Planejamento virtual em implantes zigomáticos pós-trauma: relato de caso no SUS

Abstract

Introduction: The rehabilitation of extensive maxillofacial defects resulting from high-energy trauma represents a significant surgical and prosthetic challenge, particularly in the presence of severe bone loss and complex anatomical alterations. Zygomatic implants constitute a predictable alternative, enabling oral rehabilitation without the need for bone grafting. This study aims to report the clinical case of a young female patient, a victim of a high-energy motorcycle accident, with severe maxillary destruction, rehabilitated with virtually planned zygomatic implants in a public healthcare setting. Case report: A 24-year-old female patient was referred from another service after initial management of comminuted maxillary and mandibular fractures, presenting with occlusal alterations and extensive tooth loss. Initially, occlusal correction was performed through mandibular osteotomy in the symphysis region. Subsequently, virtual surgical planning was carried out for the placement of zygomatic and conventional implants for maxillary rehabilitation. Zygomatic implants associated with conventional implants were placed using three-dimensionally printed surgical guides. The patient evolved without complications and is currently in the prosthetic finalization phase. Conclusion: Therefore, zygomatic implants associated with virtual planning constitute a safe, predictable, and viable alternative for the rehabilitation of severely traumatized maxillae.