Full-arch rehabilitation of severely atrophic maxilla with additively manufactured custom-made subperiosteal implants: A multicenter retrospective study.
Vaira, Luigi Angelo; Biglio, Andrea; Roy, Marcoet al.
2024 • In Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery, 52 (9), p. 991 - 998
[en] The aim of this retrospective study was to analyze a series of patients who underwent full-arch rehabilitation of the atrophic maxilla using additively manufactured subperiosteal implants, between August 2018 and January 2023, at the Universities of Sassari and Poznan. In total, 36 patients and 72 implants were included, with no implants lost during follow-up, and a success rate of 90.3%. Seven (9.7%) of the implants showed class 1 exposure. Bleeding on probing was detected in 10.4% of the abutments at 6 months, 7.9% at 1 year, 10% at 2 years, 7% at 3 years, and 11.4% at 4 years. No significant bone resorption under the abutments was detected during the whole observation period. Based on the findings from this study, additively manufactured subperiosteal implants could represent a safe and reliable technique for full-arch rehabilitation in patients with severe maxillary atrophy.
Disciplines :
Otolaryngology
Author, co-author :
Vaira, Luigi Angelo ; Maxillofacial Surgery Operative Unit, Department of Medicine, Surgery and Pharmacy, University of Sassari, Sassari, Italy, PhD School of Biomedical Science, Biomedical Sciences Department, University of Sassari, Sassari, Italy. Electronic address: lavaira@uniss.it
Biglio, Andrea; Maxillofacial Surgery Operative Unit, Department of Medicine, Surgery and Pharmacy, University of Sassari, Sassari, Italy
Roy, Marco; Poznan University of Medical Sciences Department of Prosthodontics and Gerostamotology, Poznan, Poland
Salzano, Giovanni; Maxillofacial Surgery Operative Unit, University Hospital of Naples 'Federico II', Naples, Italy
Troise, Stefania ; Maxillofacial Surgery Operative Unit, University Hospital of Naples 'Federico II', Naples, Italy
Abbate, Vincenzo; Maxillofacial Surgery Operative Unit, University Hospital of Naples 'Federico II', Naples, Italy
Mayo-Yanez, Miguel; Otorhinolaryngology, Head and Neck Surgery Department, Complexo Hospitalario Universitario A Coruña (CHUAC), A Coruña, Galicia, Spain
Lechien, Jérome ; Université de Mons - UMONS > Faculté de Psychologie et des Sciences de l'Education > Service de Métrologie et Sciences du langage ; Université de Mons - UMONS > Faculté de Médecine et de Pharmacie > Service de Chirurgie
Piombino, Pasquale ; Maxillofacial Surgery Operative Unit, University Hospital of Naples 'Federico II', Naples, Italy
De Riu, Giacomo ; Maxillofacial Surgery Operative Unit, Department of Medicine, Surgery and Pharmacy, University of Sassari, Sassari, Italy
Language :
English
Title :
Full-arch rehabilitation of severely atrophic maxilla with additively manufactured custom-made subperiosteal implants: A multicenter retrospective study.
Publication date :
September 2024
Journal title :
Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery
Albrektsson, T., Zarb, G., Worthington, P., Eriksson, A.R., The long-term efficacy of currently used dental implants: a review and proposed criteria of success. Int. J. Oral Maxillofac. Implants 1 (1986), 11–25.
Brennand Roper, M., Vissink, A., Dudding, T., Pollard, A., Gareb, B., Malevez, C., et al. Long-term treatment outcomes with zygomatic implants: a systematic review and meta-analysis. Int. J. Implant Dent., 9, 2023, 21.
Cebrián Carretero, J.L., Del Castillo Pardo de Vera, J.L., Montesdeoca García, N., Garrido Martínez, P., Pampín Martínez, M.M., Aragón Niño, I., et al. Virtual surgical planning and customized subperiosteal titanium maxillary implant (CSTMI) for three dimensional reconstruction and dental implants of maxillary defects after oncological resection: case series. J. Clin. Med., 11, 2022, 4594.
Cerea, M., Dolcini, G.A., Custom-made direct metal laser sintering titanium subperiosteal implants: a retrospective clinical study on 70 patients. BioMed Res. Int., 2018, 2018, 5420391.
Choo, S.H., Glickman, R.S., Wiedemann, T.G., Graftless implantology as a forward-looking clinical concept for highly atrophic maxillary arches. Comp. Cont. Educ. Dent. 44 (2023), 74–79.
Cooper, L.F., Thalji, G., Al-Tarawneh, S., Are nongrafting solutions viable for dental implant treatment in limited bone volume?. Comp. Cont. Educ. Dent. 41 (2020), 368–376.
D'Agostino, A., Lombardo, G., Favero, V., Signoriello, A., Bressan, A., Lonardi, F., et al. Complications related to zygomatic implants placement: a retrospective evaluation with 5 years follow-up. J. Cranio-Maxillo-Fac. Surg. 49 (2021), 620–627.
De Moor, E., Huys, S.E.F., van Lenthe, G.H., Mommaerts, M.Y., Vander Sloten, J., Mechanical evaluation of a patient-specific additively manufactured subperiosteal jaw implant (AMSJI) using finite-element analysis. Int. J. Oral Maxillofac. Surg. 51 (2022), 405–411.
De Riu, G., Soma, D., Biglio, A., Raho, M.T., Mura, D., Michelon, F., et al. Primary reconstruction of total maxillectomy with custom-made subperiosteal implant and temporal muscle flap: a case report. Appl. Sci., 13, 2023, 6269.
Dimitroulis, G., Gupta, B., Wilson, I., Hart, C., The atrophic edentulous alveolus. A preliminary study on a new generation of subperiosteal implants. Oral Maxillofac. Surg. 27 (2023), 69–78.
Dindo, D., Demartines, N., Clavien, P.A., Classification of surgical complications. Ann. Surg. 240 (2004), 205–213.
Gabriele, G., Chisci, G., Cascino, F., Ricci, N.M., Marruganti, C., Ferrari, M., Technique-related survival rate and complications of zygomatic implant placement: a systematic review and meta-analysis. Int. J. Oral Maxillofac. Implants 38 (2023), 855–875.
Gellrich, N.C., Zimmerer, R.M., Spalthoff, S., Jehn, P., Pott, P.C., Rana, M., Rahlf, B., A customised digitally engineered solution for fixed dental rehabilitation in severe bone deficiency: a new innovative line extension in implant dentistry. J. Cranio-Maxillo-Fac. Surg. 45 (2017), 1632–1638.
Herce-López, J., Pingarrón, M.D.C., Tofé-Povedano, Á., García-Arana, L., Espino-Segura-Illa, M., Sieira-Gil, R., Rodado-Alonso, C., et al. Customized subperiosteal implants for the rehabilitation of atrophic jaws: a consensus report and literature review. Biomimetics, 9, 2024, 61.
Korn, P., Gellrich, N.C., Jehn, P., Spalthoff, S., Rahlf, B., A new strategy for patient-specific implant-borne dental rehabilitation in patients with extended maxillary defects. Front. Oncol., 11, 2021, 718872.
Lan, K., Wang, F., Huang, W., Davó, R., Wu, Y., Quad zygomatic implants: a systematic review and meta-analysis on survival and complications. Int. J. Oral Maxillofac. Implants 36 (2021), 21–29.
Laventure, A., Lauwers, L., Nicot, R., Kyheng, M., Ferri, J., Raoul, G., Autogenous bone grafting with conventional implants vs zygomatic implants for atrophic maxillae: a retrospective study of the oral health-related quality of life. J Stomatol Oral Maxillofac Surg 123 (2022), e782–e789.
Mombelli, A., Clinical parameters: biological validity and clinical utility. Periodontol 2000 39 (2005), 30–39.
Mommaerts, M.Y., Evolutionary steps in the design and biofunctionalization of the additively manufactured sub-periosteal jaw implant “AMSJI” for the maxilla. Int. J. Oral Maxillofac. Surg. 48 (2019), 108–114.
Nemtoi, A., Covrig, V., Nemtoi, A., Stoica, G., Vatavu, R., Haba, D., Zetu, I., Custom-made direct metal laser sintering titanium subperiosteal implants in oral and maxillofacial surgery for severe bone-deficient patients — a pilot study. Diagnostics, 12, 2022, 2531.
Ramezanzade, S., Yates, J., Tuminelli, F.J., Keyhan, S.O., Yousefi, P., Lopez-Lopez, J., Zygomatic implants placed in atrophic maxilla: an overview of current systematic reviews and meta-analysis. Maxillofac Plast Reconstr Surg, 43, 2021, 1.
Rinaldi, M., Implants and Oral Rehabilitation of the Atrophic Maxilla. 2023, Springer, Cham, 10.1007/978-3-031-12755-7.
Rosenstein, J., Dym, H., Zygomatic implants: a solution for the atrophic maxilla: 2021 update. Dent. Clin. 65 (2021), 229–239.
Rubio-Bueno, P., Ardanza, B., Piñas, L., Murillo, N., Pedicled buccal fat pad flap for upper lip augmentation in orthognathic surgery patients. J. Oral Maxillofac. Surg. 71 (2013), e178–e184, 10.1016/j.joms.2012.11.012.
Schlund, M., Nicot, R., Lauwers, L., Raoul, G., Ferri, J., Le Fort 1 osteotomy and calvarial bone grafting for severely resorbed maxillae. J. Cranio-Maxillo-Fac. Surg. 44 (2016), 859–867.
Vaira, L.A., Biglio, A., Salzano, G., Abbate, V., Lechien, J.R., De Riu, G., Implant-prosthetic rehabilitation of the atrophic posterior mandible with additively manufactured custom-made subperiosteal implants: a cohort study. Int. J. Oral Maxillofac. Surg., 2024, 10.1016/j.ijom.2024.01.003.
Van den Borre, C., Rinaldi, M., De Neef, B., Loomans, N.A., Nout, E., Van Doorne, L., et al. Radiographic evaluation of bone remodeling after additively manufactured subperiosteal jaw implantation (AMSJI) in the maxilla: a one-year follow-up study. J. Clin. Med., 10, 2021, 3542.
Van den Borre, C., Rinaldi, M., De Neef, B., Loomans, N.A.J., Nout, E., Van Doorne, L., et al. Patient and clinician-reported outcomes for the additively manufactured sub-periosteal jaw implant (AMSJI) in the maxilla: a prospective multicentre one-year follow-up study. Int. J. Oral Maxillofac. Surg. 51 (2022), 243–250.
Van den Borre, C., De Neef, B., Loomans, N.A.J., Rinaldi, M., Nout, E., Bouvry, P., et al. Soft tissue response and determination of underlying risk drivers for recession and mucositis after AMSJI implantation in the maxilla. Int. J. Oral Maxillofac. Implants, 2023, 10.11607/jomi.10490.
Varol, A., Atali, O., Sipahi, A., Basa, S., Implant rehabilitation for extremely atrophic maxillae (Cawood Type VI) with Le Fort I downgrafting and autogenous iliac block grafts: a 4-year follow-up study. Int. J. Oral Maxillofac. Implants 31 (2016), 1415–1422.
von Elm, E., Altman, D.G., Egger, M., Pocock, S.J., Gøtzsche, P.C., Vandenbroucke, J.P., STROBE Initiative. Strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. BMJ 335 (2007), 806–808.
Zielinski, R., Sowinski, J., Piechaczek, M., Okulski, J., Kozakiewicz, M., Finite element analysis of subperiosteal implants in edentulism — on the basis of the MaI Implant® by Integra Implants®. Materials, 16, 2023, 7466.