Zygomatic implants – Clinical Cases

The patient was a total removable prosthesis (Overdenture) anchored to only two implants, both in the upper arch and in the inferior arch. He turned to us because he was not satisfied with the occlusal stability and the aesthetics of the prosthesis itself. His desire was to have fixed teeth and a harmony of smiles. In one session the entire implant prosthetic rehabilitation of both arches was performed using the All on Four technique and with the aid of two zygomatic implants for the upper maxillary arch.

The patient comes to us after numerous specialist visits. His request is to have fixed teeth, as the remaining dental elements do not allow them to chew properly. His case was solved with 4 dental implants in the mandible (All-on-4 technique) and 2 dental implants + 2 zygomatic implants in the maxilla (Hybrid Technique). In this way it was possible to position fixed teeth in a single session, returning optimal function and aesthetics to the patient. To date, the patient declares herself satisfied with her choice and would undertake again the path that led her to reappropriate her smile.

Patient with severe maxillary atrophy. It was initially proposed a bone reconstruction with bilateral maxillary Sinus Lift and placing dental implants after 6 months. The patient would rather undergo one surgery and have fixed teeth at the same time. Also for this reason the case was solved with 2 zygomatic implants and 2 conventional implants (Hybrid technique) in the maxilla and 4 conventional implants (ALL ON 4 technique) in the mandible, both immediately loaded. Fixed prostheses in Zirconia-Ceramic in both arches.

C.S. 69 Anni
Patient with severe maxillary atrophy and wearing dentures for about 10 years. He would like to have fixed teeth. The bone volume of the maxilla is not sufficient to place conventional dental implants. The case was solved with an implant-prosthetic rehabilitation supported by 4 zygomatic implants in the upper jaw (Quad technique) and 4 dental implants in the lower jaw (ALL ON 4 technique).

M.R. Anni 53
The Patient had a partial removable prosthesis on implants (overdenture) for several years. She came to our attention presenting mobility of the prosthesis due to bone loss around implants, which have been removed. The previous implant failure and associated atrophy of the upper jaw did not allow a rehabilitation using conventional implants for the second time. The case has been solved with 4 zygomatic implants and immediate prosthetic loading. The patient is very happy to get fixed teeth in a single session, improving not only chewing function but also aesthetics of the smile.

The 60-year-old patient showed horizontal bone resorption of the maxilla for periodontal disease. The dental elements presenting mobility were extracted and replaced by 4 standard dental implants and 1 zygomatic implant in order to carry out immediate loading and position the teeth on the same day, avoiding the patient a bone reconstruction with a large sinus sinus lift. The operation was performed in deep sedation and the patient, a professional with an immediate aesthetic function, also presented an anxious state and a strong phobia for any oral intervention. He was satisfied with not having felt any pain and having restored the chew in just one day.