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Integrative Approach to Maxillary Reconstruction: Assessment of Proficiency of Zygomatic and 3D-Manufactured Patient-Specific Implants in Mucormycosis Post-COVID-19

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Abstract

Introduction

The prevalence of maxillary mucormycosis has surged in the wake of the COVID-19 pandemic. This study assesses the effectiveness of zygomatic implants and patient-specific 3D-manufactured implants in maxillary reconstruction post-mucormycosis secondary to COVID-19.

Methodology

Ten patients underwent surgical and prosthetic maxillary reconstruction utilizing zygomatic implants and patient-specific implants. Parameters including pain, implant exposure, infection, wound dehiscence, implant fit, post-operative surgical rating scale, oro-antral communication, facial edema, and orbital status were evaluated at baseline, 6 months, and 12 months post-surgery.

Results

Statistical analysis revealed a positive association using SPSS version 20. Zygomatic implants combined with patient-specific implant systems demonstrated efficient therapeutic outcomes for maxillary reconstruction, within the limitations of the study.

Conclusion

The study concludes that the integration of patient-specific implant systems with zygomatic implants offers a promising therapeutic approach for maxillary reconstruction post-mucormycosis secondary to COVID-19. However, further research with larger sample sizes and extended follow-up periods is warranted to validate these findings.

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Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, Nanded Rural Dental College and Research Centre, Nanded, India

    U. D. Arvind

  2. Mamata Institute of Dental Sciences, Hyderabad, India

    Rajasekhar Gaddipati

  3. Department of Oral and Maxillofacial Surgery, MNR Dental College and Hospital, Sangareddy, Telangana, India

    Aditya Mohan Alwala & Himaja Swayampakula

  4. Department of Prosthodontics, HKE’S S Nijalingappa Institute of Dental Sciences, Gulbarga, India

    U. D. Ravi

  5. Sri Sai Multispeciality Dental Clinic, Hyderabad, Telangana, India

    K. Vidya Hiranmayi

Authors
  1. U. D. Arvind
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  2. Rajasekhar Gaddipati
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  3. Aditya Mohan Alwala
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  4. Himaja Swayampakula
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  5. U. D. Ravi
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Correspondence to Himaja Swayampakula.

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Arvind, U.D., Gaddipati, R., Alwala, A.M. et al. Integrative Approach to Maxillary Reconstruction: Assessment of Proficiency of Zygomatic and 3D-Manufactured Patient-Specific Implants in Mucormycosis Post-COVID-19. J. Maxillofac. Oral Surg. (2024). https://doi.org/10.1007/s12663-024-02177-6

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