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Article

Anatomical Measurements of the Malar Bone for Safe Zygomatic Implant Placement: A Study on Donated Bodies

1
Cellular Signaling Laboratory, Anatomy Center, Department of Biomedical and Neuromotor Sciences (DIBINEM), University of Bologna, 40126 Bologna, Italy
2
Oral Surgery Unit, Department of Biomedical and Neuromotor Sciences (DIBINEM), University of Bologna, 40125 Bologna, Italy
3
Oral and Maxillofacial Unit, San Camillo Hospital, 00152 Rome, Italy
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2024, 13(22), 6798; https://doi.org/10.3390/jcm13226798
Submission received: 14 October 2024 / Revised: 2 November 2024 / Accepted: 5 November 2024 / Published: 12 November 2024
(This article belongs to the Special Issue Dental Implantology: Clinical Updates and Perspectives)

Abstract

Background: The malar bone provides an anchorage point for zygomatic implants, avoiding invasive reconstructive surgeries in the fixed rehabilitation of fully edentulous and severely atrophic maxillae. The limited bone volume, however, requires precise implant placement to prevent complications related to nearby anatomical structures. This observational cross-sectional study aims to measure the malar and zygomatic arch bones and their distances from critical anatomical landmarks to guide surgeons in safe zygomatic implant placement. Methods: Dissections were performed bilaterally on 29 heads from human donated bodies in a cross-sectional observational study. Key landmarks evaluated include the infraorbital foramen (IF), pyriform nasal aperture (PNA), infraorbital margin (IM), zygomaticofacial foramen (ZFF), anterior end (A), and the most protruding point of the zygomatic arch (B). Measurements included IF-PNA, IF-IM, IF-ZFF, ZFF-IM, A-B, and orbital floor depth (OFD). Results: Significant findings showed IF-PNA was greater in males (18.66 ± 2.63 mm, p = 0.001), and IF-ZFF varied between sides (26.72 ± 8.7 mm, p = 0.002). ZFF-IM was larger in males (7.43 ± 2.09 mm, p < 0.001). Heights and thicknesses were also assessed, with significant side differences observed. Conclusions: These findings underscore the importance of understanding precise anatomical distances for successful implant placement. The study provides essential data to enhance surgical planning and training, ensuring safer procedures and minimizing the risk of complications.
Keywords: zygoma; zygomatic implants; anatomy; intraoperative complications zygoma; zygomatic implants; anatomy; intraoperative complications

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MDPI and ACS Style

Barausse, C.; Felice, P.; Pistilli, R.; Pellegrino, G.; Bonifazi, L.; Tayeb, S.; Fazio, A.; Marvi, M.V.; Manzoli, L.; Ratti, S. Anatomical Measurements of the Malar Bone for Safe Zygomatic Implant Placement: A Study on Donated Bodies. J. Clin. Med. 2024, 13, 6798. https://doi.org/10.3390/jcm13226798

AMA Style

Barausse C, Felice P, Pistilli R, Pellegrino G, Bonifazi L, Tayeb S, Fazio A, Marvi MV, Manzoli L, Ratti S. Anatomical Measurements of the Malar Bone for Safe Zygomatic Implant Placement: A Study on Donated Bodies. Journal of Clinical Medicine. 2024; 13(22):6798. https://doi.org/10.3390/jcm13226798

Chicago/Turabian Style

Barausse, Carlo, Pietro Felice, Roberto Pistilli, Gerardo Pellegrino, Lorenzo Bonifazi, Subhi Tayeb, Antonietta Fazio, Maria Vittoria Marvi, Lucia Manzoli, and Stefano Ratti. 2024. "Anatomical Measurements of the Malar Bone for Safe Zygomatic Implant Placement: A Study on Donated Bodies" Journal of Clinical Medicine 13, no. 22: 6798. https://doi.org/10.3390/jcm13226798

APA Style

Barausse, C., Felice, P., Pistilli, R., Pellegrino, G., Bonifazi, L., Tayeb, S., Fazio, A., Marvi, M. V., Manzoli, L., & Ratti, S. (2024). Anatomical Measurements of the Malar Bone for Safe Zygomatic Implant Placement: A Study on Donated Bodies. Journal of Clinical Medicine, 13(22), 6798. https://doi.org/10.3390/jcm13226798

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