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Impianto zigomatico: cos'è?

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Example 2: Zigomatic Implant placed using RoboDent
(Dynamic Guided Surgery)


Fig. B1

In Figures 2, 3, and 4, we see the preparation for one of the two implants in area 26 (Figure 2) with details in the crest (Figure 3) and in the cheekbone (Figure 4) – details that enable us to calculate the length of the implant (42.5 mm). The implant has a diameter of 4.2 mm.


Figure 5: Mirror photo taken 7 days after dynamic guided placement of the 2 zygomatic implants showing 4 parallel abutments and the only remaining natural element (23). The implant in 11 (without abutment) together with the 2 zygomatic implants will serve to retain the metallic structure of the circular prosthesis in preparation.

  Figure 6. Dental model with 4 abutments and two of the three retaining screws inserted.
     
  Figure 7: Metallic structure on the dental model. The two screwdrivers affixed to the retaining screws show the typical angle of the zygomatic implants (roughly 45 degrees from the vertical).


Figure 8: trial of the metallic structure.

  Figures 9 and 10. Completed work on the dental model (Figure 9) and in site (Figure 10). The three holes (screw tunnels) will be filled with composite.
     
   


Figure 11: Orthopanoramic x-ray (OPG) of the completed work. Note that the OPG is not a guarantee of correct placement of the implants. Only the Cone Beam Computed Tomography (CBCT), or CAT can reveal this.

  Figures 12 and 13. Cone Beam radial section in position 16 (Figure 12) and 26 (Figure 13) – images that confirm the correct placement of the implants.
     
   


Fig. 14 : axial section of two zygomatic implants.





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