Rehabilitation with zygomatic implants after graft failure

This patient is a 53 year old female who came to our department looking for a solution for her problem: she lost the teeth when she was 30 years old and was wearing a denture for many years. She experienced an enormous resorption of the maxillary bone and her maxillary bone became a type 6 Maxilla (Cawood and Howell classification). Two years ago she started a regenerative therapy in other center by means of biomaterials (blocks of demineralized bone) and short implants. After some time she started to experience infections and the graft was resorbed and the implants started to fail. Finally, the patient was referred to us. The patient was informed about the different therapeutic possibilities and she accepted the quad zygoma technique. The procedure was carried out under general anesthesia. The failing implants were removed and the maxillary bone and sinus were cleaned (detritus, fibrous tissues). The implants were inserted at the level of the zygomatic bone and allocated at the level of the maxillary bone. An “all acrylic” fixed bridge was connected after taking the corresponding impressions. After 4 months of healing a realignment of the prosthesis was performed. She has decided to keep on using the “all acrylic bridge”for the time being.