OHI-S Advanced Maxillary Rehabilitation Guided Zygomatic Implants, All-on-X Protocols, and Rescue Strategies for Failed Cases 3 lessons 3h 21min

Paul Petrungaro and Leandro Perussolo examine rehabilitation of the severely atrophic maxilla, from digital planning to the management of failed full-arch implant cases. The three lessons cover guided zygomatic and pterygoid implant surgery, rescue strategies for long-term edentulism and failing implants, and prosthetically driven All-on-X treatment planning. CBCT assessment, guide design, anatomical limitations, implant positioning, and prosthetic integration are considered together. Demonstrations and case analysis show how the proposed reconstruction relates to the available anatomy and existing complications. This advanced course is intended for experienced implant clinicians and surgeons studying complex maxillary rehabilitation, including peri-implant disease, revision options, and long-term maintenance.

Provider: OHI-S. Course length: Three lessons, 3 hours 21 minutes. Language: English. Level: Advanced implantology and oral surgery.

Lesson Topics

Lesson 1. Guided Zygomatic and Pterygoid Implant Surgery: From Digital Planning to Clinical Execution

• What is guided surgery?

• Indications and advantages of guided surgery

• Imaging techniques in implant dentistry and how to obtain the correct CBCT scan

• Understanding the concept of 3D implant positioning and anatomical criteria

• Design principles of the zygomatic surgical guide

• Guided zygomatic and pterygoid implant surgery systems

• Step-by-step video demonstration of guided zygomatic implant placement on a model

• Individualized design of surgical guides according to specific clinical cases

• Live demonstration of the surgical procedure

• Analysis of clinical cases and evaluation of prosthetic rehabilitation after implant placement

Lesson 2. Advanced Rescue of the Atrophic Maxilla: Comprehensive Solutions for Patients with Long-Term Edentulism, Failing Implants, and Full-Arch Complications

• Challenges and limitations of implant rehabilitation in the severely atrophic maxilla

• Aetiology of All-on-4® and full-arch implant failures: surgical, prosthetic, biomechanical, and biological factors

• Clinical and radiographic assessment of bone quality, sinus anatomy, and treatment risk factors

• Diagnosis and management of failing and failed full-arch rehabilitations, including salvage and reconstruction strategies

• Advanced treatment concepts for severe maxillary atrophy: tilted implants, zygomatic implants, and zirconia implant solutions

• Biologically driven protocols for managing peri-implant disease and optimizing soft tissue outcomes

• Prevention and maintenance strategies to ensure long-term stability of complex implant rehabilitations

Lesson 3. Treatment Planning for the Atrophic Maxillae in ALL-ON-X Protocols

• Diagnosis and treatment planning of severe maxillary atrophy in All-on-X full-arch rehabilitation

• Integration of CBCT-based digital planning for surgical accuracy and interdisciplinary communication

• Prosthetically driven treatment concepts for predictable All-on-X outcomes

• Indications and planning protocols for incorporating zygomatic implants into complex maxillary cases

• Management of failing full-arch rehabilitations, peri-implantitis, and peri-mucositis cases

• Revision strategies for compromised All-on-X cases and reconstruction options

• Surgical and prosthetic protocols for zygomatic implant rehabilitation, including anatomical considerations of single and double zygoma approaches

Recorded education does not replace advanced implant and surgical training, hands-on experience, supervised practice, emergency-management competency, or appropriate credentialing and professional scope. Guided surgery does not make these procedures automatically suitable for inexperienced operators, and outcomes depend on patient anatomy, health, surgical execution, prosthetic design, and maintenance. The original OHI-S activity lists 3 CE credits: 0.75, 1, and 1.25 for lessons 1–3 respectively. Those credits and an OHI-S certificate are not included with this recording package.