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Zygomatic implantation

Innovative techniques for the most complex cases of bone atrophy
  • Quality and durabilityQuality and durability
  • Quality is more than priceQuality is more than price
  • World famous doctorsWorld famous doctors
  • Over 1000 patients in 2018Over 1000 patients in 2018
  •  Engraftment guarantee Engraftment guarantee
  • ISO 9001:2015ISO 9001:2015

Over the past 20 years, dental implant technology worldwide has come a long way. Today, implantation has become the most reliable and high-quality option for restoring a missing tooth or several teeth, allowing doctors to abandon the options for installing bridges based on healthy teeth.

More than 10 million implants are installed annually in the world. And data from long-term observations show that implants can serve an unlimited period if the immunity is in a satisfactory condition. 

The larger your own bone is, the better for the implant.
Zygomatic implantation

What precedes zygomatic implantation?

Nevertheless, the surgeon can only install an implant if the depth and width of the bone tissue make it possible to place the implant and position it correctly (i.e. set it in such a way that the surgeon can accurately install the crown on the implant without breaking the bite) and the fit of the future crown to adjacent teeth).

Unfortunately, if a patient does not have a tooth or a group of teeth for a long time, the bone tissue atrophies (becomes thinner) in this place. Depending on the actual bone amount (which can be accurately measured by 3D tomography directly in our clinic), the surgeon selects the optimal implant size. The first indicator is the diameter of the implant (usually from 3 mm to 6.5 mm). The second indicator is the length of the implant (usually from 8 mm to 21 mm). 

The more massive (wider and longer) the implant - the more securely it would be fixed in the bone and the longer it would serve. BUT! The size of the implant is only 50% success, the remaining 50% is entirely in the hands of the implant dentist (planning, positioning, adherence to staging protocols, etc.)

Sometimes the patient's bones amount is not enough to place the implant. In such cases, there are separate solutions for the upper and lower jaw.

Bone deficiency in the lower jaw. Solutions:

  • Alveolar ridge split;
  • Bone block transplantation (synthetic materials which are completely biocompatible with human hard tissues);
  • Transplantation of the patient's own bone from the chin or from the pelvic bone (bone regenerated after being transplanted);
  • Lateral neurovascular bundle.

Bone deficiency in the upper jaw. Solutions:

Sinus lifting (open or closed) is the most common option for increasing the bone tissue amount in the maxillary sinuses, where bone atrophy occurs most often. The operation is performed on an outpatient basis under local anesthesia, it takes 1 - 1.5 hours. After the procedure, in 80% of cases, it is necessary to wait 6 months for complete engraftment of bone material.

In approximately 20% of cases, patients might have a contraindication for the sinus lift which includes inflammatory processes in the maxillary sinuses (sinusitis, maxillary sinusitis), and cysts in the sinuses. In this case, the patient first undergoes treatment at the hospital base under the supervision of an ENT specialist or maxillofacial surgeon. Such treatment can be done in Minsk or any other big city. Typically, treatment of sinusitis takes from 6 to 15 months, and after that, the sinus lift is carried out.

In approximately 20% of cases, patients might have a contraindication for the sinus lift.

It is necessary to clarify here that sinus lift and implantation in the area of the maxillary sinuses are indicated if the patient does have at least a small bone amount (0.4 mm or more). Note that the quality of implant engraftment in the sinus lift area will be more reliable if the amount of the own bone is more than 0.5 mm.

Why is zygoma implantation gaining popularity in Minsk?

If you carefully read the previous section on implantation in the upper jaw, then it will be easy for you to understand all the advantages of zygomatic implants:

  1. Zygomatic implants can reach a length of up to 70mm (!), Unlike the longest of the classic line (recall that their length is a maximum of 21 mm). And if we say that the longest classical implants are the most reliable, then Zygoma surpasses them in reliability by almost three times (!).
  2. If the bone amount in the sinus area is less than 0.3 mm, then it is impossible to perform a sinus lift, and therefore classical implantation. The patient is offered a removable or conditionally removable prosthesis (with an artificial palate). It is in such cases that zygomatic implants become salvation for a large number of patients. In this case, the dentist does not need bone tissue in the sinus area, as the implant is fixed in the zygomatic bone, which is not atrophy susceptible.
  3. After the inflammation treatment of the maxillary sinuses (sinusitis), residual effects may often remain. Inflammation might not go away completely and might have a sluggish chronic stage for years. In this case, sinus lift is not recommended, because of the high risk of infection. In such cases, implant placement using the Zygoma system is the right choice. The surgeon accurately circles the sinus without affecting the inflamed areas inside.
  4. Severe bone atrophy can occur due to various mechanical injuries as well, for example, after jaw injuries. After injuries in the maxillary sinuses area, patients often do not have the conditions for installing a fixed prosthesis on implants. Zygoma does not require a bone in the maxillary sinus, and fixation is performed in the zygomatic bone. Therefore, in such cases, zygomatic implants are indispensable.
  5. Zygomatic implants are also indicated for older patients after 70 years. At this age, the artificial materials used for sinus lift become less compatible with the patient's bone tissue. The effect of the sinus lift is significantly reduced. While strong fixation of the implant in the zygomatic bone gives a guaranteed effect and beautiful fixed dentures!
Zygoma implantation

To whom and when is zygomatic implantation indicated?

Next, we will tell how and in what order our doctors apply these or other methods and at what stage the only choice is cheekbone implantation.

  • If there is a sufficient amount of bone tissue in the area of missing teeth, we use the classic two-stage implantation.
  • If on the upper jaw in the chewing bones of the bone is not enough for installing the implant, we follow the sinus lifting protocol and classical two-stage implantation.
  • If we are dealing with a narrow bone crest on the lower jaw, and the patient firstly wants to get their teeth and start chewing (and makes fewer requirements for aesthetics), we use one-stage basal implantation.
  • If we encounter a complete absence of teeth on the upper jaw, we choose between the All-On-4/6 options - all on four/six implants (we use this option more often, because it is more reliable.) or basal implantation (we choose it much less often, because it has "narrow" indications.).
  • In cases where there are no bones on the upper jaw neither for sinus lift nor for complex All-On4/6 or basal implantation, we use the zygoma implantation technique.
Zygomatic implantation in KANO

Because we have various methods of dental implantation available, we do understand which type of implantation will be the most effective and economical for the patient in every single case.

Zygomatic implantation: before and after photos 2017, 2018, 2019
Make an appointment for a free consultation! You will be contacted by the medical coordinator soon and he will advise you on the terms and cost of treatment, pick up a doctor and make an appointment.
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