Cranio-Facial Reconstruction

Severely atrophic Maxilla, treated successfully with “angulated implants”

Challenge

Usual means of attaching external aesthetic prosthesis include adhesives, mechanical (attached to spectacles) and suction (fitting sockets). Sometimes the remaining anatomy or the patient’s lifestyle affects the efficiency of the adhesion and often the attachment simply cannot adequate retention and the prosthesis is prone to falling off, exposing the patient to significant embarrassment. In these cases an implant may be indicated to provide retention of the prosthesis.

Innovation

The Osseointegrated Fixtures system includes a wide range of implant sizes to fit the wide range of sites they may be used in. The ultra-short craniofacial implants can be used in the thin facial bones and the longer cylindrical-bodied implants fit well in the medullary canal of phalanges. All the implants are self-tapping with an enhanced surface.

Southern Implants works with leading rehabilitation centers around the world to develop innovative treatment solutions in cancer and trauma patients.

Treatment Solutions

Zygomatic and Oncology Implants

Professional users who want more choices have driven the prosthetic range, characterized by numerous unique and innovative products

  • Oncology Implants
  • Ultra-Short, short & ultra-long implants
  • Ultra-Narrow implants
  • Angulated implants

Technical Facts on Products Specific for Cranio-Facial Reconstruction

Zygomatic-ZyganZygomatic and Zygan® Implants

55° Zygomatic Implants were introduced by Southern Implants in 2002 to accommodate a higher angle for the restorative table to be in the arch and not the palate providing prosthetic versatility.

More recently, Southern Implants expanded the 55° Zygomatic Implant range with the Zygan Implant. The Zygan Implant features a Narrow-Apex with a smooth mid-section and MSc threaded coronal region. This implant is especially useful in patients with smaller anatomies.

Oncology and Zygex Implants:

An implant with a 55° angled head and non-threaded coronal portion, ideal for treating patients who have had resection due to oncology. Available in lengths 27.5 – 47.5mm and Ø4mm diameter. The Zygex Implant offers the same machined area with a narrower apex of 3.4mm.

MSc Piccolo ImplantUltra Narrow Implants:

A Ø3mm Implant, made of high strength TI CP.  Ideal to be placed in the thinner facial bones, increasing the restorative options for the team. More >

Ultra-ShortUltra-Short:

Short Implants (IE + IET) used for prosthetic retention of ears, eyes, noses. Ranging from Ø3.75-6mm. Available in 3mm, 4mm & 6mm lengths.

More >

Benefits

  • Offers a rehabilitative solution for cases where other means of attachment cannot
  • Wide range of implant sizes for different anatomical sites
  • Range of detachable prosthetic options suitable for different types of prostheses

Technical Facts

  • 3.75 mm and 4.5 mm diameter implants with 3-6 mm lengths
  • 3.75 mm, 5.0 mm and 6.0 mm diameter implants with 6-20 mm lengths
  • Moderately rough enhanced surface
  • Available with External Hex connection

Boyes-Varley JG, Howes DG, Lownie JF, Blackbeard GA. Surgical Modifications to the Brånemark Zygomaticus Protocol in the Treatment of the Severely Resorbed Maxilla: A Clinical Report. Int J Oral Maxillofac Implants. 2003;18:232-237.

Boyes-Varley JG, Howes DG, Davidge-Pitts KD, Brånemark PI, McAlpine JA. A Protocol for Maxillary Reconstruction Following Oncology Resection Using Zygomatic Implants. Int J Prosthodont 2007;20:521-531.

Boyes-Varley JG, Howes DG. The Zygomaticus Implant Protocol in the treatment of the severely resorbed maxilla. SADJ. 2003, Vol 58(3).

Chrcanovic BR, Albrektsson T, Wennerberg A. Survival and complications of zygomatic implants: an updated systematic review, Journal of Oral and Maxillofacial Surgery (2016), doi: 10.1016/j.joms.2016.06.166.

Dattani A, Richardson D, Butterworth CJ. A novel report on the use of oncology zygomatic implant-retained maxillary obturator in a paediatric patient. International Journal of Implant Dentistry (2017) 3:9 DOI 10.1186/s40729-017-0073-7.

Pellegrino G, Basile F, Richieri L, Tarsitano A, Marchetti C. Large defect rehabilitation of upper jaw with zygomatic/oncologic implants. Preliminary results of a prospective study. Clin. Oral Impl. 2014, Res. 25 (Suppl. 10).

Pellegrino G, Tarsitano A, Basile F, Pizzigallo A, Marchetti C. Computer-Aided Rehabilitation of Maxillary Oncological Defects Using Zygomatic Implants: A Defect-Based Classification. American Association of Oral and Maxillofacial Surgeons, 2015, 0278-2391/15/01265-3.

Downloadable Documents

For further detailed information about Cranio-Facial Reconstruction, please see the documents made available for your reference.

Zygomatic Implants Catalog

Download PDFOsseointegrated implants are now an indispensable part of prosthetic rehabilitation options. With the globalization of medical infrastructures and higher standards of living, implant applications continue to increase…

Southern Implants Product Brochure
Download PDF Dental implants are an indispensable part of dental treatment options. With the globalization of medical infrastructures and higher standards of living , implant applications continue to increase…