PMC5937606_01
Preoperative 3-DCT view showing the missing body of the maxilla on the right side along with the lateral border of pyriform aperture and medial infraorbital margin.
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The 3-D computed tomography (CT) examination showed that the body of the maxilla on right side along with lateral border of pyriform aperture and medial infraorbital margin was missing (Figures 2 and 3).
Axial CT view showing maxillectomy defect.
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The 3-D computed tomography (CT) examination showed that the body of the maxilla on right side along with lateral border of pyriform aperture and medial infraorbital margin was missing (Figures 2 and 3).
Mucoperiosteal flap elevated up to the zygomatic bone.
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Mucoperiosteal flap was elevated up to the zygomatic bone (Figure 4).
Intraoral view of two standard zygomatic single-piece implants placed in right zygomatic bone.
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Two standard zygomatic single-piece implants were placed in the right zygomatic bone (Figure 5).
Postoperative CT shows apical two-thirds of zygomatic implant has engaged the medullary and cortical regions of the zygomatic bone.
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Acrylised obturator.
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The whole assembly was acrylised (Figure 7) and returned to the articulator for final occlusal equilibration.
PMC5937606_02
obturator supported by two zygomatic implants.
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Following insertion of the prosthesis (Figure 8), the obturator prosthesis demonstrated optimal retention and stability.