Pterygoid implants – treatment option for an atrophic maxilla: an article review

Papakoca, Kiro and Piperevaliev, Tome (2021) Pterygoid implants – treatment option for an atrophic maxilla: an article review. Knowledge –International Journal, 47 (4). pp. 549-553.

Text 5392-Article Text-9541-1-10-20210907.pdf Download (594kB)

Abstract

Abstract: Treating of fully or partially edentulous maxilla in the posterior part is always a challenge for an implant
surgeon. Atrophic posterior maxilla has many limitations for an implant placement and prosthetic rehabilitation.
Factors that are affecting implant placement are poor bone quality and quantity in the posterior part of maxilla, low
level of maxillary sinus floor, difficulties in accessibility and maintaining oral hygiene. Posterior cantilevers on
prosthetic construction may produce few complications, such as prosthesis fracture, screw loosening, loss of
osseointegrated implant, and crestal bone resroption.
There are few options for treating maxillary edentoulism in the posterior part. Those options include maxillary sinus
floor elevation, bone augmentation, zygomatic implants, short implants, tilted implants and pterygoid implants.
Pterygoid implants have been defined by the Glossary of Oral and Maxillifacial implants (GOMI) as “Implant
placement through the maxillary tuberosity and into the pterygoid plate”. Pterygomaxillary region provides us an
excellent space for an implant placement and prosthetic rehabilitation of posterior maxilla, without any additional
surgical procedures. Implants placed in this region are also known as pterygomaxillary implants and tuberosity
implants.
The aim of this article is to highlight the use of pterygoid implants as a graftless solution for treating atrophic
maxilla, expressing the anatomy of the region, implant insertion technique and advantages. Also, narrative review of
clinical outcomes from different articles published on Pubmed, Medscape, Cochrane Library and Google Scholar are
included.
Pterygoid implants have high success rate, minimal complications and good acceptance by patients. This option is a
viable alternative treatment modality for rehabilitation of patients with an atrophic posterior maxilla
Keyword: pterygoid implants, atrophic maxilla, pterygomaxillary region.

Item Type:	Article
Subjects:	Medical and Health Sciences > Health sciences Medical and Health Sciences > Other medical sciences
Divisions:	Faculty of Medical Science
Depositing User:	Mihajlo Petrovski
Date Deposited:	17 Sep 2021 10:13
Last Modified:	17 Sep 2021 10:13
URI:	https://eprints.ugd.edu.mk/id/eprint/28464

Actions (login required)

View Item