The Zygomatic Implant Technique

For Atrophic Maxilla (Upper Jaw)

Are you not a candidate for dental implants due to lack of bone in the upper jaw, then Zygomatic implants might help you……A

Unique Solution for Rehabilitation of the Severely Resorbed Maxilla !

Zygomatic Dental Implants are embedded into the cheekbones, elminating the need for bone grafting and/or sinus lifts prior to getting dental implants. A specially designed dental implant (up to 55 mm instead ofthe usual 10mm or 15 mm for normal dental implants) can be placed into the cheekbone (medically referred to as Zygoma) instead of the jaw bone, which benefits those who don’t have enough jaw bone to sustain regular implants.
After the long zygomatic implants are anchored on the upper jaw and inside the zygomatic bone, a provisional prosthesis can be fixed immediately.

Grafting procedures involving the severely resorbed maxilla have always been a challenge for both the clinician and the patient. Due to extreme bone loss in the maxillary molar regions, patients would normally have needed bilateral posterior bone grafts with sinus lift surgery. Hence, the possibility of an additional surgery with prolonged treatment time.

The development of the Zygoma implant presents a unique alternative for patients who wish to avoid bone grafting, sinus lifts and still get dental implants, as the implants can be placed in areas with only single surgical procedure and eliminates the need for grafting

Advantages of zygomatic implants (over sinus lift/ graft procedure)

a) Avoidance of an additional surgery.

b) Less duration of treatment

C) The success rate, which, according to studies is of 100% after 5 years.
Branemark and his team treated the first patient with zygomaticus implants in 1989. In a follow up study of implants in function up to ten years, 97 implants were evaluated. The cumulative success rates for this new implant was 96.8%.
With Zygomatic implants, provisional denture is fixed straight away; so that you can walk away with a brand new smile.


Why Zygoma Implants

  • In severe bone resorption cases.
  • A graftless solution.
  • Immediate function and short treatment time.

Phase I

– Diagnosis and planning with panoramic x-rays/ CBCT scans

– Necessary health checks.


Tooth extraction (if required) and dental implant placement, followed by immediate provisional denture (fixed).zygopro2


Placement of the final hybrid bridges on implants.


Phase II

Factors to consider for Zygoma-Implants

  • Clinically symptom free and pathology free sinuses
  • Appropriate radiographic imaging of the maxillary sinuses and zygoma regions
  • Possibility of placing at least two ordinary implants in the frontal maxilla


Hirsch JM, Ohrnell LO, Henry PJ, Andreasson L, Brånemark PI, Chiapasco M, et al. A clinical evaluation of the Zygoma fixture: one year of follow-up at 16 clinics. J Oral Maxillofac Surg. 2004 Sep;62(9 Suppl 2):22-9.
Malevez C, Daelemans P, Adriaenssens P, Durdu F. Use of zygomatic implants to deal with resorbed posterior maxillae. Periodontol 2000. 2003;33:82-9.
Brånemark PI, Gröndahl K, Ohrnell LO, Nilsson P, Petruson B, Svensson B, et al. Zygoma fixture in the management of advanced atrophy of the maxilla: technique and long-term results. Scand J Plast Reconstr Surg Hand Surg. 2004;38(2):70-85.
Malevez C, Abarca M, Durdu F, Daelemans P. Clinical outcome of 103 consecutive zygomatic implants: a 6-48 months follow-up study. Clin Oral Implants Res. 2004 Feb;15(1):18-22

Nakai H, Okazaki Y, Ueda M. Clinical application of zygomatic implants for rehabilitation of the severely resorbed maxilla: a clinical report. Int J Oral Maxillofac Implants. 2003 Jul-Aug;18(4):566-70.

Bothur S, Jonsson G, Sandahl L. Modified technique using multiple zygomatic implants in reconstruction of the atrophic maxilla: a technical note. Int J Oral Maxillofac Implants. 2003 Nov-Dec;18(6):902-4


Scientific documentation of zygomatic implants