Oral Maxillofac Surg Clin North Am
· 2025 May · PMID 39665921
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The authors have questioned the accuracy of intraoral scanning when restoring the full arch implant patient. Yet clinicians use intraoral scanning (IOS) for this purpose due to the many efficiencies that the IOS workflow...The authors have questioned the accuracy of intraoral scanning when restoring the full arch implant patient. Yet clinicians use intraoral scanning (IOS) for this purpose due to the many efficiencies that the IOS workflow offers. This article describes a workflow that is used to enhance the accuracy of the intraoral scan without the need to use photogrammetry. It uses a design file for the provisional prototype restoration to create both a one piece prototype prosthesis and a segmented verification prosthesis. This verified workflow has the efficiency and comfort of the IOS workflow and the accuracy of the traditional workflow.
Iskandar M, Bhakta B, Tobon J
… +2 more, Hatem OA, Gonzalez J
Oral Maxillofac Surg Clin North Am
· 2025 May · PMID 39616040
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Many digital workflows have been utilized in the past few years in the acquisition of implant positions for full arch implant positions intraoperatively and postoperatively. The goal of the different workflows is to offe...Many digital workflows have been utilized in the past few years in the acquisition of implant positions for full arch implant positions intraoperatively and postoperatively. The goal of the different workflows is to offer speed, precision, and predictability. This study outlines the steps for an innovative fully digital full arch workflow that ensures predictable and fast outcomes using digital tools available in most dental implant centers.
Oral Maxillofac Surg Clin North Am
· 2025 Feb · PMID 39578014
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OBJECTIVE: Vertical and horizontal bone insufficiency in both the maxilla and mandible has long been a contraindication for implants. This review provides an overview of the long-term survival rates of implants in augmen...OBJECTIVE: Vertical and horizontal bone insufficiency in both the maxilla and mandible has long been a contraindication for implants. This review provides an overview of the long-term survival rates of implants in augmented alveolar bone after the guided bone regeneration (GBR) technique. RESULTS: GBR in a combination of allogeneic or xenogeneic graft material with a barrier membrane and simultaneous or delayed placement of dental implants has proven to be a very effective and feasible treatment option in long-term studies up to 35 years. CONCLUSION: Bone reconstruction with various materials is a standard therapy in implantology today.
Martínez-Garza A, Sifuentes-Cervantes JS, Peña-Ruiz OA
… +1 more, León N
Oral Maxillofac Surg Clin North Am
· 2025 Feb · PMID 39578013
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Dental implants in the esthetic zone of the oral cavity have always posed a challenge to the oral surgeon. Multiple variables must be considered, such as available soft and hard tissues, gingival phenotype, position of t...Dental implants in the esthetic zone of the oral cavity have always posed a challenge to the oral surgeon. Multiple variables must be considered, such as available soft and hard tissues, gingival phenotype, position of the lip upon smiling, and other factors that pertain to patient compliance and expectations. It is essential to pay attention to the factors that might compromise the long-term stability of these implants. In this article, a deep exploration of the current consensus regarding the long-term survival of implants in the esthetic zone will be performed. A case-series of the authors is included.
Gellrich NC, Korn P, Neuhaus M
… +3 more, Lentge F, Jehn P, Rahlf B
Oral Maxillofac Surg Clin North Am
· 2025 Feb · PMID 39578012
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Subperiosteal implants have experienced fluctuating popularity since their inception. Initially introduced in the mid-20th century, they were overshadowed by the development and success of endosteal implants, which are n...Subperiosteal implants have experienced fluctuating popularity since their inception. Initially introduced in the mid-20th century, they were overshadowed by the development and success of endosteal implants, which are now the standard in dental implantology. Modern subperiosteal implants are typically custom-made using computer-aided design and computer-aided manufacturing technologies, which ensure a precise fit to the patient's bone anatomy. A meta-analysis was conducted to evaluate the success rates, complications, and patient satisfaction associated with subperiosteal implants. Studies were selected based on predefined inclusion criteria, focusing on clinical trials and observational studies that reported on the long-term outcomes of subperiosteal implants.
Oral Maxillofac Surg Clin North Am
· 2025 Feb · PMID 39578011
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Osseointegrated implants, either in native bone or in reconstructed bone, have allowed clinicians to provide greater function and esthetics, following treatment of head and neck pathology. The survival of these implants...Osseointegrated implants, either in native bone or in reconstructed bone, have allowed clinicians to provide greater function and esthetics, following treatment of head and neck pathology. The survival of these implants may be in variance with the success and survival we see with osseointegrated implants in conventional, nonablative rehabilitation. This article looks at the survival and complications with using osseointegrated implants in rehabilitation of the maxillofacial region.
Queiroz S, Faverani LP, Dallazen E
… +1 more, Perussolo L
Oral Maxillofac Surg Clin North Am
· 2025 May · PMID 39551686
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Rehabilitating severely atrophic maxillae, particularly when bone loss and sinus pathologies preclude conventional dental implants, is a complex challenge. Techniques such as all-on-four offer solutions for some patients...Rehabilitating severely atrophic maxillae, particularly when bone loss and sinus pathologies preclude conventional dental implants, is a complex challenge. Techniques such as all-on-four offer solutions for some patients, but severe resorption may necessitate zygomatic implants. Guided surgery, aided by digital tools, improves implant accuracy and reduces complications. These techniques help avoid sinus or orbital damage and ensure better prosthetic outcomes. A review of clinical studies highlights the precision of bone-supported guides for implant placement and underscores the importance of surgical expertise in reducing complications.
Oral Maxillofac Surg Clin North Am
· 2025 May · PMID 39551685
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Guided dental implant surgery through dynamic navigation is evidence based, has undergone significant change, and literature supported with accuracy comparisons to freehand and static guide placement. Workflows and techn...Guided dental implant surgery through dynamic navigation is evidence based, has undergone significant change, and literature supported with accuracy comparisons to freehand and static guide placement. Workflows and technological explanations with review of 2 prominent dynamic navigation systems in use today are explained. After a review of accuracy studies and technique considerations, the reader can appreciate the benefit of image-guided dental implant drilling and placement.
Oral Maxillofac Surg Clin North Am
· 2025 Feb · PMID 39389838
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Peri-implant diseases require an extensive approach that includes pre-operative risk assessment, patient education on oral hygiene, and ensuring sufficient tissue support and accurate implant placement. Treatment typical...Peri-implant diseases require an extensive approach that includes pre-operative risk assessment, patient education on oral hygiene, and ensuring sufficient tissue support and accurate implant placement. Treatment typically starts with comprehensive decontamination using mechanical debridement, chemical agents, and advanced therapies such as laser or photodynamic therapy. Depending on the severity of the disease and the extent of bone loss, surgical strategies are adapted, ranging from less invasive access surgery in initial stages to more intensive resective or regenerative procedures in advanced cases. The following article will present a holistic and systematic approach to managing periimplantitis.
Oral Maxillofac Surg Clin North Am
· 2025 Feb · PMID 39389837
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The use of dental implants and prostheses in the oral rehabilitation process after maxillofacial ablation procedures is now regarded as standard practice. Numerous donor sites for free vascularized bone transfer in head...The use of dental implants and prostheses in the oral rehabilitation process after maxillofacial ablation procedures is now regarded as standard practice. Numerous donor sites for free vascularized bone transfer in head and neck reconstruction have been well-documented in the literature including the ribs, ilium, fibula, scapula, and radius. Among these, the fibula is the most commonly used and studied for placing endosseous implants and for rehabilitation purposes. There are benefits and drawbacks to the fibula flap. This paper aims to provide a review of the current research on the long-term success rates of implants in fibula free flaps.
Rushinek H, Cohen A, Casap N
… +1 more, Alterman M
Oral Maxillofac Surg Clin North Am
· 2025 Feb · PMID 39384509
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The long-term outcomes of dental implants are influenced by a variety of factors, all of which play critical roles in their stability, functionality, and esthetic appeal. This review focuses on several key characteristic...The long-term outcomes of dental implants are influenced by a variety of factors, all of which play critical roles in their stability, functionality, and esthetic appeal. This review focuses on several key characteristics of dental implants that impact their success overtime: dimensional, morphologic, material, osseointegrative, and connective/prosthetic characteristics. This article synthesizes current literature to analyze how these factors influence the long-term success of dental implants, emphasizing the need for a comprehensive approach in implant selection and placement.
Callahan NF, Weyh AM, Ghunaim D
… +1 more, Miloro M
Oral Maxillofac Surg Clin North Am
· 2025 Feb · PMID 39368890
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Dental implant therapy has developed over the past half century to have documented successful outcomes in most patients who receive treatment. The long-term survival of dental implants depends upon a variety of factors i...Dental implant therapy has developed over the past half century to have documented successful outcomes in most patients who receive treatment. The long-term survival of dental implants depends upon a variety of factors including patient, surgeon, restorative dentist, and materials-related factors. The impact of patient-associated factors may impact significantly on the success of dental implants including diabetes mellitus, medications, smoking, parafunctional habits, oral hygiene, head and neck radiation, and the use of bisphosphonates, antiangiogenic, and antiresorptive medications.
Oral Maxillofac Surg Clin North Am
· 2024 Nov · PMID 39343465
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Reconstructive surgeons navigate a plethora of options when choosing a soft-tissue flap donor site for head and neck reconstruction, each with its distinct pros and cons. This review delves into the profunda artery perfo...Reconstructive surgeons navigate a plethora of options when choosing a soft-tissue flap donor site for head and neck reconstruction, each with its distinct pros and cons. This review delves into the profunda artery perforator flap and provides expert recommendations for its use in head and neck reconstruction.
Oral Maxillofac Surg Clin North Am
· 2025 Feb · PMID 39322468
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Dental implant therapy is generally successful. However, when such therapy fails, considerations for implant replacement must be carefully considered. The survivability of implants placed into previously implanted sites...Dental implant therapy is generally successful. However, when such therapy fails, considerations for implant replacement must be carefully considered. The survivability of implants placed into previously implanted sites must be considered. Appraisal of early implant loss versus late implant loss is important in presurgical planning for implant replacement. This review highlights the factors that can impact the success of implant reimplantation.
Oral Maxillofac Surg Clin North Am
· 2025 Feb · PMID 39266368
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Successful dental implant therapy relies on a bone-implant interface that is mechanically strong and capable of dynamic remodeling in response to functional loads. There are a number of medical conditions or therapies th...Successful dental implant therapy relies on a bone-implant interface that is mechanically strong and capable of dynamic remodeling in response to functional loads. There are a number of medical conditions or therapies that can affect either bone metabolism or the resistance of bone to infection. However, their effects are often mitigated by local factors or individual responses so the impact of these conditions is not clear-cut. This article will review a number of these conditions and therapies and describe existing studies that have studied these conditions to guide practitioners in their implant practice.
Fleissig Y, Casap N, Abu-Tair J
… +1 more, Fernandes R
Oral Maxillofac Surg Clin North Am
· 2025 Feb · PMID 39266367
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The surgical ablation of head and neck cancer followed by radiotherapy often leads to unfavorable functional and aesthetic outcomes. Studies have demonstrated that these outcomes can significantly impact quality of life....The surgical ablation of head and neck cancer followed by radiotherapy often leads to unfavorable functional and aesthetic outcomes. Studies have demonstrated that these outcomes can significantly impact quality of life. Dental implants play a crucial role in rehabilitation by facilitating the use of suprastructures and obturators. However, the long-term survival of dental implants in patients who have undergone radiotherapy remains uncertain, raising several questions. These include determining the optimal timing for dental implantation (before or after radiotherapy), identifying the radiotherapy threshold for implant loss, and considering the role of hyperbaric oxygen therapy. These and other related concerns will be addressed in the following article.
Oral Maxillofac Surg Clin North Am
· 2025 Feb · PMID 39261213
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The success of implants depends on the biological and mechanical factors of the implant, as well as on the chosen prosthesis, which has different characteristics that can affect the survival of the implant and its margin...The success of implants depends on the biological and mechanical factors of the implant, as well as on the chosen prosthesis, which has different characteristics that can affect the survival of the implant and its marginal bone levels. Therefore, when choosing the type of prosthesis, it is necessary to understand and consider each of these variables and tailor them to the relevant clinical situation. In this narrative review, we will assess the types of prostheses, their different characteristics, timing, and their impact on implant survival and marginal bone levels, as accepted in today's literature.
Oral Maxillofac Surg Clin North Am
· 2025 Feb · PMID 39244495
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Zygoma implants are an alternative for rehabilitating severe maxillary atrophy. Since 2004, when Prof. Branemark first reported the long-term findings on zygomatic implants using the original intra-sinus approach, variou...Zygoma implants are an alternative for rehabilitating severe maxillary atrophy. Since 2004, when Prof. Branemark first reported the long-term findings on zygomatic implants using the original intra-sinus approach, various surgical techniques have been introduced. In 2006, an anatomy-guided approach was developed, applying different implant trajectories based on alveolar atrophy levels and sinus concavity. The purpose of this review is to clarify the existing techniques and long-term outcomes of ZI rehabilitation over the past 20 years. Additionally, it aims to enhance the quality of current practices and identify gaps in the understanding of ZI treatment for future studies.