Implantes zigomáticos com próteses obturadoras: uma opção na reabilitação de casos complexos

RESUMO

Os defeitos na maxila associados às comunicações oroantrais e oronasais geralmente afetam os pacientes na função e estética, levando ao desequilíbrio emocional. A cirurgia reconstrutiva é uma opção, porém, em algumas situações, não apresenta resultados satisfatórios. Muitas vezes, a reabilitação com próteses obturadoras em pacientes edêntulos não possibilita uma boa estabilidade na prótese. A literatura demonstrou que os implantes osseointegrados auxiliam na retenção das próteses obturadoras, com resultados satisfatórios. O presente artigo é o relato de dois casos clínicos cujos pacientes foram reabilitados com próteses obturadoras sobre implantes convencionais e zigomáticos.

Palavras-chave – Implantes zigomáticos; Próteses obturadoras; Casos complexos.

ABSTRACT

Maxillary defects associated to oroantral and oronasal communications generally affect the patients in function and esthetic leading to emotional imbalance. The reconstructive surgery is an option, but sometimes presents unsatisfactory results. The rehabilitation using obturator prostheses in edentulous patients often contributes to inadequate stability. The literature demonstrated that intra-oral endosseous implants help in retaining the obturator prosthesis with satisfactory results. The present article reports on 2 clinical cases in which patients were rehabilitated with obturator prostheses over conventional and zygomatic implants.

Key words – Zygomatic implants; Obturator prostheses; Complex cases.

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