Zygomatic / Pterygoid
Zygoma, Pterygoid & Nasal Implants
These advanced implant techniques are designed for patients with severe upper jaw bone loss who have been told they are “not suitable” for conventional implants. Instead of relying on thin or grafted maxillary bone, long implants are anchored in dense anatomical sites: the zygoma (cheekbone), pterygoid plates (behind the upper molars) and the nasal floor/spine. This creates a stable foundation for fixed teeth—often avoiding major grafting and shortening timelines.
Minimally Invasive
No large incisions or sutures in suitable cases—reduced bleeding and swelling.
Precision Planning
CBCT-based planning and CAD/CAM guides help avoid nerves, sinus and roots for safe placement.
Faster Recovery
Typically shorter chair time, mild discomfort and a quicker return to normal life.
Aesthetic Soft Tissues
Preservation of blood supply may support healthier, more stable gum contours around the implant.
When Do We Use Them?
- Severe bone resorption and pneumatized sinuses after long-term tooth loss
- Failed grafts or multiple implant failures in the past
- Congenital or post-surgical defects limiting conventional implant placement
- Full-arch rehabilitation planned with minimal treatment time
Candidacy & Assessment
Treatment Workflow
- Consultation & CBCT: Records, photos and 3D scans; discuss options and expectations.
- Digital Planning: Virtual implant positioning; surgical guide or navigated placement when indicated.
- Surgery: Placement of zygoma/pterygoid/nasal implants under sedation or GA; any extractions are completed.
- Immediate Provisional (case-dependent): Full-arch provisional bridge fitted same/next day when stability allows.
- Healing Phase: Soft-tissue maturation and functional adaptation (typically weeks to months).
- Definitive Bridge: Precision framework and ceramic/composite finalisation after integration.
Timelines depend on individual stability, bite forces and soft-tissue health; your surgeon will confirm your personalised plan.
Advantages vs. Extensive Grafting
- Fewer surgeries and shorter overall treatment time
- Earlier return to fixed teeth and normal function
- Predictable anchorage in dense anatomical bone
- Useful after failed sinus lifts or when graft volume is insufficient
Risks & Safety
As with all surgery, risks include bleeding, sinus irritation, temporary numbness or implant failure. Our protocols prioritise sterile technique, careful imaging-based planning and experienced surgical execution to minimise complications.