INDICATIONS:
• TOTALLY EDENTULOUS MAXILLARY IMPLANT-PROSTHETIC TREATMENTS
• INDICATED FOR VERY SEVERE MAXILLARY ATROPHIES
• IDEAL FOR AN IMMEDIATE LOADING PROTOCOL
• 95% SUCCESS RATE AFTER 10 YEARS
• ANGLED ABUTMENTS AVAILABLE 30° – 40°- 45° TO BETTER DIRECT THE EMERGENCEOF THE ABUTMENT
AVAILABLE:
Diameter: 4.8 mm
Length: 32.5 mm – 35.0 mm – 37.5 mm 40.0 mm – 42.5 mm – 45.0 mm
Material: Grade 4 Titanium
The zygomatic implant represents one of the most advanced and predictable solutionsfor the rehabilitation of patients with severe maxillary atrophy, for whom conventionaltechniques are insufficient or would require highly invasive regenerative procedures.Thanks to its direct anchorage in the zygomatic bone, characterized by high density andsuperior biomechanical stability, this implant achieves exceptional primary stability evenin the absence of maxillary bone volume.
Its extraalveolar length and dedicated geometry allow for safe insertion through acontrolled anatomical path, reducing the need for complex bone grafts and significantlyshortening rehabilitation times. The high stability achieved in the zygomatic bone makesthe implant particularly suitable for immediate loading protocols, offering patients rapidfunctional recovery and an improved quality of life.
For clinicians, the zygomatic implant represents a reliable platform for addressingextreme cases of maxillary resorption, previous implant failures, or systemic conditionsthat contraindicate bone regeneration. The combination of advanced macrodesign, high-energy surfaces, and dedicated surgical protocols ensures stable and predictable long-term results.
For full-arch rehabilitation in complex patients, the zygomatic implant is not just analternative: it is a strategic solution that expands therapeutic options and raises clinicalstandards
INDICATIONS:
• TOTALLY EDENTULOUS MAXILLARY IMPLANT-PROSTHETIC TREATMENTS
• INDICATED FOR VERY SEVERE MAXILLARY ATROPHIES
• IDEAL FOR AN IMMEDIATE LOADING PROTOCOL
• 95% SUCCESS RATE AFTER 10 YEARS
• ANGLED ABUTMENTS AVAILABLE 30° – 40°- 45° TO BETTER DIRECT THE EMERGENCE OF THE ABUTMENT
AVAILABLE:
Diameter: 4.8 mm
Length: 32.5 mm – 35.0 mm – 37.5 mm 40.0 mm – 42.5 mm – 45.0 mm
Material: Grade 4 Titanium
Anchored in the zygomatic bone instead of the maxilla, they are an advanced solution for patients with severe maxillary atrophy,where traditional implants cannot be placed.
They can be used to create an all-on-four restoration in severe or very severe bone atrophy when combined with two or moretraditional implants
. They are indicated for patients who have undergone surgery for cancer or who have suffered avulsive trauma to the middle thirdof the facial skeleton.
1. Technical features
– Longer length than conventional implants
– Bicortical anchorage to the zygomatic bone, offering high primary stability.
– Conical connection with anti-rotation internal hexagon, the angled abutment inclined at (30°– 40°– 45°) follows the anatomyand maximizes the available bone structure.
– Bone graft-free technique: avoids sinus lifts and large bone reconstructions.
– Immediate loading often possible thanks to high stability
– Materials: grade 4 titanium, with SLA surface (sandblasting + double acidification) to promote osseointegration
2. Clinical uses
Zygomatic implants are indicated when the upper jaw presents severe atrophy (Cawood and Howell class V–VI) and it is notpossible to use standard implants.
• Main clinical indications
– Severe maxillary atrophy with insufficient bone volume.
– Failure of previous implants or bone reconstructions.
– Patients who are unwilling or unable to undergo complex bone grafts.
– Full-arch rehabilitation with immediately loaded fixed prosthesis.
– Patients with chronic sinusitis or unfavorable anatomies that make a sinus lift risky.
3. Clinical advantages
– Predictable solution with high success rates (over 95% long-term).
– Shortened treatment times: no grafts, immediate loading possible.
– Rapid improvement in quality of life and chewing function.
– Excellent stability even in compromised bone.
Limitations and Considerations
– Requires surgeons highly experienced in advanced implantology.
– More invasive procedure than conventional implants.
– Possible complications: sinusitis, paresthesia, infections (rare but should be considered).
Zygomatic implants operate in extreme biomechanical conditions, characterised by:
• very long levers
• high angles (30°–45°)
• often atrophic bone crests
• immediate loading almost always foreseen
In this context, Platform Switching takes on an even more strategic role than standard systems.
Main benefits
🔹Better distribution of forces
The biomechanical leverage of zygomatic implants is particularly long.
Platform Switching:
• reduces stress peaks at the bone margin
• transfers forces deeper into the implant
• improves long-term stability
🔹Crestal bone preservation
The innermost connection distances the microcrack from the bone, reducing inflammation and limiting physiological bone loss.
🔹Soft tissue stability
A more stable bone allows the gum to maintain a more harmonious and predictable profile, improving the aesthetics of the final result.
🔹Better biological seal
The increased distance between the bone and the microgap reduces the risk of bacterial infiltration, contributing to the long-term health of the implant.
