{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T12:39:29Z","timestamp":1790253569698,"version":"4.1.0"},"reference-count":60,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2013,3,6]],"date-time":"2013-03-06T00:00:00Z","timestamp":1362528000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clin Implant Dent Rel Res"],"published-print":{"date-parts":[[2014,10]]},"abstract":"Abstract<\/jats:title>Purpose<\/jats:title>The first aim of this study is to compare the outcomes in rehabilitating the atrophic maxilla using zygomatic implants (ZIs<\/jats:styled-content>) and regular implants (RIs<\/jats:styled-content>) using the classical zygomatic technique (CZT<\/jats:styled-content>) versus the zygomatic anatomy\u2010guided approach (ZAGA<\/jats:styled-content>). The second goal of this paper is to propose a standardized system to report rhinosinusitis diagnosis.<\/jats:p><\/jats:sec>Materials and Methods<\/jats:title>Twenty\u2010two consecutive zygomatic patients operated on from 1998 to 2002 and 80 consecutive zygomatic patients operated on from 2004 to O<\/jats:styled-content>ctober 2009 were selected. All included patients were in a maintenance program. Survival rates (SRs<\/jats:styled-content>) of ZI<\/jats:styled-content> and RI<\/jats:styled-content> were recorded. Implants were individually tested using P<\/jats:styled-content>eriotest\u00ae (P<\/jats:styled-content>eriotest value [PTv<\/jats:styled-content>], S<\/jats:styled-content>iemens AG<\/jats:styled-content>, B<\/jats:styled-content>ensheim, UK<\/jats:styled-content>). Sinus health was radiographically and clinically assessed according to L<\/jats:styled-content>und\u2010M<\/jats:styled-content>ackay system and L<\/jats:styled-content>anza and K<\/jats:styled-content>ennedy survey recommended by T<\/jats:styled-content>ask F<\/jats:styled-content>orce on R<\/jats:styled-content>hinosinusitis for research outcomes. A satisfaction questionnaire (Oral Health Impact Profile for assessing health\u2010related quality of life in Edentulous adults) and different anatomical measurements were also performed.<\/jats:p><\/jats:sec>Results<\/jats:title>No significant differences (p<\/jats:italic>\u2009=\u2009.602) were observed with respect to SR<\/jats:styled-content> between the two groups (95.12% vs 96.79%). Significant differences (p<\/jats:italic>\u2009=\u2009.000) were found comparing measurements of ZI<\/jats:styled-content> head distance to the alveolar crest (5.12\u2009\u00b1\u20092.38\u2009mm vs 2.92\u2009\u00b1\u20092.30\u2009mm). With the CZT<\/jats:styled-content>, more palatal emergence of ZI<\/jats:styled-content> was observed. PTv<\/jats:styled-content> gave significantly greater stability for the CZT<\/jats:styled-content> compared with the ZAGA<\/jats:styled-content> group in both measurements (\u22124.38\u2009\u00b1\u20091.75 vs \u22122.49\u2009\u00b1\u20094.31, p<\/jats:italic>\u2009=\u2009.000; \u22124.94\u2009\u00b1\u20091.46 vs \u22123.11\u2009\u00b1\u20095.06, p<\/jats:italic>\u2009=\u2009.000). L<\/jats:styled-content>und\u2010M<\/jats:styled-content>ackay score was significantly lower for the ZAGA<\/jats:styled-content> group (2.38\u2009\u00b1\u20093.86 vs 0.56\u2009\u00b1\u20091.26, p<\/jats:italic>\u2009=\u2009.042). Statistically significant difference (p<\/jats:italic>\u2009=\u2009.047) regarding the percentage of patients with no signs or symptoms of rhinosinusitis (L<\/jats:styled-content>anza and K<\/jats:styled-content>ennedy test negative and L<\/jats:styled-content>und\u2010M<\/jats:styled-content>ackay score zero) was observed between groups (54.55% vs 76.25%, p<\/jats:italic>\u2009=\u2009.047).<\/jats:p><\/jats:sec>Conclusions<\/jats:title>Both procedures had similar clinical outcomes with respect to implant survival. The ZAGA<\/jats:styled-content> concept is able to immediately rehabilitate the severely atrophic maxillae, minimizing the risk of maxillary sinus\u2010associated pathology. Moreover, less bulky, more comfortable, and easy to clean prostheses are achieved.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cid.12047","type":"journal-article","created":{"date-parts":[[2013,3,6]],"date-time":"2013-03-06T19:02:16Z","timestamp":1362596536000},"page":"627-642","source":"Crossref","is-referenced-by-count":54,"title":["Zygomatic Implants Placed Using the Zygomatic Anatomy\u2010Guided Approach versus the Classical Technique: A Proposed System to Report Rhinosinusitis Diagnosis"],"prefix":"10.1111","volume":"16","author":[{"given":"Carlos","family":"Aparicio","sequence":"first","affiliation":[{"name":"Private practice Cl\u00ednica Aparicio\u2010Pl\u00e9nido Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolina","family":"Manresa","sequence":"additional","affiliation":[{"name":"Private practice Cl\u00ednica Aparicio\u2010Pl\u00e9nido Barcelona Spain"},{"name":"Department of Comprehensive Dentistry School of Dentistry University of Barcelona Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Francisco","sequence":"additional","affiliation":[{"name":"Private practice Cl\u00ednica Aparicio\u2010Pl\u00e9nido Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arnau","family":"Aparicio","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics School of Dentistry University of Louisiana New Orleans LA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonas","family":"Nunes","sequence":"additional","affiliation":[{"name":"private practice Plenido Quality Dental Group Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pedro","family":"Claros","sequence":"additional","affiliation":[{"name":"private practice ENT Cl\u00ednica Claros Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josep M.","family":"Potau","sequence":"additional","affiliation":[{"name":"Department of Anatomy School of Medicine University of Barcelona Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,3,6]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"199","volume-title":"Tissue integrated prostheses: osseointegration in clinical dentistry","author":"Lekholm U","year":"1985"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1708-8208.2007.00034.x"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0901-5027(97)80006-9"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0901-5027(97)80007-0"},{"key":"e_1_2_7_6_1","first-page":"1","volume-title":"Zygomatic implants. 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