Discussion
prothesis, sinusitis, peri-implant mucosal dehiscence
SINUSITIS, PAD, BLIND, CREST, COMPLICATIONS
Zygomatic implant surgery is considered an advanced surgical intervention and requires more surgical time than conventional implant techniques. However, the development and variations in zygomatic implant placement technique have reduced the surgical time (On the other hand, Esposito, Extrasinusal zygomatic implants enhance prothesis rehabilitation, shrinking cantilevers palatal-buccal owing to implant head arise at bone crest level (Conventional implants with a thin soft-tissue phenotypes, required subepithelial or free connective tissue graft to prevent the development of peri-implant mucosal dehiscence (Regarding other assessed complications, such as sinusitis (The survival rate of the zygomatic implants would be greater than 97% (The authors of the present study acknowledge some limitations in the study design (pilot study and single blind) that could had impacted in the study results. It must be taken into consideration that the person who gathered the outcomes variables was not blinded. In addition, not all implants were classified as the same type of ZAGA; future studies should homogenize and group patients regarding the ZAGA classification. Moreover, there were more female patients, and the sample size could not be representative. Yet, even though we cannot establish accurate conclusions about the use of the buccal fat pad in the prevention of extrasinus zygomatic implants recessions due to the paucity of the sample size (external validity), this study showed promising outcomes. Therefore, more randomized clinical trials are warranted to confirm the technique effectiveness in complications in zygomatic implants.