Pikos Symposium 2023

Anatomically Guided Techniques and Soft Tissue Management for Extra Maxillary Implants

This presentation addresses the challenges posed by severely atrophic maxillae and explores anatomically guided techniques for extra maxillary implants. The anatomical basis of treatment modalities offers clinicians a clear treatment pathway for different anatomical variants. ZAGA philosophies will be discussed and classified, along with the use of site-specific implants for different anatomical situations. The complication risk and management of rhino-sinusitis and soft tissue retraction/buccal thread exposure will be highlighted.

The presentation will also describe the technique for channel preparation using Versah burs, emphasizing a step-wise approach that preserves the integrity of the sinus lining.

Finally, the presenter will introduce a new modified palatal roll flap (ZAGA flap) to prevent long-term soft tissue complications. This presentation provides a valuable resource for clinicians seeking to expand their knowledge of extra maxillary implants and improve their patient outcomes.

Learning Objectives:

This presentation aims to provide a comprehensive understanding of the indications and contraindications of extra maxillary implants, including trans-sinus, pterygoid, and zygomatic implants.

It will also cover minimally invasive, conservative osteotomy techniques for zygomatic channel preparation, with a focus on the adjunct of Versah protocols.

Furthermore, the presentation will introduce a modified palatal roll flap (ZAGA roll flap) to reduce soft tissue complications.

Dr. Guy McLellan Bio

He is doubly qualified in dentistry and medicine and a Fellow of the Royal College of Surgeons of England. He has over 20 years’ hospital experience including training in ENT and plastic surgery and held an Honorary Consultant post in Oral Implantology at Charing Cross Hospital.

His experience in implants dates back to 1994 and includes intra and extra-oral implants to retain facial cosmetics/reconstruction following facial cancer surgery as a member of the Cranio-Facial team at Chelsea and Westminster Hospital.

In private practice he limits his practice to surgical implantology and augmentation procedures including complex intra-oral grafting and the use of extra maxillary implants (zygomatic and pterygoid implants)

He is a mentor for several implant companies and is actively involved in Implant education. He is a member of the Association of Dental Implantology