Advanced Full-arch Implant Rehabilitation for the Severely Atrophic Maxilla: Solving Serious Problems Using Zygomatic and Pterygoid Implants

One dental implant challenge is reconstruction of the severely resorbed maxilla, especially in patients with multiple previous failed attempts at dental implant placement and full-arch implant rehabilitation. Zygomatic implants were first used for reconstruction of large maxillofacial defects; now they are commonly used in patients with terminal dentition with atrophic maxillary bone to provide implant-retained fixed and removable prosthesis utilizing the zygomatic bones to anchor the dental implants. This comprehensive, step-by-step session will cover the zygomatic implant surgical and presurgical planning, surgical procedures and digital protocols – including multiple techniques commonly utilized to place and restore these implants.

Learning Objectives

At the conclusion of this program, participants should be able to:

  1. Develop a treatment plan and select the appropriate patient for zygomatic and pterygoid implants. 
  2. Assess the need for rehabilitation of the atrophic maxilla. 
  3. Discuss the anatomical and X-ray interpretation connected with the placement of zygomatic implants. 
  4. Discuss the surgical protocol for conventional and extra-maxillary placement of the zygomatic dental implants. 
  5. Review common pitfalls and complications related to zygomatic implants.

Vishtasb Broumand, DMD, MD
Director of Oral and Maxillofacial Surgery
Banner University Medical Center, University Of Arizona
Phoenix, Arizona
Disclosure(s): No relevant financial relationships to disclose.

An Internet-based CDE/CME Activity
Original Release Date: September 20, 2023
Expiration Date: September 20, 2026
Estimated time to complete this educational activity: 1.0 hours
Method of participation: Self-Study

Vishtasb Broumand, DMD, MD

Director of Oral and Maxillofacial Surgery

Banner University Medical Center, University Of Arizona

Vishtasb Broumand, DMD, MD is a graduate of the University of Florida College of Dentistry and the University of Miami School of Medicine. He completed his residency in Oral and Maxillofacial Surgery along with a second year of General Surgery and a one-year fellowship in Head and Neck Tumor and Reconstructive Surgery.Upon completion of fellowship, he was in private practice from 2006 to 2012, and later served as Assistant Professor of Surgery in the University of Miami School of Medicine Division of Oral and Maxillofacial Surgery from 2012 to 2015.He now permanently resides in Scottsdale and has a full-time private practice of Oral and Maxillofacial Surgery at the Desert Ridge Oral Surgery Institute. He serves as Medical Director of the Oral and Maxillofacial Surgery Residency Program at the University of Arizona, Banner University Medical Center and is the official team oral surgeon for the MLB Arizona Diamondbacks and the NBA Phoenix Suns since 2018.He devotes most of his clinical practice to the comprehensive treatment of patients with missing teeth using Zygomatic, Pterygoid and Conventional dental implants with the latest digital workflow and technology. He also remains passionate about removal of wisdom teeth with sedation and facial reconstructive surgery for treatment of trauma and tumor related defects, obstructive sleep apnea (OSA), and orthognathic surgical correction of craniofacial deformities. He is involved in live patient surgery courses nationwide involving full arch dental implant rehabilitation and placement of zygomatic implants. He is on the medical staff at the Phoenix Children’s Hospital, Banner Medical Center and Honor Health Medical Centers.He regularly participates in medical rescue missions and relief efforts. While in private practice he was also involved in extensive repair of facial congenital and acquired deformities of adults and children through several non-profit foundations "Operatio Re-Dentulate Central America Association", “Mission Rescate” and “Operation Changing Lives” in the Dominican Republic, Haiti, Guatemala and other medically underserved areas in the USA. He has also served as Executive Director on the Board of “Orphans Worldwide”, another non-profit foundation since 2010.After the devastating earthquake in Haiti in January 2010, Dr. Broumand closed his private practice on 2 occasions and chartered a private plane to the Dominican Republic and put together a group of 8 doctors for immediate emergency relief. In 2019 he founded an advanced dental implant training center "Total Dental Implant Solutions" in Phoenix, AZ. He has trained close to 200 surgeons during live surgery courses in the USA on Zygomatic and Pterygoid Dental Implants and teaches all attendees his digital workflow as well.

Disclosure(s): No relevant financial relationships to disclose.

Continuing Education Provider Approval
The American Association of Oral and Maxillofacial Surgeons is an ADA CERP Recognized Provider.

ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education.

ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.

The American Association of Oral and Maxillofacial Surgeons designates this activity for 1.0 continuing education credit(s).

AGD - Accepted Program Provider
FAGD/MAGD Credit
11/1/22-12/31/26
Provider ID# 214680

The American Association of Oral and Maxillofacial Surgeons (AAOMS) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The American Association of Oral and Maxillofacial Surgeons designates this internet-based enduring material for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Key:

Complete
Failed
Available
Locked
Faculty and Planner Disclosure
Pre-Quiz
6 Questions  |  1 attempt  |  0/6 points to pass
6 Questions  |  1 attempt  |  0/6 points to pass
Advanced Full-arch Implant Rehabilitation for the Severely Atrophic Maxilla: Solving Serious Problems Using Zygomatic and Pterygoid Implants
Open to view video.
Open to view video.
Post-Quiz
6 Questions  |  Unlimited attempts  |  4/6 points to pass
6 Questions  |  Unlimited attempts  |  4/6 points to pass
Evaluation
11 Questions
Certificate
1.00 CDE/CME credit  |  Certificate available
1.00 CDE/CME credit  |  Certificate available