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How is the Placement Technique of Zygomatic Implants?

February 17, 2024by Dr. Eren Pera0

How is the Placement Technique of Zygomatic Implants?

For patients who have suffered tooth loss, dental implant treatment offers a fixed structure that allows them to comfortably consume any food they can chew, smile beautifully, and speak without worrying about missing teeth being noticed.  In some patients, bone deficiency prevents the successful placement of dental implants.

Such a situation makes it difficult for patients to benefit from these crucial benefits. Zygomatic implants are an easy technique that does not require hospitalization and allows fixed teeth to be placed more quickly and with less postoperative discomfort than conventional bone grafts. The process of placing zygomatic implants consists of the following steps:

  • Examination

The procedure requires a clinical examination of the patient by a zygomatic implant specialist with imaging techniques such as tomography or 3D jaw scanning. This phase includes visualization of the anatomy of the zygomatic region as well as a virtual positioning planning process for the placement of implants. After computerized planning, a splint is created to guide the surgeon in placing the implants during the operation.

  • The Process

The surgery is done under local anesthesia and conscious sedation. This outpatient lasts for about 2 hours. After the operation, it is possible to place temporary fixed teeth within the following 24 or 48 hours, according to the patient’s situation.

  • Postoperative and Waiting Period

Patients are usually discharged on the same day. In the postoperative period, the tooth may be slightly swollen and uncomfortable for 2 to 4 days. After placement of the temporary fixed teeth, patients can start chewing soft solids. The stitches are removed after 7 days. After that, a 3-month waiting period begins for the placement of fixed teeth.

  • Placement of Fixed Teeth

The placement of the fixed prosthesis does not require local anesthesia and can be delivered to the patient after about two months. With teeth permanently fixed in place, patients can comfortably consume all types of food.

However, it is crucial to remember that oral health can influence the overall success of dental treatments, especially dental implants. This is why it is extremely important to pay attention to oral hygiene on a routine basis and to have periodic check-ups.

Zygomatic implants stand out with a high success rate for many years. You can keep in touch with our clinic for favorable treatment conditions and prices.

Mastering Zygomatic Implant Placement

Our clinic provides a qualified service to its patients with dentists who are successful in placing zygoma implants. Zygomatic implants are a more qualified solution compared to standard options. In our clinic, this operation, performed by our expert surgeons, is planned and implemented with precision.

We adopt a personalized strategy, creating treatment plans that are meticulously tailored to accommodate the distinct requirements and preferences of each individual patient. The zygomatic implant placement process is performed using the best technology and successful surgical rules. Ensuring the convenience and well-being of our patients is our utmost priority.

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Precision in Action: Zygomatic Implant Technique

The original Branemark technique adopts an intrasinus approach using a four-cortex anchor for zygomatic implant. The zygomatic implant is inserted from the palatal aspect of the toothless alveolar ridge and directed via the maxillary sinus to the zygomatic bone.This process contributes to achieving maximum stability of the implant by connecting the maxilla and zygoma in a bicortical manner.  Furthermore, the intrasinus technique is contraindicated in cases of chronic sinusitis, as it may impede implant passage.

To address the prosthetic and anatomical challenges, the extrasinus approach has been developed. This approach aims to position the prosthetic exit profile of the zygomatic implant in the desired occlusion position on the alveolar ridge. It aims to minimize the risk of postoperative sinusitis by avoiding the implant path through the maxillary sinus. The extrasinus method involves rehabilitation with a one-piece full arch prosthesis. This method represents a guided approach in terms of prosthetic  and anatomical conditions.

Step-by-Step: Zygomatic Implant Technique Unveiled

Zygomatic implants have been developed as a reliable alternative to standard techniques in patients with maxillary insufficiency. This technique is used when the maxillary sinus cavity cannot provide sufficient implant space despite the available bone thickness. The procedure is conducted with the administration of general anesthesia and demands an exceptional level of expertise and specialized knowledge. Zygomatic implants are inserted into the zygoma bone with specially designed long implants. This increases the stability of the implant. The zygomatic implant technique is an option for the treatment of maxillary insufficiencies without the need for other surgical procedures, such as bone grafts.

Pro Tips: Zygomatic Implant Placement Demystified

Zygomatic implants are considered one of the main treatment options in cases of severe atrophic maxilla. These options have high utilization rates, few complications, short repair time, and low cost. They also eliminate the necessity for large bone grafts, saving valuable time. Zygomatic implants are used to provide posterior maxillary support in completely edentulous patients, especially in cases of severe alveolar crest resorption and major sinus pneumatization. It is recommended in cases where rehabilitation with endosseous implants is not available due to anatomical difficulties.Standard implants cannot be used due to insufficient bone tissue in cases such as the presence of large maxillary sinuses or advanced bone resorption. In such instances, surgical techniques like guided bone regeneration, sinus floor elevation, and grafting are typically advised. However, these methods are known to be more aggressive and require a longer healing process. Less invasive techniques such as beveled, short, and zygomatic implants are also used.

However, it has been observed that the utilization rates of short implants have decreased with sinus floor elevation. Depending on factors such as patient characteristics, amount of residual bone, and risk factors, the treatment plan is determined.

Zygomatic implants provide an alternative to sinus lift or bone grafting procedures in cases of severe maxillary bone atrophy. They reduce treatment costs, duration, and patient morbidity.

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