{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T04:35:59Z","timestamp":1777350959432,"version":"3.51.4"},"reference-count":24,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T00:00:00Z","timestamp":1777248000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T00:00:00Z","timestamp":1777248000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Prosthetic rehabilitation of severely atrophied jaws remains a major challenge in implant dentistry. Zygomatic implants offer a viable alternative where conventional implants are not feasible. We present the first documented case of zygomatic implant rehabilitation using the extrasinus technique in Nepal. A 49\u2010year\u2010old male with severe maxillary atrophy was treated with two anterior conventional implants and two zygomatic implants, while the mandible received four implants. The patient was rehabilitated with a Malo bridge and hybrid prosthesis. The patient was followed up for 6\u2009years; the implant showed excellent stability with no clinical or radiographic signs of complications, and the patient reported a high level of satisfaction with the functional and aesthetic outcomes.<\/jats:p>","DOI":"10.1002\/ccr3.72582","type":"journal-article","created":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T03:51:05Z","timestamp":1777348265000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Prosthetic Rehabilitation of Atrophic Maxilla by Extrasinus Zygomatic Implants: An Illustrative Case Report"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6600-116X","authenticated-orcid":false,"given":"Bikal","family":"Ghimire","sequence":"first","affiliation":[{"name":"Kantipur Dental College Teaching Hospital &amp; Research Center Kathmandu University  Kathmandu Bagmati Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9019-6833","authenticated-orcid":false,"given":"Nabina","family":"Miya","sequence":"additional","affiliation":[{"name":"Kantipur Dental College Teaching Hospital &amp; Research Center Kathmandu University  Kathmandu Bagmati Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bidhan","family":"Shrestha","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics, Kantipur Dental College Teaching Hospital &amp; Research Center Kathmandu University  Kathmandu Bagmati Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,4,27]]},"reference":[{"issue":"1","key":"e_1_2_13_2_1","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1111\/j.1600-0757.2008.00259.x","article-title":"The Use of Zygomatic Implants for Prosthetic Rehabilitation of the Severely Resorbed Maxilla","volume":"47","author":"Aparicio C.","year":"2008","journal-title":"Periodontology 2000"},{"issue":"4","key":"e_1_2_13_3_1","doi-asserted-by":"crossref","first-page":"750","DOI":"10.11607\/jomi.8196","article-title":"Retrospective Analysis of Zygomatic Implants for Maxillary Prosthetic Rehabilitation","volume":"35","author":"Yal\u00e7\u0131n M.","year":"2020","journal-title":"International Journal of Oral and Maxillofacial Implants"},{"issue":"2","key":"e_1_2_13_4_1","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1080\/02844310310023918","article-title":"Zygoma Fixture in the Management of Advanced Atrophy of the Maxilla: Technique and Long\u2010Term Results","volume":"38","author":"Br\u00e5nemark P.\u2010I.","year":"2004","journal-title":"Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery"},{"issue":"10","key":"e_1_2_13_5_1","doi-asserted-by":"crossref","first-page":"448","DOI":"10.4236\/ojst.2017.710039","article-title":"Zygomatic Implant\u2010Supported Prosthesis: When the Prosthetic Rehabilitation Affects the Function: A Case Report","volume":"7","author":"Matsumoto W.","year":"2017","journal-title":"Open Journal of Stomatology"},{"issue":"3","key":"e_1_2_13_6_1","first-page":"665","article-title":"Restoration of the Edentulous Maxilla Using Extrasinus Zygomatic Implants Combined With Anterior Conventional Implants: A Retrospective Study","volume":"26","author":"Miglioran\u00e7a R. M.","year":"2011","journal-title":"International Journal of Oral and Maxillofacial Implants"},{"issue":"6","key":"e_1_2_13_7_1","first-page":"861","article-title":"The Zygomatic Implant: Preliminary Data on Treatment of Severely Resorbed Maxillae. A Clinical Report","volume":"17","author":"Bedrossian E.","year":"2002","journal-title":"International Journal of Oral and Maxillofacial Implants"},{"key":"e_1_2_13_8_1","doi-asserted-by":"crossref","first-page":"e153","DOI":"10.1111\/cid.12147","article-title":"Extramaxillary Surgical Technique: Clinical Outcome of 352 Patients Rehabilitated With 747 Zygomatic Implants With a Follow\u2010Up Between 6 Months and 7\u2009Years","volume":"17","author":"Mal\u00f3 P.","year":"2015","journal-title":"Clinical Implant Dentistry and Related Research"},{"issue":"3","key":"e_1_2_13_9_1","first-page":"267","article-title":"Five\u2010Year Outcome of a Retrospective Cohort Study on the Rehabilitation of Completely Edentulous Atrophic Maxillae With Immediately Loaded Zygomatic Implants Placed Extra\u2010Maxillary","volume":"7","author":"Malo P.","year":"2014","journal-title":"European Journal of Oral Implantology"},{"key":"e_1_2_13_10_1","first-page":"138","article-title":"Implant Rehabilitation in the Edentulous Jaw: The \u201cAll\u2010On\u20104\u201d Immediate Function Concept","volume":"22","author":"Ho C. K.","year":"2012","journal-title":"Australasian Dental Practice"},{"issue":"4","key":"e_1_2_13_11_1","doi-asserted-by":"crossref","first-page":"872","DOI":"10.1016\/j.joms.2008.10.008","article-title":"Nongrafting Implant Options for Restoration of the Edentulous Maxilla","volume":"67","author":"Block M. S.","year":"2009","journal-title":"Journal of Oral and Maxillofacial Surgery"},{"issue":"2","key":"e_1_2_13_12_1","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1016\/j.cden.2019.12.005","article-title":"Zygomatic Implants: A Solution for the Atrophic Maxilla","volume":"64","author":"Rosenstein J.","year":"2020","journal-title":"Dental Clinics of North America"},{"issue":"1","key":"e_1_2_13_13_1","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1016\/j.joms.2007.06.687","article-title":"Fixed\u2010Prosthetic Implant Restoration of the Edentulous Maxilla: A Systematic Pretreatment Evaluation Method","volume":"66","author":"Bedrossian E.","year":"2008","journal-title":"Journal of Oral and Maxillofacial Surgery"},{"issue":"1","key":"e_1_2_13_14_1","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1034\/j.1600-0501.2003.140110.x","article-title":"Anatomic Site Evaluation of the Zygomatic Bone for Dental Implant Placement","volume":"14","author":"Nkenke E.","year":"2003","journal-title":"Clinical Oral Implants Research"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.3390\/mps3030052"},{"issue":"5","key":"e_1_2_13_16_1","doi-asserted-by":"crossref","first-page":"926","DOI":"10.1111\/cid.12517","article-title":"Three\u2010Year Clinical Prospective Follow\u2010Up of Extrasinus Zygomatic Implants for the Rehabilitation of the Atrophic Maxilla","volume":"19","author":"Copped\u00ea A.","year":"2017","journal-title":"Clinical Implant Dentistry and Related Research"},{"issue":"6","key":"e_1_2_13_17_1","first-page":"889","article-title":"Sinus Slot Technique for Simplification and Improved Orientation of Zygomaticus Dental Implants: A Technical Note","volume":"15","author":"Stella J. P.","year":"2000","journal-title":"International Journal of Oral & Maxillofacial Implants"},{"issue":"2","key":"e_1_2_13_18_1","first-page":"232","article-title":"Surgical Modifications to the Branemark Zygomaticus Protocol in the Treatment of the Severely Resorbed Maxilla: A Clinical Report","volume":"18","author":"Boyes\u2010Varley J. G.","year":"2003","journal-title":"International Journal of Oral and Maxillofacial Implants"},{"issue":"10","key":"e_1_2_13_19_1","article-title":"Prosthodontic Perspective to All\u2010on\u20104\u00ae Concept for Dental Implants","volume":"8","author":"Taruna M.","year":"2014","journal-title":"Journal of Clinical and Diagnostic Research: JCDR"},{"issue":"5","key":"e_1_2_13_20_1","first-page":"599","article-title":"Soft Tissue and Marginal Bone Conditions at Osseointegrated Implants That Have Exposed Threads: A 5\u2010Year Retrospective Study","volume":"11","author":"Lekholm U.","year":"1996","journal-title":"International Journal of Oral & Maxillofacial Implants"},{"issue":"6","key":"e_1_2_13_21_1","doi-asserted-by":"crossref","first-page":"748","DOI":"10.1016\/j.ijom.2014.01.004","article-title":"Implants in the Zygomatic Bone for Maxillary Prosthetic Rehabilitation: A Systematic Review","volume":"43","author":"Goiato M. 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W.","year":"2023","journal-title":"International Journal of Implant Dentistry"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.70081"},{"issue":"16","key":"e_1_2_13_25_1","doi-asserted-by":"crossref","DOI":"10.3390\/jcm12165418","article-title":"The Accuracy of Zygomatic Implant Placement Assisted by Dynamic Computer\u2010Aided Surgery: A Systematic Review and Meta\u2010Analysis","volume":"12","author":"Fan S.","year":"2023","journal-title":"Journal of Clinical Medicine"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.72582","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccr3.72582","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.72582","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T03:51:12Z","timestamp":1777348272000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.72582"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,27]]},"references-count":24,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1002\/ccr3.72582"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.72582","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,27]]},"assertion":[{"value":"2025-12-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-10","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-27","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e72582"}}