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Zygomatic Implants: A Game Changer for Severe Jaw Bone Loss

What are Zygomatic Implants?

Zygomatic implants offer a unique solution for individuals with severe upper jaw bone loss and missing teeth. These implants are anchored into the cheekbone (zygomatic bone), providing a stable foundation for replacement teeth. They are particularly beneficial for those who are not suitable for traditional dental implants due to insufficient jawbone.

Unlike conventional implants, zygomatic implants eliminate the need for bone grafting, significantly reducing healing time and surgical complexity. Studies have demonstrated a high success rate of over 96%, making them a reliable option for many patients.


Zygomatic implants can support bridges or dentures, providing a natural-looking and functional smile.


At Nuffield Dental, we specialise in providing personalised oral care solutions. Our team of experienced professionals offers a comprehensive approach to zygomatic implant treatment.


Ready to reclaim your smile? Contact Nuffield Dental today for a consultation.

Zygomatic Implants Benefits

Tired of hearing you can't have dental implants due to low bone density? Zygomatic implants offer an amazing solution that could change everything.


Here’s why zygomatic implants stand out:

Zygomatic implants have a high success rate

Studies show that more than 96% of these implants work well. This gives patients peace of mind knowing their investment will last.

No more long waits with zygomatic implants

You can get new teeth on the same day as surgery. This means you won't need temporary dentures and can smile confidently much sooner.

Zygomatic implants support more teeth than regular implants

Regular ones hold 1-2 teeth. Zygomatic implants hold 3-4.

No Need for Bone Grafting

Zygomatic implants often make bone grafting unnecessary. Bone grafting is a procedure that can take a lot of time and cause discomfort. With zygomatic implants, there's less pain, faster healing, and possibly lower costs.

Better Stability

Zygomatic implants offer a more stable base for dental work, even when regular implants aren't possible due to bone loss. They also provide strong support for All-on-4 implants, a common way to replace all the teeth in one arch.

Don’t let low bone density stop you. Schedule a consultation today to see if zygomatic implants are the right choice for a beautiful, long-lasting smile.

Contact Nuffield Dental now to book your consultation and find out how zygomatic implants can make a big difference in your life.

How Zygomatic Implants Work

Zygomatic implants are a solution for replacing upper teeth when you have low bone in your jaw. These longer implants are anchored into your cheekbone (zygoma) not your jawbone.


Before the procedure your dentist will take detailed scans of your mouth and face. This will help plan the exact placement of the implants.


During the procedure the implants are placed through your upper jaw and into your cheekbone. This provides a solid base for the artificial teeth.


One of the benefits of zygomatic implants is they often allow for immediate loading. This means you may be able to get temporary teeth the same day as surgery.


Over time the implants will fuse with your bone through a process called osseointegration (bone ingrowth into a metal implant). This will give you long term stability for your new teeth.


Zygomatic implants can be used alone or in conjunction with regular implants. They’re ideal if you have severe bone loss in your upper jaw.


The zygomatic anatomy-guided approach is a technique that places the implant on the outer surface of the maxillary sinus. This minimizes complications and optimizes results.


By using your cheekbone for support zygomatic implants often eliminate the need for bone grafting. This makes the treatment faster and more accessible for many patients.

Zygomatic Implants Types

Zygomatic implants come in different types to suit different levels of bone loss and dental needs. Each type is designed for patients with severe maxillary atrophy (a condition where the upper jawbone (maxilla) shrinks or deteriorates over time).


Here's a breakdown of the different types of zygomatic implants:

Hybrid Zygoma

Description: A combination of traditional dental implants and zygomatic implants.

Benefits: Less invasive than other zygomatic implant options, suitable for patients with some remaining bone in the upper jaw.

Process: Two zygomatic implants are placed in the back of the mouth, while two to four traditional implants are placed in the front. This provides strong support for a full dental bridge.

Hybrid Zygoma

all-on-4-dental-implants-dental-care-oral-health

Double Zygoma

Description: Two zygomatic implants are placed on each side of the upper jaw.

Benefits: Ideal for patients with moderate to severe bone loss, often a faster alternative to bone grafts or sinus lifts.

Process: The implants pass through or next to the sinus cavity and anchor into the cheekbone for stability.

Double Zygoma

Drawbacks to Choosing All-on-4 Implants-1

Quad Zygoma

Description: Four zygomatic implants are placed, two on each side of the upper jaw.

Benefits: Suitable for patients with extreme bone loss, can often avoid bone grafts, and provides a strong foundation for a full set of upper teeth.

Process: The implants are inserted into the cheekbones, offering a stable platform for fixed teeth.

Quad Zygoma

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Am I a Good Candidate for Zygomatic Implants?

Here are some common reasons why you need to consider zygomatic implants:

Severe bone loss

This can occur due to long-term denture use, gum disease, injuries, or simply aging.

Atrophic maxilla

This means your upper jaw has shrunk significantly.

Jaw removal

If you've had part of your jaw removed due to a tumour.

Edentulousness

If you have no teeth in your upper jaw.

Avoiding bone grafting

Zygomatic implants can often eliminate the need for complex bone grafting procedures.

One of the key benefits of zygomatic implants is that they can often eliminate the need for complex bone grafting procedures. Even if you have significant bone loss in your upper jaw, the zygomatic implants can be anchored to the cheekbone (zygoma), which typically has enough healthy bone mass to support the implants securely. This means that you can often undergo a painless and minimally invasive procedure.

Book a consultation with Nuffield Dental to see if you’re a candidate for zygomatic implants. We’ll assess your case and advise you on the options.

Zygomatic Implants Procedure

Nuffield Dental offers zygomatic implant surgery. Here's what you need to know.

Before the Procedure

  • Initial Consultation: Schedule a consultation with our experienced dental surgeon.
  • Evaluation: We'll conduct a thorough examination, including X-rays and CBCT scans, to determine your suitability for zygomatic dental implants.

Before the Procedure

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During the Procedure

  • Jaw Model Creation: A precise structural model of your jaw will be created to ensure accurate implant placement and bridge design.
  • Anaesthesia: Local anaesthesia will be administered to numb the relevant areas, ensuring a comfortable procedure.
  • Implant Placement: Zygomatic implants will be strategically placed near the bicuspid teeth, anchoring into the zygomatic bone for optimal stability.

During the Procedure

Safe Surgery

After the Procedure

  • Healing Period: Expect a recovery time of approximately 2-3 days. Normal activities can usually be resumed within 7 days.
  • Aftercare Instructions: Our dentist will provide detailed post-operative care guidelines to support healing and maintain optimal oral health.
  • Buccal Fat Pad Mobilisation: In many cases, a buccal fat pad (from your cheek) is transferred to the implant site to aid in the healing process.

Note: The specific timeline and procedures may vary depending on individual circumstances. Please consult with our dental team for personalised information.

After the Procedure

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Zygomatic Implants Risks

Zygomatic implants can be a life changing solution for severe bone loss but they come with some short term risks you should be aware of. Your surgeon will discuss these with you before the procedure.


    • Sinusitis is one of the most common risks. You may experience swelling, pain and congestion in your sinuses after the surgery. This will clear up with antibiotics but in rare cases may need further treatment.

    • Trauma to nearby structures is another risk. The implant goes close to important nerves and blood vessels. You may experience:

      • ● Numbness or tingling in your cheek or upper lip
      • ● Bruising around your eye or cheek
      • ● Temporary changes in vision (very rare)

      These will resolve within a few weeks.

    • Infection is always a risk with any surgery. Watch for:

      • ● Fever
      • ● Increased pain or swelling
      • ● Pus or discharge

Nuffield Dental acknowledges the potential risks associated with zygomatic implants. While these risks may seem daunting, we assure you that our team of experienced surgeons is well-prepared to minimise them. By following your surgeon's post-surgery instructions carefully, including taking prescribed antibiotics, avoiding smoking, and maintaining good oral hygiene, you can significantly reduce the likelihood of complications.

Your oral health is essential to your overall well-being. Don't let fear or uncertainty prevent you from seeking the professional care you deserve. Contact Nuffield Dental today to schedule your appointment.

Zygomatic Implants Complications

Zygomatic implants offer numerous advantages for individuals with significant bone loss. However, like any surgical procedure, they are not without potential risks.


One common concern is the risk of infection. Adhering to the dentist's post-operative care instructions and practising diligent oral hygiene can significantly reduce this risk. Additionally, the proximity of zygomatic implants to the sinus cavities may lead to sinusitis.


While rare, nerve damage can occur during the implant placement process. A skilled surgeon can minimise this risk. Patients may also experience temporary swelling, bruising, or discomfort. If these symptoms persist, it's crucial to inform the dental team.

In some cases, implant failure may occur due to improper placement or inadequate bone integration. Regular follow-up appointments are essential to monitor healing and address any complications promptly.


If you're considering zygomatic implants, it's essential to choose a qualified dental professional with experience in this procedure. A reputable clinic, like Nuffield Dental, can provide you with the expertise and care you need for a successful outcome.


Don't let dental issues hold you back. Trust Nuffield Dental for expert care and a beautiful smile. Contact us to schedule your appointment.

Cost of Zygomatic Implants in Singapore

The cost of dental implants in Singapore can vary significantly based on several factors. These include:


    • Type of implant: Traditional implants or zygomatic implants

    • Complexity of the procedure: Simple or complex cases

    • Expertise of the dental surgeon: Experience and qualifications

Average Costs:

  • Single dental implant: SGD 3,000 - SGD 6,000 (includes implant fixture, abutment, and crown)

  • Zygomatic implant: SGD 10,000 - SGD 15,000 (higher due to complexity and specialized skills)

Additional Costs:

  • ● Diagnostic tests (X-rays, CT scans)

Consultation:

  • ● It's crucial to consult with a qualified dental specialist to obtain a personalized treatment plan and accurate cost estimate.

To get a quote, book a consultation with Nuffield Dental. They will assess your case and give you a detailed treatment plan with costs.

Are there Subsidies for Zygomatic Implants in Singapore?

Zygomatic implants are not covered by standard dental subsidies in Singapore. The Ministry of Health’s Implant Subsidy List (ISL) focuses on more common medical implants like those for the heart, eyes and knees.


Dental implants may have some subsidies but zygomatic implants are a specialised treatment not included in general subsidy schemes. They are usually a private procedure.


If you are considering zygomatic implants, ask your dentist or oral surgeon about financial assistance options. Some clinics may have payment plans or discounts for complex cases. You may also be able to use Medisave to cover part of the cost but check with your dentist about this option.


Here are a few ways to reduce costs:


    • ● Check if your insurance covers part of the treatment

    • ● Ask about multi stage payment plans

    • ● Look for dental schools that offer reduced cost treatment

    • ● Consider medical tourism in nearby countries


Remember zygomatic implants is a complex procedure. While cost is important, prioritise finding an experienced surgeon for the best results. Contact Nuffield Dental today to schedule a consultation with our expert team and discuss your options.

Why Choose Nuffield Dental for Zygomatic Implants?

Nuffield Dental stands out as the premier choice for zygomatic dental implants in Singapore. Led by the renowned Dr. Samintharaj Kumar, our team boasts unparalleled expertise in this specialised field.

A Track Record of Excellence:

  • Pioneering Zygomatic Implants in Singapore: Dr. Kumar successfully performed the first and second quad zygoma cases in Singapore in 2018, solidifying our position as industry leaders.
  • Extensive Case Experience: Nuffield Dental has handled the largest case series of zygomatic implants in Singapore, demonstrating our deep understanding and proficiency in this complex procedure.

A Track Record of Excellence:

Personalised Care

Patient-Centric Care:

  • Exceptional Patient Satisfaction: With a 4.8-star Google rating, Nuffield Dental is committed to providing a comfortable and personalised experience for every patient.
  • Personalised Treatment Plans: Our team listens attentively to your concerns, answers your questions, and develops a tailored treatment plan that addresses your specific needs.

Patient-Centric Care:

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State-of-the-Art Technology:

  • Advanced 3D Imaging: Our 11 clinics utilise 3D Cone Beam Computed Tomography (CBCT) for precise implant placement, even in cases of low bone density. This technology provides a comprehensive view of your jawbone, ensuring optimal results.

State-of-the-Art Technology:

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Global Expertise:

  • International Recognition: Dr. Kumar is a member of an exclusive international group for zygomatic implants, bringing world-class expertise to Singapore.
  • Comprehensive Oral Rehabilitation: As leaders in full-mouth rehabilitation, we offer the Nobel Biocare All-on-4 procedure, providing a comprehensive solution for those seeking to restore their smiles.

Book a consultation today and discover why Nuffield Dental is the ideal choice for your zygomatic implant journey.

Global Expertise:

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Zygomatic Implants vs Conventional Dental Implants

Zygomatic implants and conventional dental implants represent two distinct approaches to dental restoration, each with its own merits and considerations.


The fundamental difference lies in their placement: conventional implants are anchored into the jawbone, while zygomatic implants are secured to the zygoma bone, located beneath the cheek. This distinction has significant implications for stability, suitability, and the surgical procedure involved.


Zygomatic implants, by their attachment to the zygoma bone, offer exceptional stability. The zygoma is a robust facial bone, providing a secure foundation for dental restorations. This makes zygomatic implants particularly suitable for patients with insufficient jawbone density, a common challenge in cases of extensive tooth loss or bone resorption.


Moreover, zygomatic implants allow for immediate loading, meaning that replacement teeth can be attached to the implants as soon as they are placed, eliminating the need for a healing period.

Feature Zygomatic Implants Conventional Dental Implants
Placement

Zygoma bone

Jawbone (alveolar bone)

Stability

Very high

High, but may be limited by bone density

Suitability

Ideal for patients with insufficient jawbone density

Suitable for most patients with adequate bone density

Surgical Procedure

More complex, often requiring a specialized surgeon

Less complex, typically performed by general dentists or oral surgeons

Healing Time

Shorter (immediate loading possible)

Longer (typically 3-6 months for osseointegration)

Cost

Generally higher

Generally lower

Zygomatic Implants vs Pterygoid Implants

Zygomatic and pterygoid implants are specialised dental implant solutions designed for patients with severe upper jaw bone loss. While both offer a viable alternative to traditional dental implants, they differ significantly in their placement and potential benefits.


Zygomatic implants are anchored to the cheekbone, providing a strong foundation for supporting dental prosthetics. This placement can offer the added benefit of lifting the cheekbones, potentially improving facial aesthetics. On the other hand, pterygoid implants are inserted near the base of the skull, at the back of the mouth. They are particularly effective for strengthening the jawline and providing a secure anchor for dental restorations.


Key Differences:

Feature Zygomatic Implants Pterygoid Implants
Placement

Cheekbone

Base of the skull

Benefits

Cheekbone lifting, facial aesthetics

Jawline strengthening

Success Rate

High (over 96%)

High (over 96%)

Suitable For

Severe upper jaw bone loss

Severe upper jaw bone loss

Zygomatic Implants vs Subperiosteal Implants

When faced with insufficient bone in the upper jaw, zygomatic and subperiosteal implants are two potential options. Both offer solutions for patients seeking dental implants, but they differ significantly in their placement and long-term stability.


Zygomatic implants are anchored to the cheekbone, providing a robust foundation even in cases of severe bone loss. They are longer than traditional implants, allowing them to reach the denser bone of the cheekbone. While this placement offers superior stability, the surgical procedure is more invasive.


Subperiosteal implants rest on top of the jawbone but beneath the gum tissue. This option requires less bone density than regular implants, making it a suitable choice for patients with moderate bone loss. However, the framework nature of subperiosteal implants may result in less long-term stability compared to zygomatic implants.

Feature Zygomatic Implants Subperiosteal Implants
Placement

Anchored to the cheekbone

Rest on top of the jawbone beneath the gum tissue

Bone Density Required

High

Moderate

Stability

Generally higher

Potentially lower

Surgical Complexity

More invasive

Less invasive

Cost

Typically higher

Typically lower

Zygomatic Implants vs All-on-4 Dental Implants

Zygomatic and All-on-4 dental implants are two popular options for replacing missing teeth. The primary difference lies in their placement. Zygomatic implants are anchored to the cheekbone, while All-on-4 implants are secured to the jawbone.


Zygomatic implants are ideal for patients with insufficient jawbone in the upper jaw. This can occur due to bone loss from tooth extraction, periodontal disease, or other factors. By anchoring to the cheekbone, these implants offer a stable foundation for a full set of teeth, even in cases where traditional implants may not be feasible. However, the surgical procedure for zygomatic implants is more complex and may involve a longer recovery period.


All-on-4 implants are a suitable option for patients with adequate jawbone. This method involves strategically placing four implants at angles to maximise bone contact and support a full denture. All-on-4 implants offer a less invasive procedure and shorter recovery time compared to zygomatic implants.


Here's a quick comparison table to summarise the key differences:

Feature Zygomatic Implants All-on-4 Implants
Placement

Cheekbone

Jawbone

Bone Requirement

Insufficient

Adequate

Procedure Complexity

Higher

Lower

Recovery Time

Longer

Shorter

Cost

Generally higher

Generally lower

History of Zygomatic Implants


Zygomatic implants have evolved since their introduction in the late 1980s. Prof. Per-Ingvar Brånemark, the father of dental implantology, first developed these devices. They were designed for patients with severe maxillary bone loss.

Initially zygomatic implants were used for patients with maxillary defects from trauma, cancer or birth conditions. As time went by their use expanded to patients with upper jaw atrophy.

Better technology and surgical techniques have made zygomatic implants more successful. They have higher success rates and shorter recovery time. Good news for you if you were told you can’t have regular dental implants.

Now they are a popular choice for full mouth restoration. They offer hope to many who couldn’t have dental implants before. If you have severe upper jaw bone loss you should ask your dentist about this option.

Zygomatic implants have come a long way. They’re more versatile and can help more people. As technology keeps improving who knows what the future will bring for these amazing implants?

FAQs About Zygomatic Implants

Is Zygomatic Implants painful?

Zygomatic implants are placed under general anesthesia, so patients feel no pain during the procedure. There is minimal post-surgery pain, and over-the-counter medications are often sufficient for recovery.

Are Zygomatic Dental Implants Worth It?

Zygomatic dental implants can be a worthwhile investment, especially for patients with severe bone loss. They offer a durable, permanent solution that improves both function and appearance. While the initial cost may be higher, the long-term benefits and potential cost savings can outweigh the investment.

Do Zygomatic Implants Hurt?

While zygomatic implants might cause discomfort, the pain is usually manageable with anesthetic and post-procedure care. Many patients find the long-term benefits of improved dental function and aesthetics well worth the temporary discomfort.

Are Zygomatic Implants More Costly?

Yes, zygomatic implants are more costly than regular dental implants. This is because of the complexity of the procedure and the limited number of surgeons who can do it. You’ll need to weigh the cost against the benefits, like comfort and success rate.

How Long Do Zygomatic Implants Last?

Zygomatic implants are a long-term solution for tooth and jawbone loss. With proper care, they can last more than 12 years and even a lifetime. Good oral hygiene, regular dental check-ups, and a healthy lifestyle are key to keeping your implants strong.

Medical References

Aparicio, Carlos, et al. “Zygomatic Implants: Indications, Techniques and Outcomes, and the Zygomatic Success Code.” Periodontology 2000, vol. 66, no. 1, Aug. 2014, pp. 41–58, doi:10.1111/prd.12038.

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Why Choose Nuffield Dental?

Nuffield Dental is a one-stop, multi-disciplinary dental care centre. At Nuffield, we put you first. We believe in providing personalised service for each patient.

Dental care

Nuffield Dental is a one-stop, multi-disciplinary dental care centre. Here at Nuffield Dental, we pride ourselves of our personalised oral care for each and every one of our patients. We need to make sure you get all the help you need to make your dental procedures comfortable, accessible and seamless.

Extraction

Our dentists have a special interest inoral maxillofacial surgery and are accredited dental providers who have been helping patients achieve confident smiles.

Extraction Costs in Singapore?

Please call one of our Nuffield Dental clinics in Singapore for pricing details.

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