Zygoma Implants


What is a zygoma dental implant?
Dental implants are used to replace missing teeth. A zygoma implant offers patients a permanent dental prosthetic solution that ultimately leads to less time in surgery and follow-up treatments. This procedure also reduces and often eliminates the need for bone grafting.

Why zygoma?
Many patients suffer from the loss of teeth and the reality of having to wear removable denture prosthesis. Difficulty with speech, mastication and esthetics are just a few of the problems that come with wearing dentures. Bite force also can be reduced from 450 pounds per square inch to less than 50 in denture wearers. 

Patients now have the option of having all of their teeth replaced with zygoma implants that support either removable or non-removable dental prosthetics. These implant-supported prostheses look, act and function more like a patient’s prior dentition. 

How is zygoma different from other dental implants?
Traditionally, dental implants required enough height and width of bone in the upper and/or lower jaws for placement. In upper jaws with minimal bone, surgical options such as sinus-lift and bone grafting were the only alternatives. The zygoma procedure places implants in the zygoma bone at an approximate 45-degree angle emerging at the dental ridge and often prevents the need for more intensive surgery.

Conventional dental implants cannot be performed if patients lack sufficient bone structure to anchor the implants. In this case, bone must be harvested from the hip or skull or may be acquired from a donor bank. A staged procedure could delay surgery up to a year or more. The zygoma surgery often reduces the need for bone grafting, which still might be required in the anterior portion of the upper jaw.

About the procedure
Usually two zygoma implants are placed in the upper jaw posterior region, one on each side. If a non-removable dental prosthetic treatment is indicated, usually a minimum of two additional conventional implants in the anterior upper jaw is needed. In some cases two to three zygoma implants can be placed on each side of the upper jaw for better support of the dental prosthesis.

The operative timeframe of zygoma placement varies from individual to individual and may take a few hours under sedation or anesthesia. Bone loss or atrophy in the lower jaw can be managed with bone grafting and/or nerve repositioning procedures, also performed at the Facial Surgery Center.

Recovery
Most implants placed in the upper jaw require a four to six month healing timeframe before they are connected to a dental prosthesis. This is because the surface of the implant actually becomes biomechanically attached to the patient’s bone through osteointegration. Once integrated, the implants function as a solid anchor to stabilize a patient’s dental prosthesis.