Zygomatic implants are an innovative treatment that offers a large number of advantages to patients with little bone with bone atrophy of the upper jaw, since it offers predictable results with optimal results in terms of function and aesthetics at the same time. This situation often occurs in people who have lost their teeth at a very young age or who have worn dentures for a long time. Currently, this intervention of placement of zygomatic implants can be carried out both in totally edentulous patients (with absence of all teeth) or in partially edentulous patients, in both cases with the presence of an atrophic upper jaw with total absence of the structure that is. Zygomatic implants are based on a concept of total innovation and offer many benefits for the patient.
The technique itself consists in placing the implants in the bone at the level of the cheekbone. These types of implants are longer than conventional implants, measuring between 35 and 55 mm long. The zygomatic bone (cheekbone) has very favorable bone conditions, achieving a good primary stability of the implant in all cases. Placing the implants in the zygomatic bone eliminates the need to perform bone grafts. In addition, as an advantage, it presents that on the same day of the intervention a fixed prosthesis is placed on the implants, which means that the aesthetics and function of the patient are not lost. Zygomatic implants are a surgical treatment that provide safety, comfort and aesthetics. Thus, it gives patients a quality of life immediately. It is a revolutionary solution for patients who previously ruled out being able to place implants because of the absence of bone.
WHAT IS THE INTERVENTION OF ZYGOMATIC IMPLANTS?
The process begins with a detailed study, thanks to the latest 3D technology. The performance of a maxillary CT scan and a three-dimensional study will be indicated that will show how the maximum benefit of the patient’s bone can be obtained and, from this, the intervention planning begins. The rehabilitation of the jaws of patients with little bone is usually performed by placing two or four zygomatic implants and two to four conventional implants in the anterior region. The surgery is performed under local anesthesia and does not require hospital admission.
INDICATIONS AND CONTRAINDICATIONS OF ZYGOMATIC IMPLANTS
The zygomatic implants are indicated in almost all cases where there is a lack of bone in the rear area of the upper jaw, this treatment is an alternative for the following cases:
- There is little bone to be able to place implants.
- Patients who need bone graft surgery, such as a maxillary sinus lift or a block bone graft.
- Patients who need a Lefort intervention and multiple iliac crest grafts
- Patients who need teeth immediately and cannot wait 4 to 7 months without.
- Zygomatic implants are especially indicated in patients with maxillary bone loss, such as in people suffering from periodontal diseases or people who carry removable full dentures
These types of implants do not usually have more complications than conventional implants, so the contraindications for placing a zygomatic implant are similar than for any other implant procedure.
WHAT ADVANTAGES DO ZYGOMATIC IMPLANTS PROVIDE?
- They do not need to perform complex graft or bone implant surgeries.
- The process is much faster because it does not require osseointegration of the affected area.
- They do not require hospital admission if they request leave to recover from the intervention, since the patient can go home the same day and return to normal life.
- Good post-operative. The patient will only notice a slight inflammation and slight discomfort during the first two or three days after the intervention, which will allow him to lead a completely normal life.
- Higher success rate. Zygomatic implants obtain very good results, with a very high survival rate over time, obtaining a better result than traditional implants.
- Immediate prosthesis. In all cases, a fixed prosthesis is placed at the end of the intervention, which provides the patient with functionality and aesthetics, immediately reincorporating it into daily life.
- Zygomatic implants are less affected by periodontal diseases or tooth loss. For this reason, an implant fixed in the zygomatic bone has a greater guarantee of success.
The postoperative period after the intervention is short and painless, so that the patient can return to his normal life immediately. If you notice slight discomfort and inflammation during the next 2 or 3 days, you can take pain relievers or anti-inflammatories, previously prescribed by the dentist, it is also important that the patient on the days following the intervention make a soft diet for at least a month, Once this time has passed, you can eat again normally.
After the intervention some complications may occur; for example:
- Moderate pain during the first hours
- Zygomatic Nerve Paresthesia
- Postoperative infection.
In any case, if you have any type of discomfort or complication, do not hesitate to go to your dentist for a review and prescribe as appropriate to make your post-operative as calm and comfortable as possible.