{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T22:46:19Z","timestamp":1791931579452,"version":"4.3.4"},"reference-count":63,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,11,14]],"date-time":"2022-11-14T00:00:00Z","timestamp":1668384000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Implant Dent Rel Res"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Zygomatic implants (ZI) have been frequently indicated to rehabilitate patients with extensive atrophies in alternatives to major bone reconstructions. It can be installed inside the maxillary sinus, called instrasinus zygomatic implant (IZI) or outside the maxillary sinus (EZI), depending on the surgery technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the survival and complication rates of ZI in longitudinal studies when compared with conventional implants (CI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An electronic search was performed in five databases and in Gray literature for articles published until April, 2022. The eligibility criteria comprised observational cohort studies (prospective or retrospective) and randomized clinical trials (RCTs) with at least 5\u2009years of follow\u2010up, reporting survival rate of ZI versus CI. A meta\u2010analysis was conduct with 18 studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 5434 implants (2972 ZI and 2462 CI) were analyzed in 1709 patients. The mean survival rate was 96.5%\u2009\u00b1\u20095.02 and 95.8%\u2009\u00b1\u20096.36 for ZI and CI, respectively (mean follow\u2010up time of 78\u2009months). There were observed no statistically significant between ZI and CI in prospective studies (risk ratio [RR] of 1.21; 95% confidence intervals [CIs]: 0.28 to 5.28; chi\u2010squared [Chi\n                      <jats:sup>2<\/jats:sup>\n                      ]\u00a0=\u00a011.37;\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u00a0=\u00a056%; degrees of freedom [df]\u00a0=\u00a05; z\u2010score\u00a0=\u00a00.25;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.80), retrospective studies IZI (RR of 1.29; 95% CIs: 0.52 to 3.23; Chi\n                      <jats:sup>2<\/jats:sup>\n                      \u00a0=\u00a04.07;\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u00a0=\u00a02%; df\u00a0=\u00a04; z\u2010score\u00a0=\u00a00.55;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.58) and retrospective studies EZI (RR of 0.72; 95% CIs: 0.31 to 1.66; Chi\n                      <jats:sup>2<\/jats:sup>\n                      \u00a0=\u00a01.99;\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u00a0=\u00a00%; df\u00a0=\u00a03; z\u2010score\u00a0=\u00a00.78;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.44). The biological complications most related to ZI was sinusitis, followed by infection and oroantral communication.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>ZI have a high long\u2010term survival rate (96.5% with a mean of 91.5\u00a0months of follow\u2010up), showing no significant difference when compared with CI. The most prevalent biological complication is sinusitis, being most commonly to the IZI technique. This systematic review (SR) was registered in INPLASY under number INPLASY202280025.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/cid.13153","type":"journal-article","created":{"date-parts":[[2022,11,14]],"date-time":"2022-11-14T06:51:27Z","timestamp":1668408687000},"page":"177-189","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":41,"title":["Survival and complications of zygomatic implants compared to conventional implants reported in longitudinal studies with a follow\u2010up period of at least 5\u2009years: A systematic review and meta\u2010analysis"],"prefix":"10.1111","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5739-394X","authenticated-orcid":false,"given":"Vittorio","family":"Moraschini","sequence":"first","affiliation":[{"name":"Department of Dental Research, School of Dentistry Veiga de Almeida University  Rio de Janeiro Brazil"},{"name":"Department of Oral Surgery, School of Dentistry Fluminense Federal University  Rio de Janeiro Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tiago Rocha","family":"de Queiroz","sequence":"additional","affiliation":[{"name":"Department of Oral Surgery, School of Dentistry Fluminense Federal University  Rio de Janeiro Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8414-3775","authenticated-orcid":false,"given":"Suelen Cristina","family":"Sartoretto","sequence":"additional","affiliation":[{"name":"Department of Oral Surgery, School of Dentistry Fluminense Federal University  Rio de Janeiro Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel Costa Ferreira","family":"de Almeida","sequence":"additional","affiliation":[{"name":"Department of Oral Surgery, School of Dentistry Fluminense Federal University  Rio de Janeiro Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5759-7926","authenticated-orcid":false,"given":"Monica Diuana","family":"Calasans\u2010Maia","sequence":"additional","affiliation":[{"name":"Department of Oral Surgery, School of Dentistry Fluminense Federal University  Rio de Janeiro Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rafael Seabra","family":"Louro","sequence":"additional","affiliation":[{"name":"Department of Oral Surgery, School of Dentistry Fluminense Federal University  Rio de Janeiro 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