Evidence map›Paper›PMID 37198345›Full record

SynthesisInternational journal of implant dentistry2023

Evaluation of surgical techniques in survival rate and complications of zygomatic implants for the rehabilitation of the atrophic edentulous maxilla: a systematic review.

Peer W Kämmerer, Shengchi Fan, Carlos Aparicio, Edmond Bedrossian, Rubén Davó, Dean Morton, Gerry M Raghoebar, Sepehr Zarrine, Bilal Al-Nawas

Registry-linked trialAbstract readSystematic Review
In one paragraph

Synthesis in International journal of implant dentistry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06155799 (Accuracy of Dynamic Navigation System on Zygomatic Implant Placement), which is not on this map. Cited by 30 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06155799 naunknown statusnot on this map

Accuracy of Dynamic Navigation System on Zygomatic Implant Placement: A Randomized Clinical Trial

TypeinterventionalSponsorUniversity of BarcelonaRan2022 to 2024Enrolled8ConditionsDental Implants, Surgery, Computer-AssistedArmsFreehand zygomatic implant placement
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  19. Assessment of different treatment alternatives for patients with total maxillectomy.Journal of prosthodontics : official journal of the American College of Prosthodontists · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Peer W Kämmerer *Department of Oral and Maxillofacial Surgery-Plastic Operations, University Medical Center Mainz, Augustusplatz 2, 55131, Mainz, Germany. peer.kaemmerer@unimedizin-mainz.de.ORCID 0000-0002-1671-3764
Shengchi Fan *Department of Oral and Maxillofacial Surgery-Plastic Operations, University Medical Center Mainz, Augustusplatz 2, 55131, Mainz, Germany.
Carlos AparicioIndiana University School of Dentistry, Indianapolis, USA.
Edmond BedrossianDepartment of Restorative Dentistry, School of Dentistry, University of Washington, Seattle, USA.
Rubén DavóDepartment of Implantology and Maxillofacial Surgery, Vithas Davó Instituto Dental, Alicante, Spain.
Dean MortonDepartment of Prosthodontics, Indiana University School of Dentistry, Indianapolis, USA.
Gerry M RaghoebarDepartment of Oral and Maxillofacial Surgery, University Medical Center Groningen and University of Groningen, Groningen, The Netherlands.
Sepehr ZarrinePrivate Practice, Saint Die, France.
Bilal Al-NawasDepartment of Oral and Maxillofacial Surgery-Plastic Operations, University Medical Center Mainz, Augustusplatz 2, 55131, Mainz, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess the outcome [zygomatic implant (ZI) survival] and complications of the original surgical technique (OST) and an Anatomy-Guided approach (AGA) in the placement of ZI in patients with severely atrophic maxillae.

methodsTwo independent reviewers conducted an electronic literature search from January 2000 to August 2022. The inclusion criteria were articles reporting at least five patients with severely atrophic edentulous maxilla undergoing placement OST and/or AGA, with a minimum of 6 months of follow-up. Number of patients, defect characteristics, number of ZI, implant details, surgical technique, survival rate, loading protocol, prosthetic rehabilitation, complications, and follow-up period were compared.

resultsTwenty-four studies comprised 2194 ZI in 918 patients with 41 failures. The ZI survival rate was 90.3-100% in OST and 90.4-100% in AGA. Probability of complications with ZI with OST was as follows: sinusitis, 9.53%; soft tissue infection, 7.50%; paresthesia, 10.78%; oroantral fistulas, 4.58%; and direct surgical complication, 6.91%. With AGA, the presenting complications were as follows: sinusitis, 4.39%; soft tissue infection, 4.35%; paresthesia, 0.55%; oroantral fistulas, 1.71%; and direct surgical complication, 1.60%. The prevalence of immediate loading protocol was 22.3% in OST and 89.6% in the AGA. Due to the heterogeneity of studies, statistical comparison was only possible after the descriptive analysis.

conclusionsBased on the current systematic review, placing ZI in severely atrophic edentulous maxillae rehabilitation with the OST and AGA is associated with a high implant survival rate and surgical complications within a minimum of 6 months follow-up. Complications, including sinusitis and soft tissue infection around the implant, are the most common. The utilization of immediate loading protocol is more observed in AGA than in OST.

Indexed as

Dental Implantation, EndosseousDental ImplantsJaw, EdentulousMaxillaOrthognathic Surgical ProceduresPostoperative ComplicationsAbnormalities, MultipleAdultAgedChildChild, PreschoolFemaleGenu ValgumHumansMaleMiddle AgedDental ImplantsComplicationsMaxillary atrophyMaxillary defectSurvivalTechniqueZygomatic implant

Identifiers

PMID37198345
PMCPMC10192488

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.