{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T03:19:56Z","timestamp":1792639196209,"version":"4.5.0"},"reference-count":45,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2006,8,16]],"date-time":"2006-08-16T00:00:00Z","timestamp":1155686400000},"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":[[2006,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    <jats:bold>Background\u2002<\/jats:bold>\n                    Prosthetic rehabilitation with implant\u2010supported prostheses in the atrophic edentulous maxilla often requires a bone augmentation procedure to enable implant placement and integration. However, a rigid anchorage can also be achieved by using so\u2010called zygomatic implants placed in the zygomatic arch in combination with regular implants placed in residual bone.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Purpose\u2002<\/jats:bold>\n                    The aim of the present study was to report on the clinical outcome of using zygomatic and regular implants for prosthetic rehabilitation of the severely atrophic edentulous maxilla.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Materials and Methods\u2002<\/jats:bold>\n                    Sixty\u2010nine consecutive patients with severe maxillary atrophy were, during a 5\u2010year period, treated with a total of 69 fixed full\u2010arch prostheses anchored on 435 implants. Of these, 131 were zygomatic implants and 304 were regular implants. Fifty\u2010seven bridges were screw\u2010retained and 12 were cemented. The screw\u2010retained bridges were removed at the examination appointments and each implant was tested for mobility. In addition, the zygomatic implants were subjected to Periotest\n                    <jats:sup>\u00ae<\/jats:sup>\n                    (Siemens AG, Bensheim, Germany) measurements. The patients had at the time of this report been followed for at least 6 months up to 5 years in loading.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results\u2002<\/jats:bold>\n                    Two regular implants failed during the study period giving a cumulative survival rate of 99.0%. None of the zygomatic implants was removed. All patients received and maintained a fixed full\u2010arch bridge during the study. Periotest measurements of zygomatic implants showed a decreased Periotest values value with time, indictating an increased stability. Three patients presented with sinusitis 14\u201327 months postoperatively, which could be resolved with antibiotics. Loosening of the zygomatic implant gold screws was recorded in nine patients. Fracture of one gold screw as well as the prosthesis occurred twice in one patient. Fracture of anterior prosthetic teeth was experienced in four patients.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusions\u2002<\/jats:bold>\n                    The results from the present study show that the use of zygomatic and regular implants represents a predictable alternative to bone grafting in the rehabilitation of the atrophic edentulous maxilla.\n                  <\/jats:p>","DOI":"10.1111\/j.1708-8208.2006.00009.x","type":"journal-article","created":{"date-parts":[[2006,8,16]],"date-time":"2006-08-16T05:50:06Z","timestamp":1155707406000},"page":"114-122","source":"Crossref","is-referenced-by-count":102,"title":["A Prospective Clinical Study on Titanium Implants in the Zygomatic Arch for Prosthetic Rehabilitation of the Atrophic Edentulous Maxilla with a Follow\u2010Up of 6 Months to 5 Years"],"prefix":"10.1111","volume":"8","author":[{"given":"Carlos","family":"Aparicio","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wafaa","family":"Ouazzani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto","family":"Garcia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xabier","family":"Arevalo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosa","family":"Muela","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanessa","family":"Fortes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2006,8,16]]},"reference":[{"key":"e_1_2_7_2_2","first-page":"360","article-title":"Load factor control for implants in the posterior partially edentulous segment","volume":"12","author":"Rangert BR","year":"1997","journal-title":"Int J Oral Maxillofac Implants"},{"key":"e_1_2_7_3_2","first-page":"141","article-title":"Early failures in 4,641 consecutively placed Branemark dental implants: a study from stage 1 surgery to the connection of completed prostheses","volume":"6","author":"Friberg B","year":"1991","journal-title":"Int J Oral Maxillofac Implants"},{"key":"e_1_2_7_4_2","first-page":"220","article-title":"Evaluation of patient and implant characteristics as potential prognostic factors for oral implant failures","volume":"20","author":"Herrmann I","year":"2005","journal-title":"Int J Oral Maxillofac Implants"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0011-8532(22)02464-8"},{"key":"e_1_2_7_6_2","first-page":"209","article-title":"Grafting for the maxillary sinus with intraoral harvested autogenous bone prior to implant placement","volume":"3","author":"Wood RM","year":"1988","journal-title":"Int J Oral Maxillofac Implants"},{"key":"e_1_2_7_7_2","first-page":"11","article-title":"Report of the Sinus Consensus Conference of 1996","volume":"13","author":"Jensen OT","year":"1998","journal-title":"Int J Oral Maxillofac Implants"},{"key":"e_1_2_7_8_2","first-page":"175","article-title":"Review of survival rates for implants placed in grafted maxillary sinuses using meta\u2010analysis","volume":"13","author":"Tong DC","year":"1998","journal-title":"Int J Oral Maxillofac Implants"},{"key":"e_1_2_7_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0501.2004.01116.x"},{"key":"e_1_2_7_10_2","doi-asserted-by":"publisher","DOI":"10.1053\/joms.2002.30576"},{"key":"e_1_2_7_11_2","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0501.2001.012003279.x"},{"key":"e_1_2_7_12_2","doi-asserted-by":"publisher","DOI":"10.1902\/annals.2003.8.1.328"},{"key":"e_1_2_7_13_2","first-page":"451","article-title":"Maxillary sinus complications related to endosseous implants","volume":"10","author":"Regev E","year":"1995","journal-title":"Int J Oral Maxillofac Implants"},{"key":"e_1_2_7_14_2","first-page":"199","volume-title":"Tissue\u2010integrated prostheses: osseointegration in clinical dentistry","author":"Lekholm U","year":"1985"},{"issue":"2","key":"e_1_2_7_15_2","first-page":"79","article-title":"Team management of atrophic edentulous with autogenous inlay, veneer, and split grafts and endosseous implants: case reports","volume":"26","author":"Collins TA","year":"1995","journal-title":"Quintessence Int"},{"key":"e_1_2_7_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/0278-2391(95)90231-7"},{"key":"e_1_2_7_17_2","first-page":"474","article-title":"Rehabilitation of patients with severely resorbed maxillae by means of implants with or without bone grafts: a 1\u2010year follow\u2010up study","volume":"13","author":"Widmark G","year":"1998","journal-title":"Int J Oral Maxillofac Implants"},{"key":"e_1_2_7_18_2","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1991.62.1.2"},{"key":"e_1_2_7_19_2","first-page":"194","volume-title":"Tissue integration in oral, orthopedic, and maxillofacial reconstruction","author":"Lekholm U.","year":"1992"},{"key":"e_1_2_7_20_2","first-page":"182","volume-title":"An advanced osseointegration surgery: applications in the maxillofacial region","author":"Tulasne JF.","year":"1992"},{"key":"e_1_2_7_21_2","first-page":"57","article-title":"Pterigomaxillary osseointegrated fixture","volume":"20","author":"Raspall G","year":"1992","journal-title":"J Craniomaxillofac Surg"},{"key":"e_1_2_7_22_2","first-page":"513","article-title":"The pterigoid plate implant: a solution for restoring the posterior maxilla","volume":"14","author":"Graves SL.","year":"1994","journal-title":"Int J Periodontics Restorative Dent"},{"issue":"6","key":"e_1_2_7_23_2","first-page":"814","article-title":"Placement of screw type implants in the pterigomaxillary pyramidal region: surgical procedure and preliminary results","volume":"12","author":"Fern\u00e1ndez Valer\u00f3n J","year":"1997","journal-title":"Int J Oral Maxillofac Implants"},{"key":"e_1_2_7_24_2","doi-asserted-by":"publisher","DOI":"10.1053\/joms.2003.50012"},{"key":"e_1_2_7_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0278-2391(99)90673-0"},{"key":"e_1_2_7_26_2","first-page":"405","article-title":"Tilting of posterior mandibular and maxillary implants for improved prosthesis support","volume":"15","author":"Krekmanov L","year":"2000","journal-title":"Int J Oral Maxillofac Implants"},{"key":"e_1_2_7_27_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1708-8208.2001.tb00127.x"},{"key":"e_1_2_7_28_2","first-page":"17","article-title":"Retrospective clinical and radiographic evaluation of tilted implants used in the treatment of the severely resorbed edentulous maxilla","volume":"3","author":"Aparicio C","year":"2002","journal-title":"Applied Osseo Res"},{"key":"e_1_2_7_29_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1708-8208.2002.tb00155.x"},{"issue":"1","key":"e_1_2_7_30_2","first-page":"51","article-title":"Simplified treatment of the atrophic posterior maxilla via immediate\/early function and tilted implants: a prospective 1\u2010year clinical study","volume":"7","author":"Calandriello R","year":"2005","journal-title":"J Clin Implant Dent Relat Res"},{"key":"e_1_2_7_31_2","first-page":"61","article-title":"Reconstruction of the premaxilla with autogenous iliac bone in combination with osseointegrated implants","volume":"8","author":"Aparicio C","year":"1993","journal-title":"Int J Oral Maxillofac Implants"},{"key":"e_1_2_7_32_2","first-page":"211","article-title":"Titanium implants in the zygoma as retaining elements after hemimaxillectomy","volume":"12","author":"Weischer T","year":"1997","journal-title":"Int J Oral Maxillofac Implants"},{"key":"e_1_2_7_33_2","volume-title":"The zygomaticus fixture: clinical procedures Nobel Biocare","year":"1998"},{"key":"e_1_2_7_34_2","first-page":"171","article-title":"El implante trans\u2013zigom\u00e1tico. Consejo General de Colegios y Odont\u00f3logos y Estomat\u00f3logos de Espa\u00f1a","volume":"4","author":"Aparicio C","year":"1999","journal-title":"RCOE"},{"key":"e_1_2_7_35_2","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":"Int J Oral Maxillofac Implants"},{"key":"e_1_2_7_36_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1600-0501.2003.00985.x"},{"key":"e_1_2_7_37_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0300-9785(81)80077-4"},{"key":"e_1_2_7_38_2","first-page":"405","article-title":"A new method to regularly achieve passive fit of ceramo\u2010metal prostheses over Branemark osseointegrated implants: a two\u2010year report","volume":"14","author":"Aparicio C.","year":"1994","journal-title":"Int J Periodontics Restorative Dent"},{"key":"e_1_2_7_39_2","first-page":"243","volume-title":"Proceedings of the 1st European Workshop on Peridontology","author":"Albrektsson T","year":"1994"},{"key":"e_1_2_7_40_2","first-page":"11","article-title":"The long\u2010term efficacy of currently used dental implants. A review proposed criteria of success","volume":"1","author":"Albrektsson T","year":"1986","journal-title":"Int J Oral Maxillofac Implants"},{"key":"e_1_2_7_41_2","first-page":"390","article-title":"The Periotest method as a measure of osseointegrated oral implant stability","volume":"5","author":"Olive J","year":"1990","journal-title":"Int J Oral Maxillofac Implants"},{"key":"e_1_2_7_42_2","first-page":"563","article-title":"Histologic evaluation of osseointegrated implants restored in nonaxial functional occlusion with preangled abutments","volume":"15","author":"Celletti R","year":"1995","journal-title":"Int J Periodontics Restorative Dent"},{"key":"e_1_2_7_43_2","first-page":"326","article-title":"Bending overload and implant fracture: a retrospective clinical analysis","volume":"10","author":"Rangert B","year":"1995","journal-title":"Int J Oral Maxillofac Implants"},{"key":"e_1_2_7_44_2","first-page":"541","article-title":"A photoelastic and strain gauge analysis of angled abutments for an implant system","volume":"8","author":"Clelland NL","year":"1993","journal-title":"Int J Oral Maxillofac Implants"},{"key":"e_1_2_7_45_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.2004.00505.x"},{"key":"e_1_2_7_46_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1708-8208.2005.tb00060.x"}],"container-title":["Clinical Implant Dentistry and Related Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1708-8208.2006.00009.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1708-8208.2006.00009.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,10]],"date-time":"2023-10-10T22:17:41Z","timestamp":1696976261000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1708-8208.2006.00009.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,8,16]]},"references-count":45,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2006,9]]}},"alternative-id":["10.1111\/j.1708-8208.2006.00009.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1708-8208.2006.00009.x","archive":["Portico"],"relation":{},"ISSN":["1523-0899","1708-8208"],"issn-type":[{"value":"1523-0899","type":"print"},{"value":"1708-8208","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,8,16]]}}}