Implant-Supported Rehabilitation Using Zygomatic Implants in Ectodermal Dysplasia: A Clinical Report
Makaleler > Tam Makale · 2026
Yazarlar: Fatma Nur KARAMAN, Gülcan COŞKUN AKAR, Onur Şahin, Bülent Gökçe
Journal of Oral Implantology, Uluslararası, Wos, 2026
DOI: 10.1563/aaid-joi-d-26-00105
Özet
ABSTRACT Ectodermal dysplasias are inherited disorders marked by congenital abnormalities affecting two or more ectodermal structures, including hair, teeth, nails, and sweat glands. Dental manifestations such as hypodontia or anodontia often lead to inadequate alveolar bone development and severe maxillary atrophy, which may limit conventional implant therapy. This clinical report presents the prosthetic rehabilitation of a patient with ectodermal dysplasia using zygomatic and conventional implant–supported fixed prostheses. A 21-year-old male with ectodermal dysplasia had been followed with removable prostheses for approximately 12 years during the growth period. After skeletal maturity, implant-supported rehabilitation was planned. Given severe posterior maxillary bone deficiency and the need for adequate prosthetic support, two zygomatic implants and four conventional implants were placed in the maxilla, and four conventional implants were placed in the mandible to support fixed prostheses. Definitive implant-supported fixed prostheses were successfully delivered. Clinical and radiographic evaluations during the 1-year follow-up demonstrated stable peri-implant tissues, satisfactory esthetic and functional outcomes, and no mechanical or biological complications. Within the limitations of a single clinical report and the 1-year follow-up period, rehabilitation using zygomatic and conventional implants may be a feasible treatment option for carefully selected patients with ectodermal dysplasia and severe maxillary bone deficiency. The clinical relevance of this report lies in documenting the longitudinal transition from removable prosthetic management during craniofacial growth to prosthetic-driven, fixed implant-supported rehabilitation after skeletal maturity.