TRANSNASAL IMPLANTS AS AN ALTERNATIVE FOR THE REHABILITATION OF ATROPHIC MAXILLAE: A LITERATURE REVIEW
DOI:
https://doi.org/10.63330/aurumpub.040-001Keywords:
Implantology, Trans-nasal implants, Osseus integrationAbstract
Implantology is an area that rehabilitates patients through the installation of osseointegrated implants. In cases of severe maxillary atrophy, other approaches should be used, such as the use of transnasal implants for anterior maxillary rehabilitation. The objective of this study was to perform an integrative review of the literature on transnasal implants, elucidating their instructions, effectiveness, predictions and survival of this implant, and the aesthetic and masticatory functions. This study was carried out by reading and analyzing journals published in the PubMed and Embase databases between 2005 and 2025. The term searched in both databases was: “transnasal implants”, and a total of 14 results were found in PubMed, while 37 results were found in Embase. After the selection stages and application of the inclusion and exclusion criteria, 6 articles were included. As a result, it was found in the literature that trans-nasal implants are safe, effective and predictable for the anterior rehabilitation of atrophic maxillae when associated with pterygoid or zygomatic implants, with a minimum number of failures and bone resorption reported in the literature, thus ensuring greater stability and safety in aesthetics, speech and chewing.
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1- AALAM, A. A. A.; KRIVITSKY AALAM, A.; ZELIG, D.; OH, S.; HOLTZCLAW, D.; KURTZMAN, G. M. Trans sinus dental implants, for immediate placement when insufficient alveolar height is present: an alternative to zygomatic implants – surgical case series. Annals of Medicine and Surgery, v. 85, p. 51–56, 2023.
2- ABOUL-HOSN CENTENERO, S.; LAZARO, A.; GIRALT-HERNANDO, M.; HERNANDEZ-ALFARO, F. ZygomaQuad compared with 2 zygomatic implants: a systematic review and meta-analysis. Implant Dent., v. 27, n. 2, p. 246-53, 2018.
3- ALMEIDA, P. H. T.; CACCIACANE, S. H.; ARCAZAS JUNIOR, A. Extra long transnasal implants as alternative for Quad Zygoma: case report. Annals of Medicine and Surgery, v. 68, p. 102635, 2021.
4- BALAJI, VR; LAMBODHARAN, R.; MANIKANDAN, D.; DEENADAYALAN, S. Pterygoid Implant for Atrophic Posterior Maxilla. J Pharm Bioallied Sci., v. 9, n. 1, p. S261-S263, 2017.
5- BLOCK, M. S. Dental implants: the last 100 years. Journal of Oral Maxillofacial Surgery. 2018; 76(10):11-26.
6- CAMARGO, V. B.; BAPTISTA, D.; GROSSI, J.R.A. Implantes transnasais: técnica Vanderlim como alternativa à técnica Zygoma Quad em maxilas totais atróficas: série de 12 casos em carga imediata e acompanhamento de dois a 26 meses. ImplantNews Reab Oral, v. 6, n. 5, p. 674-683, 2021.
7- CAWOOD, J. I.; HOWELL, R. A. A classification of the edentulous jaws. International Journal of Oral and Maxillofacial Surgery, v. 17, n. 4, p. 232–236, ago. 1988.
8- DAVO, R.; DAVID, L. Quad zygoma: technique and realities. Oral Maxillofac. Surg. Clin. North Am., v. 31, n. 2, p. 285-297, 2019.
9- ESHOIEE, N.; AALAM, A.A.; ZELIG, D.; OH, S.; KAR, K.; BAKSHALIAN, N. Trans-nasal dental implants: indication and the report of 10 cases. Annals of Medicine and Surgery, v. 87, n. 4, p. 1814-1822, 2025.
10- GELPI, FEDERICO; ALBERTI, CHRISTIAN; DE SANTIS, DANIELE; BEVILACQUA, MARCO; MELLONE, FEDERICA; TEALDO, TIZIANO. A retrospective multicentric study of 52 nasal and transnasal implants in 31 severely atrophic patients to reduce anterior cantilever bending in full arch implant supported fixed rehabilitations. International Journal of Oral & Maxillofacial Implants, v. 40, n. 1, p. 69 75, 2025.
11- GIOVANINI, A. F. et al. Reconstrução de maxila atrófica com uso de enxerto ósseo homólogo particulado com macro e micropartículas antes da colocação de implantes dentários. Implant News, v. 11, n. 5, p. 635 639, 2014.
12- KIM, JS et al. What Affects Postoperative Sinusitis and Implant Failure after Dental Implant: A Meta-analysis. Otolaryngol Head Neck Surg. v. 160, n. 6, p. 974-984, 2019.
13- LANDI, B. M.; DREOSSI, G.B.; CAMPANER, M.; SHIBAYAMA, R. Complicações em implantodontia. Rev. Odontol. Araçatuba (Impr.). 2021; 42(2); 35-41.
14- MALÓ, PAULO; NOBRE, M. DE A.; LOPES, A. Immediate loading of ‘All-on 4’ maxillary prostheses using trans sinus tilted implants without sinus bone grafting: a retrospective study reporting the 3 year outcome. European Journal of Oral Implantology, v. 6, n. 3, p. 273–283, 2013.
15- NOVAES JÚNIOR, Arthur Belém. Terapia com implantes osseointegráveis. In: Procedimentos cirúrgicos na periodontia e implantodontia. São Paulo: Santos Publicações, 2022.
16- NUNES, M.; NOBRE, M.A.; CAMARGO, V. All on 4 Hybrid with Extra Long Transnasal Implants: descriptions of the technique and short term outcomes in three cases. Journal of Clinical Medicine, v. 13, n. 11, art. 3348, 2024.
17- OH,S.; ZELIG, D.; AALAM, A.A.; KURTZMAN, G.M. Case report: utilization of Z-point fixture “Trans-nasal” implants. Annals of Medicine and Surgery, v. 85, p. 1959-1965, 2023.
18- SALES, PHDH; DINIZ DA, SILVA PGB; CARVALHO, AAT; VESCOVI, P; MELETI, M; LEÃO, J.C. Effectiveness of trans-sinus dental implants in the complete arch rehabilitation of the edentulous maxilla: A systematic review and meta-analysis. J Prosthet Dent., v, 22, n. 24, p. 00574-2, 2024.
19- WHITTEMORE R, KNAFL K. The integrative review: updated methodology. J Adv Nurs., v. 52, n. 5, p. 546-53, 2005.
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