What are Zygomatic Implants? Everything You Should Know

If your dentist has mentioned zygomatic implants, it’s natural to feel a little unsure. The name itself might sound complicated, and you may be wondering if this treatment is right for you. Before you make any decision, it helps to understand what this option really involves, how it’s different from regular dental implants, and whether it suits your situation. This guide will walk you through everything step by step so you can feel confident and informed before moving forward. Let's get started.

What Are Zygomatic Implants?

Zygomatic implants are longer dental implants placed in the cheekbone (zygomatic bone) instead of the upper jawbone, making them ideal for patients with severe bone loss. Because the zygomatic bone is naturally dense and strong, this technique provides a stable foundation without needing a bone graft.

They are typically used when other types of implants aren’t possible due to insufficient upper jawbone, advanced gum disease, facial trauma, or long-term denture use. This approach allows patients to regain stable support for fixed teeth, often with faster recovery and fewer surgical steps compared to bone grafting procedures.

Zygomatic Implants Procedure

If you’re thinking about getting zygomatic implants, it helps to understand how the process works from start to finish. The entire procedure is carefully planned and done step by step to make sure everything fits perfectly and heals properly. Here’s what you can expect: 

1. Comprehensive Assessment

Before anything begins, your dentist or oral surgeon will carry out a full evaluation. This usually includes dental scans, X-rays, and sometimes a CT scan to check your bone structure and sinus area. The goal is to see if zygomatic implants are the right fit for you, especially if you have severe bone loss in your upper jaw. During this stage, your medical history and oral health are also reviewed to make sure it’s safe to move forward.

2. Surgical Planning

Once the assessment is done, your dentist will create a surgical plan tailored to your needs. Using 3D imaging and digital tools, they’ll map out exactly where each implant will go. This careful planning ensures that the implants are placed in the most stable areas of your zygomatic bone, giving your new teeth the strongest possible foundation.

3. Implant Placement

This is where the actual procedure begins. Under local or general anaesthesia, your dentist will insert the long titanium implants into your cheekbone instead of the jawbone. The zygomatic bone is dense and provides a firm grip, which is why this technique works well even when there’s bone loss in the upper jaw. Once the implants are secured, temporary teeth may be placed so you don’t have to leave the clinic without a smile.

4. Osseointegration

After the implants are placed, your body needs some time to heal. Over the next few months, the implants naturally fuse with the surrounding bone in a process called osseointegration. This step is crucial because it ensures long-term stability and strength for your future teeth. During this time, your dentist will monitor your healing and make sure everything is progressing as expected.

5. Abutment Placement

Once the implants have fully integrated with the bone, abutments are attached. These are small connectors that link the implants to your final denture or bridge. This step ensures the foundation is secure and ready for the final restoration.

6. Denture Placement

Finally, your custom-made denture or bridge is placed on the abutments. Your dentist will check the fit, bite, and comfort before finalising it. Once everything feels right, you’ll have a strong, natural-looking set of teeth that function just like real ones.

Cost of Zygomatic Implants in India

The cost of zygomatic implants in India is higher than traditional implants because the procedure requires advanced surgical skill, specialised tools, and detailed 3D planning. On average, a full upper jaw restoration with zygomatic implants ranges from ₹1.5 lakh to ₹3.5 lakh. The final price depends on factors like the number of implants needed, the clinic’s location, materials used, and the surgeon’s experience.

Although the treatment is more expensive upfront, it often removes the need for bone grafting, sinus lifts, and multiple surgeries, which can reduce the overall treatment time and long-term costs. During your consultation, your dentist will provide a personalized treatment plan outlining the total cost based on your specific case.

Benefits of Zygomatic Implants

Let’s go through the main benefits of zygomatic implants one by one so you know exactly what to expect.

1. Graftless Solution

One of the biggest advantages of zygomatic implants is that you don’t need a bone graft. These implants anchor into the cheekbone (zygoma) instead of the jawbone, which means they can be placed even when there isn’t enough bone in the upper jaw. This saves you from extra surgeries and months of healing time.

2. Faster Treatment

Since there’s no grafting involved, the overall treatment process moves much faster. You won’t have to wait months for bone to heal before getting your implants. This means you can go from consultation to getting your smile back in much less time.

3. High Success Rate

Zygomatic implants have an excellent track record. Studies show that they are just as reliable as traditional implants, even in complex cases where bone loss is severe. When placed by an experienced oral surgeon, they can last for many years and perform just like natural teeth.

4. Improved Function and Aesthetics

Once the implants are in place, you’ll notice a big difference in how your mouth looks and functions. You can chew better, speak clearly, and smile without hesitation. The structure also supports facial features, preventing the sunken look that can come with missing teeth or bone loss.

5. Stability

​These implants are longer than regular ones, allowing them to anchor deeply into the dense cheekbone. This gives your new teeth a firm and stable base, even if the upper jaw has weakened over time. The result is a strong, reliable bite that feels natural.

6. Immediate Loading

In many cases, temporary teeth can be attached to zygomatic implants almost immediately after surgery. This means you don’t have to wait for months before getting your new smile. You walk out of the clinic with functional, attractive teeth right away.

7. Reduced Discomfort and Pain

Since zygomatic implants often require fewer surgeries and avoid bone grafting, recovery is typically smoother and less painful. Most patients experience only mild discomfort that can be managed easily with prescribed medication.

8. Permanent Solution

Zygomatic implants are built to last. With proper care, they can remain in place for decades, functioning just like real teeth. Unlike removable dentures, they don’t shift or slip, so you can eat, laugh, and speak with total confidence.

Risk and Complications of Zygomatic Implants

Like any surgical procedure, zygomatic implants come with certain risks that you should know about before making your decision. Being aware of these helps you ask the right questions and take proper care after the procedure.

1. Infection

Since this is a surgical process, there’s always a chance of infection at the implant site. Your doctor will usually prescribe antibiotics and provide post-surgery care instructions to lower this risk. Keeping the area clean and following your dentist’s advice carefully plays a big role in avoiding infection.

2. Nerve Damage or Paraesthesia

Sometimes, nerves near the implant site can get affected during surgery. This might cause numbness, tingling, or a temporary loss of sensation in certain areas of your face or mouth. It’s usually rare, and in most cases, the feeling returns with time. However, choosing an experienced oral surgeon greatly reduces this risk.

3. Oroantral Fistula

Because zygomatic implants are placed close to the sinus cavity, there’s a slight risk of creating a small opening between the mouth and the sinus. This is known as an oroantral fistula. It can cause sinus issues or discomfort if not treated properly. If this happens, your doctor will likely perform a minor corrective procedure to close it.

4. Implant Failure

Even though zygomatic implants have a very high success rate, there’s still a small possibility that the implant might not fuse properly with the bone. This could lead to loosening or failure over time. Proper bone health, good oral hygiene, and following post-surgery care routines help minimise this risk.

5. Loosening

In some cases, the implant or the attached prosthetic teeth can become loose after some time. This might happen due to bone resorption, poor maintenance, or excessive pressure while chewing. Regular dental check-ups help spot any loosening early so that adjustments can be made before it causes discomfort.

6. Prosthetic Problems

Sometimes, the prosthetic part that attaches to the implant can develop issues like cracks, wear, or fitting problems. These are usually fixable and not major concerns, but they can affect how the teeth look or feel. Routine follow-ups with your dentist make sure these problems are addressed quickly.

7. Challenging Hygiene

Zygomatic implants are placed deeper and at a different angle compared to regular implants, which can make cleaning around them a bit tricky. Poor cleaning can lead to gum irritation or infection. Using special cleaning tools, following your dentist’s hygiene advice, and scheduling regular professional cleanings will help keep everything in good shape.

When Is the Best Time to Choose Zygomatic Implants?

If you’re wondering whether the zygomatic implants are right for you, here are a few situations where they can make a real difference.

1. Severe Bone Loss in the Upper Jaw

If you’ve lost a lot of bone in your upper jaw due to gum disease, trauma, or missing teeth for a long time, regular implants may not have enough support. Zygomatic implants bypass this issue by securing into the cheekbone, which remains dense even when the upper jawbone has thinned out. This makes them a solid choice when bone loss is severe.

2. Failed Previous Implants

Sometimes, traditional implants fail because there wasn’t enough bone to hold them securely. If this has happened to you, zygomatic implants can be a reliable next step. They don’t depend on the weakened jawbone and instead anchor into a much stronger area, reducing the risk of future failure.

3. Avoiding Bone Grafting

Bone grafting can be expensive, time-consuming, and uncomfortable. If you’d rather skip that process altogether, zygomatic implants are a good alternative. They eliminate the need for grafts, cutting down both treatment time and recovery period while still giving you strong, long-lasting support for your new teeth.

4. Edentulous Upper Jaw

If you’ve lost all your upper teeth and want a full-arch restoration, zygomatic implants can help you regain your smile without the need for traditional dentures. They’re strong enough to support a complete set of upper teeth, offering both stability and comfort.

5. Immediate Loading Needs

If you want to avoid waiting months for your new teeth, zygomatic implants can often be fitted with temporary teeth on the same day. This means you can leave the clinic with a functional smile right after surgery. It’s a faster and more convenient option for those who want immediate results without compromising on strength or stability.

Zygomatic Implants: Recovery and Aftercare

Getting zygomatic implants is a big step toward restoring your smile, but the recovery and aftercare are just as important as the procedure itself. Here’s what you can expect after surgery and how you can take care of yourself to heal smoothly.

Recovery Timeline

1. Initial Recovery (First 1–2 Weeks)

During the first couple of weeks, you’ll feel some swelling, bruising, and mild discomfort around your cheeks and gums. This is completely normal. Your dentist may prescribe painkillers and antibiotics to manage any pain or risk of infection. Rest as much as possible and avoid any heavy physical activity. Stick to soft foods that don’t put pressure on the surgical area, and rinse your mouth gently with salt water if recommended by your dentist.

2. Intermediate Healing (2–6 Weeks)

As your body starts to adjust, the swelling will go down and you’ll feel much better. You might start eating semi-solid foods again, but make sure to follow your dentist’s guidance. During this stage, your dentist may call you in for follow-up visits to check how the implants are settling and ensure your gums are healing properly. Avoid anything that could cause trauma to your mouth, such as chewing hard foods or pressing on your cheeks.

3. Osseointegration (3–6 Months)

This is when your implants begin fusing with the bone. You won’t see this happening, but it's the most important part of the process. The implants need time to properly anchor into place, which is why you need to be gentle with your mouth and follow every bit of your dentist’s advice.

4. Full Recovery (Up to 12 Months)

By this point, your implants should be fully integrated and stable. Your dentist might fit the permanent prosthesis if it hasn’t been done already. Most patients can return to their normal diet and lifestyle once healing is complete. Continue regular checkups every six months to make sure everything stays in great shape.

Aftercare Considerations

Immediate Aftercare (First 48–72 Hours)

The first two to three days after surgery are critical. Here’s what you need to focus on:

• Manage Bleeding and Swelling
  Minor bleeding is common, but if it feels excessive, gently bite on a gauze pad for about 20 minutes. Swelling peaks after two or three days and gradually reduces. Cold compresses can help keep it under control.
• Take Medication
  Follow your dentist’s medication schedule carefully. Take prescribed antibiotics and painkillers exactly as directed to prevent infection and ease discomfort. Avoid taking any medicine not approved by your dentist.
• Elevate Your Head
  Keeping your head elevated, even while sleeping, helps reduce swelling and bleeding. Try not to lie flat for at least the first two nights after surgery.
• Avoid Certain Actions
  Stay away from smoking, using straws, spitting forcefully, or blowing your nose. These actions can interfere with the healing of the implant area.
• Diet
  For the first few days, stick to liquids and soft foods. Think soups, smoothies, mashed veggies, and well-cooked pasta. Avoid anything hard, crunchy, or too hot.

Ongoing Healing and Long-Term Care

Once the initial phase is over, don’t get too relaxed. Healing continues and it’s important that you take care of:

• Oral Hygiene
  You’ll need to keep your mouth clean without irritating the surgical sites. Use a soft-bristle toothbrush and follow any rinsing instructions provided. Avoid harsh mouthwashes unless your dentist specifically recommends one.
• Habits to Avoid
  Steer clear of smoking, chewing tobacco, and biting on hard objects. These habits can slow healing and increase the risk of implant failure. Grinding your teeth is also something to watch out for. If you tend to grind your teeth at night, your dentist might suggest using a mouthguard.

Who is a Good Candidate for Zygomatic Implants?

Here's how to know if you’re a suitable candidate for getting zygomatic implants:

1. Severe Bone Loss in the Upper Jaw

Zygomatic implants are ideal if you’ve lost too much bone in your upper jaw for traditional implants to hold securely. Instead of depending on jawbone support, these implants are anchored in the cheekbone (zygoma), which is naturally strong and dense. This makes them a reliable option when regular implants aren’t possible.

2. Can't Undergo Bone Grafting 

Some people can’t get bone grafts due to certain health issues, while others simply don’t want to go through that long and invasive process. If that sounds like you, zygomatic implants can be a great alternative since they eliminate the need for bone grafting altogether.

3. Want a Faster Treatment Timeline

If you’re looking for a quicker way to get back your full set of teeth, zygomatic implants can be a great choice. Since they skip the bone grafting stage, the overall treatment time is much shorter. In many cases, patients can even get a temporary set of teeth fitted soon after the implants are placed.

4. Prefer a Fixed, Stable Dental Solution

If you’re tired of removable dentures or want something that feels more natural and secure, zygomatic implants offer excellent stability. They provide a strong foundation for a full upper denture or bridge, giving you the comfort and confidence of fixed teeth that look and function like real ones.

5. Good Overall Health

Even though these implants are an option for people with bone loss, your overall health still matters. Your dentist or oral surgeon will evaluate your medical history to make sure you can safely undergo the procedure. Good health helps ensure smoother healing and long-term success.

Zygomatic vs. Traditional Dental Implants

Zygomatic implants are a specialized type of dental implant that anchors in the cheekbone for patients with severe upper jawbone loss, while traditional implants are placed in the jawbone and require sufficient bone density. Zygomatic implants can eliminate the need for bone grafts and shorten treatment time, often allowing for same-day temporary dentures, whereas traditional implants may require additional procedures and a longer healing period for bone to fuse.

Closing Thoughts

Choosing the right type of implant can feel overwhelming, especially when there are so many options available. Zygomatic implants open the door for people who thought they couldn’t get fixed teeth again due to bone loss or failed treatments. Still, every mouth is different, and the best choice depends on your bone structure, oral health, and comfort level. If you’re unsure which implant suits you best, visit Dezy Dental Clinic for a detailed consultation. Our expert team will guide you through your options and help you find the treatment that brings back your smile with strength and confidence.

Frequently Asked Questions (FAQs)

1. How long do zygomatic implants last?

With good oral hygiene and regular dental checkups, zygomatic implants can last 15 years or more. In many cases, they stay strong and functional for decades. The titanium used is designed to fuse well with bone and provide long-term support.

2. Are zygomatic implants painful?

No, the surgery is done under local or general anaesthesia, so you won’t feel pain during the procedure. Most people only feel mild discomfort or swelling in the days that follow, which can be managed with prescribed medication.

3. How long does the surgery take?

The zygomatic implant procedure usually takes between 2 to 4 hours, depending on the complexity and whether additional implants are placed.

4. Can I get zygomatic implants if I already wear dentures?

Yes, especially if you have worn upper dentures for a long time and have experienced bone loss. Zygomatic implants are often recommended in such cases as a permanent alternative to removable dentures.

5. What is the success rate of zygomatic implants?

They have a high success rate, often over 95 percent. Even in cases where traditional implants are not an option, zygomatic implants perform reliably when placed by experienced professionals.

6. Are zygomatic implants more expensive than regular implants?

Yes, they usually cost more due to the surgical expertise and specialised tools involved. However, since they avoid the need for bone grafting, the overall treatment time and extra procedures may be reduced, which can help balance the total cost.

7. How do I know if I am a good candidate?

Your dentist will need to assess your jaw and sinus structure using 3D scans. If you have severe bone loss in the upper jaw or cannot undergo bone grafting, zygomatic implants might be a suitable choice.

8. Can anyone with missing upper teeth get zygomatic implants?

Not always. These implants are mainly for people who have lost a significant amount of bone in the upper jaw. A detailed check-up is necessary to know if this option will work for you.

9. Who performs the zygomatic implant procedure?

This type of implant should only be placed by an advanced implantologist or an oral and maxillofacial surgeon with specific training in zygomatic techniques.

10. How much do zygomatic implants cost?

Costs vary based on your case, location, and number of implants needed. In India, a full upper restoration with zygomatic implants can range between ₹2.5 lakh to ₹5 lakh. You’ll receive a complete treatment plan and cost estimate after your consultation.

11. Are zygomatic implants safe?

Yes, they are considered safe when done by a trained and experienced surgeon. As with any surgery, there are risks, but these are minimised through proper planning, diagnosis, and post-surgery care.