Zygomatic Implants

Zygomatic implants are extra-long dental implants, 30 to 55 mm, that anchor in the dense cheekbone (zygoma) rather than the upper jaw. They are used when the upper jawbone has shrunk so much that ordinary implants cannot be placed without major bone grafting.

They let a fixed bridge of teeth be fitted, often within 1 to 3 days, avoiding sinus lifts and hip grafts and many months of waiting. Survival rates of about 95 percent or higher at 10 years are reported. The surgery is more demanding than standard implants, carries sinus-related risks and should be done only by surgeons with specific training.

What Zygomatic Implants involves

Planning uses a cone beam CT scan to measure the cheekbones, sinuses and remaining jaw, often with computer-guided design. Under general anaesthetic or deep sedation, the gum is opened along the upper jaw and lifted to expose the jaw and the body of the cheekbone. A path is drilled from the premolar region of the ridge upward and outward, passing alongside or through the sinus wall, into the zygoma, and the long implant is screwed in until its tip grips the cheekbone firmly. One implant on each side is combined with two to four ordinary implants at the front (a hybrid arrangement), or two on each side are used when no front bone remains (quad zygoma). Angled abutments are attached, the gum is closed, and impressions are taken for a fixed provisional bridge.

Who is a good candidate for Zygomatic Implants?

For people told they lack bone for upper implants.

• Severe upper jaw resorption after years of dentures or gum disease
• Failed previous implants or failed sinus grafts
• A wish to avoid grafting and have fixed teeth quickly
• Bone loss after tumour surgery or trauma, in specialised units
• Good general health, with diabetes controlled

It is usually not the right choice if:

• Active sinus infection or untreated chronic sinusitis
• Heavy smoking
• High-dose or intravenous bisphosphonate or denosumab therapy, or prior radiotherapy to the jaws, without specialist assessment
• Adequate bone for standard implants, where the simpler option is better
• Limited mouth opening that prevents access

الخيارات التقنية

• Hybrid: two zygomatic plus front implants: When some bone remains at the front of the jaw.
• Quad zygoma: Four zygomatic implants when the entire upper jaw is deficient.
• Extra-sinus or ZAGA approach: The implant path is adapted to your anatomy, often running outside the sinus to reduce sinus problems and bring the teeth to a better position.
• Guided or navigated placement: Digital planning with guides or real-time navigation to control the long drilling path.
• Immediate loading: A fixed provisional bridge within 24 to 72 hours, replaced by the final bridge after 4 to 6 months.

ماذا يحدث خلال علاجك

Surgery takes 2 to 4 hours, usually under general anaesthetic or deep sedation. You may stay one night. Expect a first visit of about 5 to 7 days to cover the scan, surgery, fitting of the fixed provisional teeth and a check.

الإعداد لرحلتك

Plan for 5 to 7 days, twice in Istanbul. Your surgeon reviews photographs and your medical history before you book, and you meet in person the day before surgery for examination, marking and consent with a professional interpreter.

• Stop smoking and nicotine at least four weeks before and after surgery; it is the single biggest avoidable cause of wound problems
• Tell the team about every medicine and supplement you take; blood thinners, some herbal products and hormone treatment may need to be paused on your doctor's advice
• Arrange for someone to travel with you or to be reachable, and keep the first days at home free of work and lifting
• Book a changeable return flight; your surgeon confirms when you are fit to fly

التعافي والنتائج

Swelling and bruising of the cheeks peak at day 2 to 3 and settle over 1 to 2 weeks. Do not blow your nose for 2 weeks and sneeze with your mouth open. Eat a soft diet for 6 to 8 weeks, even though the teeth are fixed, so the implants are not overloaded. A second visit of about 5 to 7 days after 4 to 6 months is needed for the final bridge. Cleaning under the bridge daily and yearly professional reviews protect the result.

• Back to everyday activity: 1 to 2 weeks
• When results show: Fixed provisional teeth in 1 to 3 days; final bridge at 4 to 6 months
• How long they last: 10 years or more with good care

سياسة السلامة والمخاطر والتنقيح

Most complications involve the sinus or the soft tissue around the implant heads.

• Sinusitis, in about 2 to 6 percent, sometimes months or years later
• An opening between mouth and sinus around the implant
• Numbness of the cheek, upper lip or side of the nose, usually temporary
• Gum inflammation or recession around the implant head
• Bruising around the eye; injury to the eye socket is very rare
• Implant failure, which is more complex to manage than with ordinary implants
• Bridge fracture or screw loosening

Every written proposal arranged through Clinic-Y states what the clinic covers if a correction is needed. Ask for it before you book, not after.

Cost of Zygomatic Implants in Türkiye

Clinic-Y does not publish a single price for Zygomatic Implants, because the honest figure depends on your case. What moves it:

• Number of zygomatic and conventional implants
• Implant brand and guided or navigated surgery
• General anaesthetic and hospital night
• Material of the final bridge, such as acrylic on titanium or zirconia
• Two visits to Istanbul

Send your photographs or reports and you receive written, all-inclusive proposals from suitable teams, side by side. Reviewing your case is free.

الأسئلة المتكررة