Zygomatic and Pterygoid implants in OMFS prgrams

[IWantInDental]

Hello all! I hope you guys are doing well I wanted to make this thread asking the OMFS residents if their program includes Zygomatic and Pterygoid implants. I looked online and have found a few programs that do but I would also like to get a general number of cases for each of these procedures.

Thank you guys!

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[OMSgal2019]

My program does both zygos and pterygoids. Not a lot though. I've gotten a total of 6 zygos and 2 pteryoid cases.

 

[Saddleshoes]

Pterygoid Implants!?!?!?
That's a new one on me!
Could you guys please explain more about that procedure?

 

[dratc]

We do zygomatics but very very few of them. No pterygoids yet.

Although we are willing to do them, in our area it is challenging to find a dentist that is comfortable restoring. This pushes patients to one of the few prosthodontist who are comfortable with them. And those prosthodontist are often too expensive for the patients.

Zygomatic implants are cool, but there is more to the process of placing them than the surgical ability alone.

 

[schmoob]

Pterygoid Implants!?!?!?
That's a new one on me!
Could you guys please explain more about that procedure?

Disclaimer: This is not my work, just came up on my insta.

The doc here had the pt under full anesthesia. She placed pterygoid, zygomatic, and nasal crest implants.

I’m not trained in any of this so I couldn’t tell you if she did a good job or not. I can also say I wouldn’t feel comfortable restoring these with my skill set.

 

[IWantInDental]

Disclaimer: This is not my work, just came up on my insta.

The doc here had the pt under full anesthesia. She placed pterygoid, zygomatic, and nasal crest implants.

I’m not trained in any of this so I couldn’t tell you if she did a good job or not. I can also say I wouldn’t feel comfortable restoring these with my skill set.

View attachment 400875

I'm a second year dentals student so I'm pretty oblivious to the real world, but why wouldn't you feel comfortable restoring this? isn't the whole point of zygomatic implants or pterygoid implants to have more bone structure support the implant?

 

[IWantInDental]

My program does both zygos and pterygoids. Not a lot though. I've gotten a total of 6 zygos and 2 pteryoid cases.

What program are you a part of?

 

[IWantInDental]

We do zygomatics but very very few of them. No pterygoids yet.

Although we are willing to do them, in our area it is challenging to find a dentist that is comfortable restoring. This pushes patients to one of the few prosthodontist who are comfortable with them. And those prosthodontist are often too expensive for the patients.

Zygomatic implants are cool, but there is more to the process of placing them than the surgical ability alone.

What program are you a part of?

 

[schmoob]

I'm a second year dentals student so I'm pretty oblivious to the real world, but why wouldn't you feel comfortable restoring this? isn't the whole point of zygomatic implants or pterygoid implants to have more bone structure support the implant?

Yes you are correct. But implant dentistry is a prosthetic procedure. It’s not a surgical procedure, it just has a surgical component.

The occlusion on a complex restorative procedure such as osseointegration on an extra maxillary structure is different. We are used to being able to adjust occlusion on a high bite so we don’t put stress on the TMJ or other traumatic occlusion. Restoring a single tooth implant is usually so easy you can do it with your feet. But restoring a full arch is more difficult, even if all the implants are on the ridge. You have to factor in occlusion, VDO, etc.

Traumatic occlusion can result in a fractured zygoma or pterygoid. There are people who are way more qualified than me to restore such a case and that’s fine because I still have plenty of work to keep me busy. I just don’t need the headache. That’s the beauty of general dentistry.