May be suitable for patients with significant upper jaw bone loss
Zygomatic Implants Sydney
Implants Without Grafting
Implants Without Grafting
For patients with severe bone loss in the upper jaw where traditional dental implants may not be feasible, zygomatic implants may offer an alternative pathway to fixed teeth.
These implants are anchored in the cheekbone and, in suitable cases, may reduce the need for complex bone grafting procedures.
At Pitt Street Dental Centre in Sydney CBD, we offer zygomatic implants as part of our range of treatment options for patients with complex upper jaw bone loss.
Understanding Zygomatic Implant Technology
Zygomatic implants are a type of dental implant that differs from conventional implants in both length and placement. Rather than being placed into the jawbone, zygomatic implants are anchored directly into the zygoma, or cheekbone. This bone is naturally dense, which may provide a suitable site for implant anchorage when the upper jaw has experienced significant bone loss.
In suitable cases, this approach may reduce the need for extensive bone grafting, which can mean fewer surgical stages overall. Like other dental implants, zygomatic implants are designed to integrate with the bone through osseointegration, with the aim of providing stable long-term support. Individual outcomes vary and your dentist will discuss realistic expectations with you.
Potential Benefits of Zygomatic Implants
Zygomatic implants may offer an option for patients who have been assessed as unsuitable for traditional dental implants due to upper jaw bone loss. Potential benefits may include:
As with all implant procedures, suitability and outcomes vary between patients. A thorough assessment is required before treatment can be recommended.
Who May Be Suitable for Zygomatic Implants?
Zygomatic implants are typically considered for patients with severe to extreme bone loss in the upper jaw, particularly where other implant solutions or bone grafting are not appropriate. Suitability is assessed individually.
- Severe bone loss If you have significant deterioration of the upper jawbone that makes traditional implants unsuitable, zygomatic implants may be worth discussing as an alternative.
- Previous grafting concerns For patients who have had unsuccessful bone grafting or who are not suitable candidates for grafting procedures, zygomatic implants may offer an alternative pathway.
- Gum and oral health Healthy gums and a commitment to ongoing oral hygiene are important for implant treatment. Your oral health will be assessed during your consultation.
- Overall health A thorough medical history review will be carried out to assess whether the procedure may be appropriate for your individual situation.
The Process Of Getting Zygomatic Implants
The process for receiving zygomatic implants is a carefully planned procedure, typically involving two main phases.
Placing the Implant
Treatment begins with a detailed consultation and 3D imaging to evaluate bone structure and plan implant placement. During surgery, the zygomatic implants are placed directly into the cheekbone. At Pitt Street Dental Centre, Dr Michael Cai works alongside experienced oral and maxillofacial surgeons for this procedure.
In some cases, a provisional fixed bridge may be attached at an early stage. Healing then begins, with the implants designed to gradually integrate with the bone through osseointegration. As with any surgical procedure, risks exist and your dentist will discuss these with you in detail before treatment begins. Individual healing experiences vary.
Attaching the Final Prosthetic
Once sufficient healing and integration have occurred, you will return for the attachment of the final prosthetic. This is typically a full arch fixed bridge, designed to support function and a natural-looking appearance. Individual outcomes vary and your dentist will discuss what to expect for your specific situation.
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We take great pride in providing a tailored treatment experience. Everyone’s dental needs are different, which is why we discuss options that are relevant to your specific situation and goals.
Frequently Asked Questions
What are zygomatic implants and who are they for?
Zygomatic implants are anchored in the cheekbone rather than the upper jaw. The cheekbone is naturally dense and rarely resorbs, making it a reliable anchor point when conventional implant placement is no longer possible. They are typically indicated for patients with severe upper-jaw bone loss, long-term upper denture wearers, or those who have had a failed bone graft.
How do zygomatic implants work when there is not enough jaw bone?
Standard implants rely on sufficient jaw bone volume for stability. When that bone has resorbed significantly, zygomatic implants bypass it entirely by anchoring in the cheekbone, which retains its density regardless of tooth loss or denture wear. This makes fixed teeth possible in cases where conventional implant placement has already been ruled out.
Are zygomatic implants safe?
Zygomatic implants have a clinical track record of more than 25 years, with published 10-year survival rates above 95% in appropriately selected cases placed by experienced surgical teams. As with any surgical procedure, risks exist, including sinus complications, infection, and implant failure. Specific risks relevant to your case are discussed in detail at consultation.
Who performs the surgery and where?
Surgical placement is carried out by a specialist oral and maxillofacial surgeon in a private hospital theatre. Dr Cai plans the case, designs the prosthesis before surgery, and manages all prosthetic and follow-up care. Surgery takes place at Westmead Private Hospital or Strathfield Private Hospital under general anaesthesia.
Can I have fixed teeth on the same day as surgery?
In suitable cases, yes. The cheekbone typically provides strong primary stability, which often allows Dr Cai to attach a fixed temporary prosthesis on surgery day. Whether this is appropriate for your specific case is assessed during treatment planning.
How do zygomatic implants differ from pterygoid implants?
Zygomatic implants anchor in the cheekbone and are used for patients with severe upper-jaw bone loss across the full arch. Pterygoid implants anchor in the pterygoid plate behind the upper jaw and are typically used to support the posterior region without the need for sinus lifts. The two are often used together for complex full-arch reconstructions.
What does recovery involve?
Swelling, bruising, and tenderness in the days following surgery are normal and typically improve over the first one to two weeks. Most patients return to light activities within a few days, though strenuous activity should be avoided during the initial recovery period. Dr Cai will monitor your progress at scheduled follow-up appointments throughout the healing phase.
How do I care for my zygomatic implant restoration?
The prosthesis is maintained in the same way as other implant-supported restorations. Daily brushing, interdental cleaning, and regular professional check-ups help protect the implants and surrounding tissue. Your dentist will recommend any specific cleaning aids suited to your restoration at follow-up appointments.
After-Care For Your Zygomatic Implants
Following your zygomatic implant procedure, some discomfort, swelling or tenderness is expected as your body begins to heal. You will receive specific instructions tailored to your situation. The following general guidelines may apply:
Healing times vary between patients. If you have any concerns during your recovery, contact our team for guidance.
Ready to Discuss Your Options?
Contact us to arrange a consultation. We will assess whether zygomatic implants may be suitable for your situation, or discuss alternative options that may help address missing teeth and support oral function over time.
DISCLAIMER: The material posted is for informational purposes only and is not intended to substitute for professional medical advice, diagnosis or treatment. Results vary with each patient. Any dental procedure carries risks and benefits. If you have any specific questions about any dental and/or medical matter, you should consult your dentist, physician or other professional healthcare providers.
Medically Reviewed by Dr Michael Cai, BDS (Syd), Implant Specialist
Last Reviewed: July 2, 2026
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