Developed in the 1990s by Prof. Per-Ingvar Brånemark and popularized by Dr. Paulo Maló, the zygomatic implant addresses a precise clinical question: how to reconstruct the upper jaw of a patient whose alveolar bone has disappeared after years of edentulism or removable denture wear, without multiplying lengthy and invasive bone grafts?
The answer: use anchorage in a bone structure that does not resorb with tooth loss — the zygomatic bone, commonly called the cheekbone. The implant, longer than a conventional one (35 to 55 mm), passes laterally through the maxillary sinus along digitally planned trajectories from the 3D CBCT, and firmly anchors in the cheekbone.
Clinical advantages: Elimination or significant reduction of bone grafts and sinus lifts. Reduced total treatment time. Immediate loading (fixed prosthesis on the day of surgery) in the vast majority of cases. Predictable results documented in literature for more than 25 years. For cases with very severe atrophy in all four quadrants, the Quad Zygoma protocol (four zygomatic implants) enables complete rehabilitation without any implant in the alveolar bone.
Procedures we offer
Standard zygomatic implants
One or two implants anchored in the cheekbones. Primary solution for moderate to severe atrophy or previous implant failure.
Quad Zygoma (4 zygomatic implants)
Four zygomatic implants for advanced maxillary atrophy when anterior implants cannot be placed.
Hybrid Solution (Zygomatic + standard implants)
Zygomatic implants in the posterior region and standard implants in the anterior region.
Immediate loading
In most cases, a fixed provisional prosthesis is placed during the surgical procedure.