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April 16, 2026Prosthesis0 citationsOpen Access

Novel Reverse Zygomatic Implant Approach for Trismus and Maxillectomy Sequelae

A Novel Reverse Zygomatic Implant Approach: Step-by-Step Protocol and Cadaveric Validation for Trismus and Maxillectomy Sequelae—Part 1

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Authors

AFAda Ferrer‐FuertesFCF.J. Cuesta-GonzálezRSRamón Sieira-Gil

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Overview

This cadaveric study demonstrates a new zygomatic implant method that shows feasibility for maxillary defects, indicating potential for improved patient outcomes.

Key Points

  • To evaluate a novel reverse insertion technique for zygomatic implants and its feasibility in cadaveric models.
  • Simulated a Brown Class II maxillectomy in a fresh-frozen cadaver.
  • Virtually planned and placed four custom reverse zygomatic implants using CAD/CAM surgical guides.
  • Compared superior and inferior orbital approaches for placement accuracy.
  • Used postoperative CT to assess deviations and a 3D-printed verification bar for prosthetic alignment.
  • All implants were successfully inserted with primary stability.
  • The superior approach exhibited lower deviations at the zygomatic bone (1.25 mm vs. 2.32 mm) and intraorally (4.7 mm vs. 7.3 mm).
  • Angular deviation was better with the superior approach (1.85° vs. 5.63°).
  • Intraoral emergence remained clinically acceptable, allowing partial seating of the verification bar.

Cite This Study

Ferrer‐Fuertes et al. (2026) studied this question.

synapsesocial.com/papers/69e07d732f7e8953b7cbe6a6https://doi.org/10.3390/prosthesis8040039
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