The introduction of the zygomatic implant 20 years ago for rehabilitation of the anthropic maxilla was received by many clinicians with skeptics.
As a tool for easier and less traumatic placement, a protocol for minimally-invasive flapless zygomatic implant placement was was developed with computer-guided stereolithographic mucosa-supported surgical templates.
In spite of careful planning and perfect stability the comparison of CT-scans before and after placement showed a deviation of the tip of the implant.
In the last 5 years the protocol of zygomatic implant insertion has advanced from the traditional intrasinus approach to extramaxillary approach.With the change in surgical protocol a new development of bone supported guides were needed.
In this presentation several cases of insertion computerized guided zygomatic as well as pterygoid implants will be demonstrated,using the CT 3-dimensional imaging and use of stereolithigraphic drill guides.A comparison will show the easier placement and efficiency in the use of the latest developed guiding system in placing the new extramaxillary zygomatic implants (Noris Medical)
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