FREQUENTLY ASKED QUESTIONS

WHAT TYPE OF CASES ARE ZYGOMATIC IMPLANTS RECOMMENDED FOR?

Zygomatic implants are used as a last resource for people with bone loss in order to avoid the use of bone grafts, which are more aggressive and less predictable. When your ZZC surgeon uses the ZAGA method to place your zygomatic implants, you will benefit from having fixed teeth in just one day that are more aesthetic and similar in appearance to your original teeth. In addition to providing a better long-term prognosis, this procedure is less invasive, is specifically designed to adjust to your personal anatomical characteristics and the method makes patients less likely to encounter the complications of other zygomatic implants.

ARE THERE DIFFERENT WAYS OF PLACING ZYGOMATIC IMPLANTS?

There are various techniques that can be used to place zygomatic implants, as well as different types of zygomatic implants. Not all techniques for placing implants in the cheekbone nor all types of zygomatic implants will achieve the same results.
Unlike other methods, the ZAGA method for placing zygomatic implants uses a minimally-invasive osteotomy and an individualized pathway for each patient that usually includes part of the maxillary sinus and reaches towards the zygomatic malar bone, where it is anchored.

HOW LONG DOES IT TAKE TO COMPLETE THE TREATMENT?

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Provisional fixed teeth

After the zygomatic implants are placed, and generally within 24 hours of the procedure, patients will receive a fixed denture called an “immediate prosthesis.”

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Months - Final fixed teeth

The final prosthesis is created after a 4-month period of using the provisional fixed teeth, during which time a soft diet is recommended. Throughout these first few months, it is normal for the inflammation in the gums to reduce; this creates gaps between the prosthesis and the gums that get bigger over time. The final prosthesis will fill these gaps and correct other technical and aesthetic aspects.

WHAT DIAGNOSTIC TESTING IS NEEDED?

In addition to an intraoral examination, a panoramic X-ray is generally needed as well as an X-ray computed tomography, such as a Cone Beam CT. These tests do not eliminate the need for other medical tests.

WHAT CAN BE DONE IF AN IMPLANT IS NOT SUCCESSFUL?

There are few options to deal with the unsuccessful placement of a zygomatic implant. It is our firm belief that in the great majority of cases, patients who lose their teeth and have severe atrophy in their maxilla have only ONE opportunity to treat this tooth loss with fixed teeth, so the process has to be performed right on the first try. This is why it is best to rely on a center that is highly specialized in the restoration of extreme maxillary atrophy with zygomatic implants.

WHY SHOULD I CHOOSE THE ZAGA METHOD FOR MY ZYGOMATIC IMPLANT TREATMENT?

The specialized professional that follows the ZAGA method understands and empathizes with the patient’s pain, however it manifests. Patient satisfaction is the main objective of all members of Zygoma Integrated Solutions.
With the ZAGA platform, ZAGA Centers are places where regional or local patients with severe maxillary atrophy can receive treatment when they are referred by a ZAGA Partner. This makes them the quintessential experts in the treatment of maxillary atrophy or bone loss. ZAGA Centers are in constant contact with affiliated general practitioners (ZAGA Partners) through the ZAGA platform, and therefore both will always have the information they need to provide individualized treatment.
ZAGA Centers are unique in that they use protocols that guarantee optimal long-term results. Moreover, they have access to state-of-the-art technology, such as ZAGA-design zygomatic implants, specially made to fit each individual anatomy.

ARE ALL ZYGOMATIC IMPLANTS THE SAME?

There are differences among the zygomatic implants that are currently available on the market. It is worth pointing out that, in addition to the surgical procedure, the design and composition of the implant to be used is also important in order to maximize the long-term success of the treatment. For this reason, results and potential complications vary widely depending on the materials and methodology used.
The ZAGA platform not only advocates for adapting the technique to each individual patient, but for adapting the implant’s design to the patient. Some of the benefits to ZAGA zygomatic implants are that their dimensions can adapt to the very complex cases of people who have severe atrophy, such as with female patients, and that placing these implants requires a less invasive procedure. ZAGA Centers give preferential access to implant procedures and other ZAGA designs.

WHAT IS THE ZAGA METHOD FOR ZYGOMATIC IMPLANTS?

The placement of zygomatic implants with the ZAGA method uses a minimally invasive osteotomy by following an individualized route for each patient that often passes through part of the maxillary sinus until it is anchored in the zygomatic (malar) bone. Zygomatic implants are used to attach fixed teeth to atrophic maxillary bones by avoiding the need for and the complications of bone grafts in the maxillary sinus, nose or alveolar ridge. Zygomatic implants are therefore the preferred option for restoring the missing teeth of people who cannot receive regular implants due to maxillary bone loss.

WHAT IS THE SUCCESS RATE OF THIS PROCEDURE?

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success after 10 years

At 92%, treating tooth loss with fixed prosthesis anchored on zygomatic implants has a very high 10-year success rate. With new developments such as the ZAGA method, these implants now improve patients’ prognosis by reducing the number of related complications.

CAN THERE BE COMPLICATIONS?

As with all surgeries, there is always a potential for complications, so you should ask about your specific case in order to be informed of these in detail. Generally, however, the ZAGA method prevents oro-antral communication-related complications, which are common with other methods. Compared to traditional zygomatic implant techniques, the dental prosthesis used in the ZAGA method takes up a natural space in the mouth, as its dimensions are very similar to those of original teeth, which helps improve aesthetic aspects, maintenance and hygiene.

WHAT TYPE OF TEETH WILL I HAVE AFTER THE PROCEDURE?

After the zygomatic implants are placed, and generally within 24 hours of the procedure, patients will receive a fixed denture called an “immediate prosthesis.” The process of permanently screwing-on teeth to the implants immediately after the operation for implant placement is called “immediate loading.” With this process, patients must have an understanding of the biological process of bone tissue repair, along with the technical aspects that must be considered for this immediate prosthesis. The general recommendation is for patients to maintain a soft diet and not smoke for approximately four months.