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Zygomatic implantology: synergy between piezosurgery and traditional technique for the rehabilitation of atrophic jaws. A case report

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Abstract

AIM: Zygomatic implantology offers an effective solution for the rehabilitation of patients suffering from severe maxillary atrophy, allowing for the placement of dental implants anchored to the zygomatic bone. The preparation of the implant site in this procedure, traditionally performed with rotating burs, can now also be performed with piezosurgery.

MATERIALS AND METHODS: A 76-year-old male patient presented for evaluation by the authors for rehabilitation of an atrophic maxilla.

RESULTS: The patient was successfully treated, and good clinical conditions were observed at the 2-year follow-up.

CONCLUSIONS: A combined approach, integrating both techniques, may represent the ideal solution to optimize the procedure and ensure maximum safety and predictability. This case report explores the characteristics, advantages, and disadvantages of traditional burs and piezosurgery in zygomatic implantology, analyzing the clinical applications of a combined approach.

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Authors

Alberto Gasbarri - Department of Life, Health and Environmental Sciences, University of L’Aquila, L’Aquila, Italy

Giulia Caporro - Department of Life, Health and Environmental Sciences, University of L’Aquila, L’Aquila, Italy

Sofia Rastelli - Department of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy

Giulia Ciciareli - Department of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy

Mauro Arcangeli - Department of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy

Antonio Capogreco - Department of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy

Maurizio D'Amario - Department of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy

How to Cite
Gasbarri, A., Caporro, G., Rastelli, S., Ciciareli, G., Arcangeli, M., Capogreco, A., & D’Amario, M. . (2026). Zygomatic implantology: synergy between piezosurgery and traditional technique for the rehabilitation of atrophic jaws. A case report. Annali Di Stomatologia, 17(1), 179–188. https://doi.org/10.59987/ads/2026.1.179-188

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