and removal of conventional implants. The patient had a large maxillary defect, and no other treatment modalities such as conventional prosthetic appliances and traditional dental implant insertions were applicable. The patient had a very poor quality of life and as a rehabilitation option, two zygomatic implant insertions were planned and performed as an anchorage for maxillary fixed prosthesis. Radiographic and clinical examination after three years of follow-up indicated that healing was achieved, and healthy tissues formed around zygomatic implants. The patient did not suffer from any additional necrotic tissues or other complications in the oral cavity. According to the results of this case report, zygomatic implantation after resective surgery might be considered as a promising alternative for MRONJ patients with large defects when other treatment alternatives fail or are not applicable.
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spelling pubmed-101790212023-05-13 Zygomatic Implant Insertion in MRONJ: A Case Report with a Follow-Up of 3 Years Goker, Funda Grecchi, Emma Del Fabbro, Massimo Longoni, Salvatore Stefanelli, Luigi Vito Grecchi, Francesco J Clin Med Case Report The oral rehabilitation of MRONJ patients represents a challenging situation. Conventional dental implant insertion is not indicated because of the risk of creating a new necrotic area. This case study describes the oral rehabilitation of a 78-year-old female patient, who developed an osteonecrotic lesion in the fourth year of bisphosphonate treatment. The patient underwent a series of surgeries, including resection of the necrotic tissue on the right maxillary region and removal of conventional implants. The patient had a large maxillary defect, and no other treatment modalities such as conventional prosthetic appliances and traditional dental implant insertions were applicable. The patient had a very poor quality of life and as a rehabilitation option, two zygomatic implant insertions were planned and performed as an anchorage for maxillary fixed prosthesis. Radiographic and clinical examination after three years of follow-up indicated that healing was achieved, and healthy tissues formed around zygomatic implants. The patient did not suffer from any additional necrotic tissues or other complications in the oral cavity. According to the results of this case report, zygomatic implantation after resective surgery might be considered as a promising alternative for MRONJ patients with large defects when other treatment alternatives fail or are not applicable. MDPI 2023-05-05 /pmc/articles/PMC10179021/ /pubmed/37176739 http://dx.doi.org/10.3390/jcm12093300 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Goker, Funda
Grecchi, Emma
Del Fabbro, Massimo
Longoni, Salvatore
Stefanelli, Luigi Vito
Grecchi, Francesco
Zygomatic Implant Insertion in MRONJ: A Case Report with a Follow-Up of 3 Years
title Zygomatic Implant Insertion in MRONJ: A Case Report with a Follow-Up of 3 Years
title_full Zygomatic Implant Insertion in MRONJ: A Case Report with a Follow-Up of 3 Years
title_fullStr Zygomatic Implant Insertion in MRONJ: A Case Report with a Follow-Up of 3 Years
title_full_unstemmed Zygomatic Implant Insertion in MRONJ: A Case Report with a Follow-Up of 3 Years
title_short Zygomatic Implant Insertion in MRONJ: A Case Report with a Follow-Up of 3 Years
title_sort zygomatic implant insertion in mronj: a case report with a follow-up of 3 years
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10179021/
https://www.ncbi.nlm.nih.gov/pubmed/37176739
http://dx.doi.org/10.3390/jcm12093300
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