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What is a zygomatic implant?

What is a zygomatic implant? Zygoma implants offer a solution for patients who wish to have dental implants but have severe bone loss in the upper jaw. This treatment avoids the need for bone grafting (bone augmentation). These implants (unlike conventional “root” implants placed in the jaw to replace teeth) are placed in the zygomatic (cheekbone) bone to support maxillary (upper jaw) teeth, bridges, and dentures.

You may have been told that you need dental implants, but because of the lack of bone volume in your upper jaw, you are not a candidate for implants, so you may think that there is nothing else that can be done, these implants may be used to restore upper teeth. when the quality or quantity of maxillary bone is reduced, they are unsuitable for placement in conventional “root” dental implants.

When is a zygomatic implant used?

Bone atrophy (resorption) describes the process of loss of body tissue (in this case bone) as a result of cellular degeneration. This natural phenomenon occurs after tooth extraction, which is aggravated over time due to the placement of artificial teeth. Patients who wear dentures for years and have advanced jaw atrophy sometimes do not have the quality or volume of bone required for dental implants.

Decreased bone volume of the upper jaw (upper jaw) may occur as a result of bone resorption (loss of teeth. When teeth are lost, stress is no longer transferred to the jawbone to maintain bone mass). The sinus increases with age and bone volume decreases or a combination of both.

When the height of the maxillary bone is less than 10 mm (vertical height), conventional root-shaped implants require bone grafting (sinus lift grafting) to stabilize the implants and increase their longevity.

Bone grafting procedures in jaws are successful, but the disadvantage is the long treatment time (additional steps required to place the bone graft, healing, maturation, and then implanting). Additionally, a prosthesis will be needed while the bone grafts heal (for 3 to 4 months). Sometimes bone grafts fail (if they don’t heal properly) and you often experience more pain and swelling when using certain types of bone grafts.

Even when the teeth are still there, they can be affected by gum disease (periodontal disease) or severe infections that destroy the jawbone. Such patients are often considered unsuitable for conventional dental implant treatment, and zygomatic implants can be the ideal solution. But what are zygomatic implants and why might you need them?

What is a zygomatic implant?

The zygoma implant attaches to the zygomatic bone (cheekbone), where the maxillary bone is denser. This strong base to support the implant spreads the pressure over a wide area and allows the successful placement of dental bridges during surgery (without the need to use a prosthesis).

These implants have been used since the late 1980s and have a long history of success. Zygomatic implants have been used for dental rehabilitation in patients with insufficient bone in the posterior maxilla due to several conditions – for example, increased bone resorption with age (patients who have lost teeth from an early age or dentures). used), after the removal of tumors, trauma, or severe bone loss (atrophy).

Zygomatic, also known as zygoma, are an alternative to bone grafting procedures in the upper jaw and are dental implants that go through the weak area of ​​your upper jaw to connect through the sinuses to the underside of the cheekbones. become These implants are placed from inside the mouth at the back and can be combined with one or more conventional (root-shaped) implants at the front of your jaw.

Depending on the patient’s needs, 2 implants (one on each side) or 4 implants (2 on each side) are placed to support full or partial dental bridges.

This procedure is safe and predictable when performed by surgeons experienced in this technique. This treatment is performed under anesthesia as a one-day surgery, and a full set of immediate teeth can be attached to the implants on the same day of surgery.

What type of patients is a zygomatic implant suitable for?

Zygomatic implants are a reliable, reliable treatment for patients whose upper jaw is severely resorbed. These patients are often told that they “can’t do implant treatment because they don’t have enough jawbone.” Zygomatic implants are designed to attach immediate permanent replacement teeth (dental bridges).

In more severe cases (advanced bone loss), two zygomatic (or quad-zygomatic) implants may be placed on each side of the upper jaw to support a full set of upper replacement teeth.

What is the difference between these dental implants and ordinary ones?

Zygoma implants are significantly longer-lasting than conventional (root-shaped) dental implants. Unlike normal implants, zygomatic implants are attached to the cheekbone (zygomatic bone). Zygomatic implants have a high immediate stability due to the bone present in the cheeks, which is an excellent base for immediate placement (one-day teeth) of replacement teeth (dental bridges).

Why are zygoma implants placed behind the jaw?

The jawbone behind the upper jaw is much more prone to atrophy than other areas of the tooth-bearing bone. In this way, the zygoma implant bypasses the need for extensive bone grafting that may otherwise be required to place conventional (root-shaped) dental implants (compared to bone grafting procedures, implant surgery Zygomatic is less invasive, heals faster, requires the patient to use dentures or no teeth for any period, and causes much less discomfort.

How is a treatment plan prepared for zygomatic implants?

The treatment of zygomatic implants is planned using digital technology (CT-based virtual planning with the creation of customized surgical guides), which saves operating time (less anesthesia) and the precise creation of the final dental bridge (prosthesis-based treatment planning)

In the past, these types of treatments were unpredictable in terms of the effectiveness of a treatment and it was difficult to predict problems during a procedure. With the help of the most up-to-date equipment, expert surgeons can perform treatments with the utmost precision and in the safest possible environment.

Consultation and evaluation by a specialist surgeon. This treatment is not as common as conventional dental implant treatment and requires a specialist surgeon with a lot of experience and skill in this technique. Unfortunately, dentists in Hamilton may not even be aware of this type of treatment as an option for the right patients.

Examination, full review (CT scan), and digital planning using the latest virtual surgery software.

Booking a daily surgical procedure for implant placement (tooth removal) + placing a dental bridge.

recovery period (2-3 days); Return to treatment process within 7 days

What are some of the advantages of zygomatic implants?

Zygomatic implants allow patients to gain self-confidence through improved smile appearance and cosmetic appearance. Also, enjoying social interactions is another benefit of this implant, and as a result, they guarantee better oral function (speech, eating, and swallowing) associated with fixed dental bridges (implant-retaining prostheses). Some other advantages of zygomatic implants are:

  • Improve the appearance of teeth
  • speech improvement
  • Improve self-esteem
  • Teeth and gums look normal
  • Variety in eating what you like
  • Confidence to laugh
  • Long-term dental support
  • Faster recovery than bone grafting
  • Low maintenance

Other benefits include:

The main advantage of this method is that bone grafting is rarely required. This means that for most patients, bone grafting is not necessary.

This treatment is suitable for patients with severe bone loss. Even those patients who have been told that implant treatment is not possible with conventional methods.

Dental bridges are attached to implants on the same day of surgery (teeth in one day, immediate implant bridge placement).

Zygomatic implants play a role in providing dental support to cleft lip and palate patients who are unable to tolerate more conventional treatments.

A zygomatic implant can support 3-4 teeth. A typical dental implant supports 1 to 2 teeth.

Four zygomatic implants can support a complete upper dental bridge.

Immediate placement (when teeth are extracted and zygomatic implants are placed at the same time) can be planned predictably.

Zygomatic implants can be used to salvage other unsuccessful or unsuccessful dental implant treatments (All 4, mini-implants, failed bone grafting, severe periodontal fracture of existing teeth).

How successful is zygomatic implant treatment?

Zygomatic implant treatments are very successful, especially when you consider how dental implant technology has evolved over the past twenty years. However, the success of all dental implant treatments depends on the general health and ability of the patient to continue regular maintenance. To maintain function, patients should take care of their implants by brushing and flossing at least twice a day to keep both the implant and the tooth (prosthetic implant) clean.

Regular appointments with a dental hygienist are also recommended to clean areas that cannot be reached with a regular toothbrush. If patients follow their dentist’s recommendations and instructions, zygomatic implants can last a lifetime.

Can zygomatic implants be combined with natural dental implants?

A zygomatic implant and a conventional (root-shaped) dental implant can be combined to achieve a successful result. Some patients have enough bone for implants in the front of their mouth, but not in the back of their mouth. In these patients, a combination of two implants is planned.

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