Dental Implant London
The best Implant Surgery

Zygomatic Implantology

“In cases where a patient has previously been considered for the quad zygomatic implant technique at other clinics, we offer an alternative by carefully evaluating their situation during a visit to our facility. If, upon examination, we discover insufficient bone in the posterior region and the patient could still benefit from pterygoid implants, we can avoid the invasive use of 4 quad zygomatic implants. Conversely, if the patient has minimal remaining bone in the frontal premaxillary area, we might suggest our Galileus Cerclage Sinus® technique. In instances where there is no residual bone in the frontal region, we propose our pterygozygomatic technique, involving only 2 zygomatic implants and 2 pterygoid implants in the posterior area, offering a less invasive solution, improving stability, and expanding the patient’s chewing range.”

“Moreover, the choice of our pterygozygomatic technique, using only two of the originally proposed four zygomatic implants, also contributes to enhancing the overall aesthetics. By reducing the number of zygomatic implants, we have the opportunity to create a small false gum, ensuring minimal and partial coverage of the remnants. This reduced presence of implants in the frontal area allows for greater extension of the prosthesis, covering chewing up to the deep posterior molars. This provides a wider aesthetic margin to decrease the thickness of the frontal false gum and achieve more natural and aesthetically pleasing results.”

Announcement: Avoiding Quad Zygomatic Surgery with Advanced Options: Galileus Cerclage Sinus® and Pterygoid Zygomatic

We are delighted to offer advanced alternatives to quad zygomatic surgery—two innovative techniques that could be a better solution for you:

  1. Galileus Cerclage Sinus®:
    • For those with remaining frontal bone:
      • If our assessment reveals residual bone in the frontal zone (premaxilla), Galileus Cerclage Sinus® might be the ideal choice.
    • Advantages:
      • Less invasive compared to quad zygomatic surgery.
      • Restores complete mastication with a 14-tooth zirconia ceramic prosthesis.
      • Impeccable aesthetics without a false gum.
  2. Pterygoid Zygomatic:
    • For those with a significant lack of both frontal and posterior bone:
      • If frontal bone is insufficient, but your situation demands a more advanced solution than quad zygomatic surgery, the pterygoid zygomatic technique could be the answer.
    • Advantages:
      • Compromise between frontal and posterior support.
      • Prosthetics with 14 teeth for complete masticatory function.
      • Good aesthetic and functional compromise.

Both options are designed to provide you with a personalized solution that avoids quad zygomatic surgery, minimizing invasiveness and maximizing benefits. During the initial consultation, we will carefully examine your anatomy and discuss the options most suitable for your specific needs. Our priority is to ensure maximum comfort, aesthetics, and masticatory function for a radiant and enduring smile.

Zygomatic Quad implantology involves the secure placement of four zygomatic implants in the upper zygomatic region, also known as the zygomatic process. This advanced procedure is designed to address severe bone loss in the upper jaw, providing a stable and lasting solution for dental rehabilitation.

Here are some key points related to Zygomatic Quad implantology:

  • Use of Zygomatic Implants: Four zygomatic implants are anchored directly to the zygomatic process, a robust bone structure in the upper jaw.
  • Primary Indications:
    • Significant bone atrophy in the upper jaw.
    • Insufficient quantity or quality of bone for traditional implants.
    • Avoidance of additional bone grafting procedures.
  • Surgical Procedure:
    • The intervention involves accessing the zygomatic region through specific surgical incisions.
    • Specialists precisely position four zygomatic implants to ensure optimal stability.
  • Benefits and Results:
    • Effectively rehabilitates patients with severe bone loss, restoring chewing function and smile aesthetics.
    • Reduces waiting times in some cases, allowing for the timely placement of fixed prosthetics.
  • Drawbacks and Considerations:
    • Requires advanced surgical expertise and a detailed clinical assessment.
    • Initial healing period and careful monitoring are essential.
  • Multidisciplinary Collaboration:
    • May require collaboration between implantologists, maxillofacial surgeons, and dental technicians to achieve optimal results.

Zygomatic Quad implantology represents a robust solution to address specific anatomical challenges in the upper jaw, providing a secure foundation for dental rehabilitation. The decision to use this technique should stem from a careful evaluation of the clinical case and the expertise of the specialist team involved.

The limitation in the posterior zone in Zygomatic Quad implantology can be associated with various factors, including the absence of implants in the posterior part of the upper jaw. Some specific aspects that might contribute to this limitation include:

  • Absence of Implants in the Posterior Zone:
    • Since Zygomatic Quad implantology focuses on the upper zygomatic region and utilizes zygomatic implants in this area, the presence of implants in the posterior zone might be limited or absent.
  • Impact on Chewing Load Distribution:
    • The lack of implants in the posterior zone can influence the distribution of chewing load. Chewing may be predominantly concentrated in the front, with a reduction in effectiveness in the posterior zone.
  • Extended False Gums:
    • The use of a large false gum, often necessary to cover the area without implants, might complicate oral cleaning and hygiene. The presence of extended false gums can make it challenging to access with a toothbrush and dental floss.
  • Difficulty in Posterior Chewing:
    • As implants are missing in the posterior zone, chewing in that region could be compromised, with a greater dependence on chewing function in the front of the mouth.
  • Aesthetic Compromises:
    • The presence of a large false gum could impact aesthetics, especially if it fails to naturally mimic the area without implants.
  • Complex Oral Hygiene:
    • The complexity of oral hygiene might increase due to limitations in accessing the posterior zone and the presence of false gums.

It is important for patients to be fully aware of these limitations and openly discuss any concerns or specific considerations related to the posterior zone of the mouth within the context of Zygomatic Quad implantology with their medical team.

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