We use Zygomatic implants routinely when there is not enough bone for ordinary implants. Zygomatic implants are used to provide support for bridgework where there has been a substantial amount of bone loss in the upper jaw, and ordinary dental implants cannot be used on their own to support a bridge.
The implants are longer than ordinary dental implants and engage the strong, dense bone that forms the cheekbone. This means that the implants can be used as an alternative to complex bone grafting operations, making it possible to carry out surgery and provide fixed teeth in one visit. Not only does this save time but also considerable discomfort as grafting requires several surgical procedures and providing teeth/dentures after grafting is also very difficult.
Typically two Zygomatic implants are used along with 2-4 ordinary dental implants. Where bone availability is even more limited, four zygomatic implants may be used.
We routinely fit a fixed acrylic bridge on the same day as the implants are placed.
Treatment with zygomatic implants is very similar from the patients perspective to conventional All-on-4 surgery. Treatment usually starts by ‘designing’ the teeth by making a ‘set-up’ arrangement of teeth in the new desired position. As patients who need zygomatic implants have usually lost large amounts of supporting bone, this can make a huge amount of difference to appearance, correcting the ‘collapse’ or loss of face height that is often present where dentures have been worn for a long time.
We use our own CT scanning technology to produce a precise replica model of the upper jaw bone. This allows us to visualise the precise shape of the jaw and cheekbone, and pre-plan the surgery by cutting this model so we know exactly where our implants need to go. So as to make the experience as comfortable as possible we recommend that all our Zygomatic Implant patients have IV sedation.
We feel these cases are so complex that we routinely have 2 surgeons on hand to ensure your comfort and deliver you the very best care possible. Alex works closely with Dr Richard Brookshaw on all zygomatic cases.