Dr. Jay Neugarten - Global Zygomatic Implant Complications Symposium
Episode summary
Dr. Jay Neugarten, an oral and maxillofacial surgeon in New York City, describes the first Global Symposium on Zygomatic Implant Complications, held at 48 Wall Street, New York, on October 19th, 2024. He argues that as zygomatic therapy moves from a boutique procedure to a mainstay treatment, clinicians must be equipped to manage its real complications, so the symposium dedicates a full day exclusively to complications rather than technique. Seven high-volume clinicians each present their own cases across a consistent structure: pre-operative prevention, intraoperative recognition and management, and post-operative handling. Speakers include Carlos Aparicio and Guy McClellan on soft tissue, Luke Vrielinck on apical third infection, Michael Pikos on tools and bleeding, Costa Nicolopoulos on osseous and component fractures, ENT specialist Ashutosh Kakkar on sinus health, and Neugarten on primary stability and implant failure. Straumann, Southern Implants, H&H Instruments, and Versah supported the event.
Key takeaways
- The Global Symposium on Zygomatic Implant Complications was the first full-day event dedicated exclusively to zygomatic complications, held at 48 Wall Street, New York City, on October 19th, 2024, running from 7:30 to 5:30.
- Dr. Jay Neugarten placed his first zygomatic implants in 2001, with the treatment becoming a mainstay of his practice from 2006 and progressively replacing bone grafting.
- Each of the seven speakers structured their lecture around three stages: pre-operative assessment to minimize a complication, intraoperative recognition and management, and handling early, mid, or late post-operative complications.
- Carlos Aparicio and Guy McClellan both addressed soft tissue complications, with McClellan covering the scarf technique and connective tissue technique for a thin buccal flap and buccal dehiscence.
- Luke Vrielinck addressed the zygomatic apical third infection, which can present early, mid, or years after therapy; Neugarten cited a case appearing six years post-treatment.
- Ashutosh Kakkar, an otolaryngologist from Cornell, covered sinus assessment, oral-antral communications and fistulas, the choice between balloon sinuplasty and functional endoscopic sinus surgery (FESS), and growing antibiotic resistance affecting drugs such as clindamycin.
- The symposium was supported by Straumann at platinum level, Southern Implants at silver, and H&H Instruments and Versah (Versah burs) at bronze.
What you'll learn
- A three-part framework for every complication: pre-op assessment to minimize it, intraoperative recognition and management, and handling early/mid/late post-operative complications
- Prevention and management of soft tissue complications, including the scarf and connective tissue techniques for a thin buccal flap and buccal dehiscence
- Prevention and management of the zygomatic apical third infection presenting early, mid, or years after therapy
- Managing zygomatic osseous, drill, implant, screw, and prosthetic fractures occurring intraoperatively
- Otolaryngology input on sinus health, opacified/thickened sinuses, oral-antral communications and fistulas, balloon sinuplasty versus FESS, and shifting antibiotic resistance
- Handling loss of primary stability, implant failure, catastrophic failure, and preventing implant migration into the infratemporal fossa or orbit
About the guest
Dr. Jay Neugarten
Dr. Jay Neugarten is an oral and maxillofacial surgeon at the New York Center for Orthognathic and Maxillofacial Surgery (NYCOMS) in New York City, one of the first certified ZAGA Centers. He placed his first zygomatic implants in 2001, with zygomatic therapy taking off in his practice from 2006 and progressively replacing bone grafting. He co-organized the first Global Symposium on Zygomatic Implant Complications alongside Dr. Carlos Aparicio and Dr. Costa Nicolopoulos.
Credentials: DDS, MD, FACS; Oral and Maxillofacial Surgeon, New York Center for Orthognathic and Maxillofacial Surgery (NYCOMS), New York City
