Zygomatic implants are a specialized type of dental implant designed for patients who have severe bone loss in the upper jaw.
Unlike conventional implants that rely on the dense bone of the alveolar ridge, zygomatic dental implants anchor into the zygomatic bones (cheekbones). They provide a secure foundation for dental restorations without the need for bone grafting or sinus lift procedures.
Key Takeaway
Zygomatic implants offer a life-changing solution for patients with severe bone loss, providing a secure foundation for dental restorations without the need for bone grafting or sinus lifts. They restore both function and quality of life for those unable to receive traditional implants.
When Are Zygomatic Implants Used?
Zygomatic implants are recommended for:
- Severe bone loss: For patients with atrophic maxillae (severely resorbed upper jaw) or edentulous maxilla (upper jaw without teeth), where conventional implants are not viable due to insufficient bone.
- Failed bone grafting: Patients who have undergone bone grafts or sinus lift procedures unsuccessfully.
- Complex cases: Those requiring a solution for the posterior maxilla or other areas with significant bone loss.
- Improved quality of life: Individuals seeking a faster, more reliable solution for dental implant placement to restore function and aesthetics.
The Importance of Bone Density
Bone density is critical for dental implant placement because it provides the stability needed to anchor the implants securely.
When the bone is too thin or has deteriorated significantly, traditional implants may not be possible without additional procedures like bone grafting.
Bone loss in the upper jaw, especially in the posterior maxilla, often occurs due to:
- Tooth loss: Without the stimulation from tooth roots, the surrounding bone can resorb over time.
- Periodontal disease: Advanced gum disease can erode the bone supporting the teeth.
- Trauma: Injuries to the face can lead to bone damage or loss.
- Long-term denture use: Dentures that rest on the gum line without stimulating the underlying bone can contribute to bone resorption.
Zygomatic implants offer a solution by anchoring into the zygomatic bones, bypassing areas of insufficient bone density.
Procedure Details
Zygomatic implant surgery is a complex but effective treatment. When performed at Legacy Surgery, the procedure generally follows these steps:
- Initial consultation: A thorough examination, including imaging studies, to evaluate the bone structure and determine the suitability of zygomatic implant placement.
- Preparation: To ensure you remain comfortable throughout the procedure, dental sedation may be used. We offer nitrous oxide, oral conscious sedation, IV sedation and general anesthesia.
- Placement: The implants are strategically anchored into the zygomatic bones, bypassing areas of insufficient bone. In some cases, a quad zygoma approach may be used, involving two implants on each side for maximum stability.
- Prosthetic attachment: A temporary dental restoration is often placed immediately, allowing normal function while the implants integrate with the bone.
- Healing and final restoration: Over a few months, the implants integrate with the bone in a process called osseointegration. A permanent prosthetic is then placed for long-term use.
Aftercare and Recovery
Proper aftercare is essential for the success of zygomatic implants. We will provide detailed post-op instructions for you to follow. These include:
- Avoiding strenuous activities and heavy lifting for at least one week to prevent pressure on the surgical site.
- Do not smoke for at least two weeks after surgery as it will interfere with healing and increase the risk of implant failure.
- Eat a soft food diet for 2-3 months.
- Use prescribed antibacterial mouthwash to maintain oral hygiene.
- Take all medications as directed to manage discomfort and prevent infection.
- Attend follow-up appointments to monitor healing progress.
Healing times vary, but most patients can return to normal activities within a week, with full integration taking several months.
Risks and Considerations
While zygomatic implant surgery has high success rates, some risks include:
- Sinus complications
- Temporary numbness in the cheeks or upper jaw
- Infection or inflammation at the surgical site
- Implant failure in rare cases
Your oral surgeon will discuss these risks and ensure you are a good candidate for the procedure.
Comparison of the Types of Dental Implant
| Implant Type | Anchor Location | Bone Requirements | Special Features | Use Cases |
|---|---|---|---|---|
| Endosteal Implants | Jawbone | Dense bone required | Most common type; requires sufficient bone. | Standard cases with adequate bone density |
| Subperiosteal Implants | On top of the jawbone | Minimal bone required | Custom frame sits on jawbone below gum tissue. | Alternative for patients unable to undergo bone grafts |
| Zygomatic Implants | Zygomatic bones (cheekbones) | Minimal bone required | Anchored in cheekbones; no need for bone grafting. | Severe bone loss, atrophic maxillae |
| All-on-4® Implants | Jawbone | Moderate bone required | Four or more implants are placed at a 45 degree angle reducing the need for grafting. Implants support full arch prosthetics. | Full-mouth restoration for edentulous patients |
Choose Legacy Surgery for Ridge Augmentation in Harrisonburg and Staunton, VA
At Legacy Surgery, our skilled oral surgeon, Dr. Jeffery Kesecker, DDS, specializes in advanced surgical procedures, including zygomatic implant placement. We are dedicated to restoring your smile and enhancing your quality of life.
To book an appointment at our oral surgery office in Harrisonburg, VA, call (540) 437-1230. For our oral surgery office in Staunton, VA, call (540) 213-8750.