{"id":9754,"date":"2022-04-19T11:00:00","date_gmt":"2022-04-19T05:30:00","guid":{"rendered":"https:\/\/royalimplant.com\/blogs\/?p=9754"},"modified":"2026-07-16T00:37:03","modified_gmt":"2026-07-15T19:07:03","slug":"who-is-not-suitable-for-zygomatic-implant","status":"publish","type":"post","link":"https:\/\/royalimplant.com\/blogs\/who-is-not-suitable-for-zygomatic-implant\/","title":{"rendered":"Who is not suitable for Zygomatic Implant?"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Included contraindications to the use of zygomatic implants include acute sinus infection, upper jaw pathology, and patients unable to undergo implant surgery. Due to an underlying uncontrolled or malignant systemic disease. Relative contraindications include chronic infectious sinusitis, the use of bisphosphonates and smoking more than 20 cigarettes a day. <\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/royalimplant.com\/reach\/\">Get In Touch<\/a><\/div>\n\n\n\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-vivid-red-background-color has-background wp-element-button\" href=\"tel:+919820012621\">Call Now<\/a><\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Although zygomatic implants are an excellent solution for patients with severe upper jaw bone loss, they are not suitable for everyone. A comprehensive clinical examination, CBCT scan, and medical evaluation are necessary to determine whether the procedure is appropriate. Factors such as uncontrolled systemic diseases, active sinus infections, poor oral hygiene, or certain medications may affect treatment eligibility and healing outcomes.<\/p>\n\n\n\n<h3 id=\"h-management-for-zygomatic-implant-after-treatment\" class=\"wp-block-heading\"><strong>Management for Zygomatic Implant after treatment<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Once the clinical examination is complete, radiographic examination allows for further appropriate treatment planning of the zygomatic implant .&nbsp;Computed tomography is crucial for evaluation of the zygomatic implant site and the sinus status.<\/p>\n\n\n<div class=\"wp-block-image is-style-default\">\n<figure class=\"aligncenter size-large is-resized\"><img fetchpriority=\"high\" decoding=\"async\" width=\"900\" height=\"900\" src=\"https:\/\/royalimplant.com\/blogs\/wp-content\/uploads\/2022\/03\/zygomatic-blog-image-1-900x900.jpg\" alt=\"zygomatic implant\" class=\"wp-image-9564\" style=\"width:461px;height:461px\" title=\"\"><\/figure>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\">The amount of bone in the zygomatic arch and in the residual alveolar crest is explored.&nbsp;The angulation, expected emergence site and the relationship of the implant body to the maxillary sinus and the lateral wall is considered. With the original technique, the path of the zygomatic implant was inside the maxillary sinus.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The emergence of the head of the implant in the alveolar crest (typically in the palatal aspect of the second premolar region) is dependent on the spatial relationship of the zygomatic bone. The maxillary sinus and the alveolar crest.<\/p>\n\n\n\n<h3 id=\"h-according-to-bedrossian-et-al-18-the-maxilla-can-be-divided-into-zones\" class=\"wp-block-heading\"><strong>According to Bedrossian et al. (18) the maxilla can be divided into zones: <\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Firstly <strong>Zone 1<\/strong>, the premaxilla<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Secondly<strong> Zone 2<\/strong>, the premolar area <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Thirdly <strong>Zone 3<\/strong>, the molar area<\/p>\n\n\n\n<h3 id=\"h-cbct-report-for-zygomatic-implant\" class=\"wp-block-heading\"><strong>CBCT report for zygomatic implant<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The amount of bone  is estimated by cone beam computed tomography. Also in the zygomatic arch, in both horizontal and vertical dimensions.&nbsp;Moreover, any pathology in this area, as well as in the maxillary sinuses; needs to be verified pre-operatively. In the presence of adequate bone in zones 1 and 2. The clinician can consider the use of four to six conventional implants, tilting the most distal. One on each side to achieve good load distribution.&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<div class=\"atbssuga-responsive-video\"><iframe title=\"Zygomatic Dental Implants | The Freedom to Eat Your Favorite Food | Dental Implants Mumbai\" width=\"1200\" height=\"675\" src=\"https:\/\/www.youtube.com\/embed\/0pXte6nBYig?start=37&amp;feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/div>\n<\/div><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">As such, one can bypass the need for bone grafting. The anterior extent or position of the sinuses, as well as the slope of the anterior sinus walls, determine both the most posterior position of the distal implant as well as its angulation. <\/p>\n\n\n\n<h3 id=\"h-general-guidelines-for-zygomatic-implant-are-as-follows\" class=\"wp-block-heading\"><strong>General guidelines for Zygomatic Implant are as follows:<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Adequate bone in zone 1 for two to four axial implants and bilateral lack of bone in zones 2 and 3. Typically, two to four conventional implants distributed in the anterior maxilla plus one zygomatic implant on each premolar\/molar side.<\/li>\n\n\n\n<li>Adequate bone in zone 1 and lack of bone in zones 2 and 3 on only one side. One single zygomatic implant placed and conventional implants on the anterior maxilla<\/li>\n<\/ul>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/royalimplant.com\/reach\/\">Get In Touch<\/a><\/div>\n\n\n\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-vivid-red-background-color has-background wp-element-button\" href=\"tel:+919820012621\">Call Now<\/a><\/div>\n<\/div>\n\n\n\n<h3 id=\"h-bleeding-or-infection\" class=\"wp-block-heading\"><strong>Bleeding or infection<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Do not disturb the wounds or any stitches placed. Avoid rinsing, spitting, or touching the wound on the day of surgery. A certain amount of bleeding expected following surgery. Slight bleeding, oozing,or redness in the saliva is not uncommon in the first two days following the procedure. If there is excessive bleeding, fold a moistened piece of gauze thick enough to bite on and plac. It directly on the extraction site biting firmly for 30 minutes. Repeat if necessary.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full is-resized\"><img decoding=\"async\" width=\"821\" height=\"460\" src=\"https:\/\/royalimplant.com\/blogs\/wp-content\/uploads\/2022\/05\/Apicoectomy-root-end-infection.jpg\" alt=\"infection\" class=\"wp-image-11928\" style=\"width:421px;height:236px\" title=\"\"><figcaption class=\"wp-element-caption\">Sinus Infection<\/figcaption><\/figure>\n<\/div>\n\n\n<h3 id=\"h-swelling-and-infection\" class=\"wp-block-heading\"><strong>Swelling and infection<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">After surgery most patients experience swelling around the mouth, cheeks, eyes and sides of the face. The swelling may not become apparent until the day following surgery. It may not reach its maximum until two to three days post-operatively. To minimize swelling apply ice on your jaw for the first 48 hours (15 minutes on then 15 minutes off).<\/p>\n\n\n\n<h3 id=\"h-stitches\" class=\"wp-block-heading\"><strong>Stitches<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The type of stitches used will depend on the surgery performed. You advised if you had stitches placed in your gums and if they will dissolve and fall out on their own. In approximately 1 to 2 weeks or if you will need to return to have them removed by the surgeon. If they come out earlier it is not usually a concern unless persistent bleeding occurs.<\/p>\n\n\n<div class=\"wp-block-image is-style-default\">\n<figure class=\"aligncenter size-large is-resized\"><img decoding=\"async\" width=\"900\" height=\"900\" src=\"https:\/\/royalimplant.com\/blogs\/wp-content\/uploads\/2022\/03\/zygomatic1-1-900x900.jpg\" alt=\"infection\" class=\"wp-image-9398\" style=\"width:488px;height:488px\" title=\"\"><\/figure>\n<\/div>\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/royalimplant.com\/reach\/\">Get In Touch<\/a><\/div>\n\n\n\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-vivid-red-background-color has-background wp-element-button\" href=\"tel:+919820012621\">Call Now<\/a><\/div>\n<\/div>\n\n\n\n<h3 id=\"h-medication-and-antibiotic-mouth-rinse\" class=\"wp-block-heading\"><strong>Medication and Antibiotic Mouth Rinse<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Be sure to take prescribed medication or mouth rinses (such as Peridex) as directed to help reduce the chance of infection. Not all patients will have such prescriptions, depending on the particular situation. Discontinue antibiotic use in the event of a rash or other unfavorable reaction and contact the office immediately.<\/p>\n\n\n\n<h3 id=\"h-right-diet\" class=\"wp-block-heading\"><strong>Right Diet<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">In most cases, straight-forward implant surgeries result in minimal disruption of normal routine and the surgical area can simply for several days. More complicated cases may require more specific instructions. The day of surgery begin with clear fluids (juice, broth, jello) and progress slowly eating soft foods (pudding, yogurt, soups, pasta, well-cooked veggies) by chewing away from the surgical sites. Remember it is important to hydrate and maintain adequate nutrition for optimal healing to occur.<\/p>\n\n\n\n<h3 id=\"h-oral-hygiene\" class=\"wp-block-heading\"><strong>Oral Hygiene<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Good oral hygiene is essential to good healing. Start rinsing your mouth with warm salt water rinses (1\/2 tsp of salt in a cup of warm water) 24 hours following surgery. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">You should do this every 4-6 hours, especially after meals, for several days until the tenderness is gone. It is important to brush and floss your other teeth, but avoid the surgical site(s) and stitches completely for a few days. <\/p>\n\n\n<div class=\"wp-block-image is-style-rounded\">\n<figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"600\" height=\"296\" src=\"https:\/\/royalimplant.com\/blogs\/wp-content\/uploads\/2021\/06\/Smoking-and-Oral-Health-e1628065870285.jpg\" alt=\"infection\" class=\"wp-image-3216\" title=\"\"><\/figure>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\">To allow initial healing, and then be very gentle with brushing these areas for 1 to 2 weeks. If you have a healing abutment (metal post) or an actual temporary crown (cap or artificial tooth) protruding through the gums. You may follow the same instructions and brush it gently after a few days. Avoid flossing the healing abutment or temporary crown\/cap until instructed to do so.<\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/royalimplant.com\/reach\/\">Get In Touch<\/a><\/div>\n\n\n\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-vivid-red-background-color has-background wp-element-button\" href=\"tel:+919820012621\">Call Now<\/a><\/div>\n<\/div>\n\n\n\n<h3 id=\"h-quit-smoking\" class=\"wp-block-heading\"><strong>Quit Smoking<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Studies have proven smoking may lead to many complications, such as implant failure and infection, and causes prolonged pain and time to heal. Avoid smoking until the site has healed over (this could take 2-3 weeks). If you cannot hold off until then, it is in your best interest to avoid smoking as long as possible after the surgery, and then to minimize it.<\/p>\n\n\n\n<h3 id=\"h-sinus-lift-patients\" class=\"wp-block-heading\"><strong>Sinus Lift Patients<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">If you had a \u2018sinus lift\u2019 procedure where the floor of the sinus in the upper jaw was elevated to allow for implant placement, you should avoid any activities that cause excess pressure or suction in the mouth or nose for about 10-14 days. In particular, avoid forceful sucking or blowing from either the mouth or nose, woodwind instruments, scuba diving, and if possible airline travel due to the pressure changes.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Successful zygomatic implant treatment depends not only on surgical expertise but also on careful patient selection and long-term maintenance. Regular follow-up visits, excellent oral hygiene, and adherence to your surgeon&#8217;s instructions play a vital role in achieving predictable, long-lasting results. Patients should also discuss their complete medical history to minimize potential complications and ensure the safest treatment approach.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Who is not suitable for zygomatic implants?<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Patients with uncontrolled systemic diseases, active sinus infections, untreated gum disease, heavy smoking habits, poor oral hygiene, or medical conditions that make oral surgery unsafe may not be suitable candidates for zygomatic implants. A comprehensive clinical examination and CBCT scan help determine eligibility.<\/p>\n\n\n\n<h3 id=\"h-final-dental-crowns\" class=\"wp-block-heading\"><strong>Final Dental Crowns<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">During the consultation, it will be determined if you will require a temporary crown (s), partial dentures or full dentures which may need to be fabricated in advance or if existing prostheses may need to be modified. This may be coordinated with your general dentist.<\/p>\n\n\n\n<p class=\"has-text-align-center has-vivid-red-color has-text-color has-link-color wp-elements-bb7ff0a709bd3a36f88ebc618dfc33a9 wp-block-paragraph\"><strong>Restore Your Smile with Advanced Zygomatic Implant Treatment<\/strong><\/p>\n\n\n\n<p class=\"has-text-align-center has-vivid-red-color has-text-color has-link-color wp-elements-08b7dc791de6a9659ab368f0408159a3 wp-block-paragraph\">If you&#8217;ve been told you don&#8217;t have enough bone for conventional dental implants, <strong>zygomatic implants<\/strong> may offer a reliable alternative without extensive bone grafting. At <strong><a href=\"https:\/\/royaldentalclinics.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">Royal Dental Clinics<\/a><\/strong>, our experienced implant team uses advanced diagnostics and personalized treatment planning to determine whether this procedure is right for you.<\/p>\n\n\n\n<p class=\"has-text-align-center has-vivid-red-color has-text-color has-link-color wp-elements-d472c922da9bd5716756155ad58e30cf wp-block-paragraph\"><strong>Book your consultation today<\/strong> to receive a comprehensive evaluation and explore the most suitable tooth replacement solution for your smile.<\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/royalimplant.com\/reach\/\">Get In Touch<\/a><\/div>\n\n\n\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-vivid-red-background-color has-background wp-element-button\" href=\"tel:+919820012621\">Call Now<\/a><\/div>\n<\/div>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>FAQs<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Who should not get zygomatic implants?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Patients with uncontrolled medical conditions, active infections, severe sinus disease, or those unable to undergo oral surgery may not be suitable candidates.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Are zygomatic implants safe?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Yes. When performed by experienced oral and maxillofacial surgeons, zygomatic implants are a safe and predictable treatment option for severe upper jaw bone loss.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Do zygomatic implants require bone grafting?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In many cases, no. One of the main advantages of zygomatic implants is that they can often eliminate the need for extensive bone grafting in the upper jaw.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>How long does recovery take?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Most patients recover from the initial surgery within a few weeks, while complete healing and integration occur over several months.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>What is the success rate of zygomatic implants?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Studies have shown high long-term success rates when treatment is carefully planned and performed by experienced clinicians.<\/p>\n\n\n\n<div class=\"wp-block-qubely-map qubely-block-f0c983\"><iframe width=\"100%\" height=\"350px\" src=\"https:\/\/maps.google.com\/maps?q=Royal%20Dental%20Clinic%20%7C%20Same%20Day%20Dental%20Implant%20%26%20Cosmetic%20Treatment%2C%20Kandivali%20Thakur%20Complex%2C%20V%20Mall%2C%20Western%20Express%20Hwy%2C%20Kandivali%20East%2C%20Mumbai%2C%20Maharashtra%20400101&amp;t=&amp;z=16&amp;ie=UTF8&amp;iwloc=&amp;output=embed\" frameborder=\"0\" scrolling=\"no\" marginheight=\"0\" marginwidth=\"0\"><\/iframe><\/div>\n\n\n\n<h3 id=\"h-suggested-article\" class=\"wp-block-heading\">Suggested Article:<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/royalimplant.com\/blogs\/tongue-tie-in-children\/\" target=\"_blank\" rel=\"noreferrer noopener\">Tongue Tie in Children<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/royalimplant.com\/blogs\/can-adults-get-a-tongue-tie-treatment\/\" target=\"_blank\" rel=\"noreferrer noopener\">Can Adults get Tongue Tie Treatment?<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/royalimplant.com\/blogs\/do-you-need-to-brush-your-tongue\/\" target=\"_blank\" rel=\"noreferrer noopener\">Do you need to Brush your Tongue<\/a><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Included contraindications to the use of zygomatic implants include acute sinus infection, upper jaw pathology, and patients unable to undergo implant surgery. Due to an underlying uncontrolled or malignant systemic disease. Relative contraindications include chronic infectious sinusitis, the use of bisphosphonates and smoking more than 20 cigarettes a day. Although zygomatic implants are an excellent solution for patients with severe upper jaw bone loss, they are not suitable for everyone. A comprehensive clinical examination, CBCT scan, and medical evaluation are necessary to determine whether the procedure is appropriate. Factors such as uncontrolled systemic diseases, active sinus infections, poor oral hygiene, [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":15421,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[32],"tags":[60,362,820,160,822],"class_list":["post-9754","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-dental-implant","tag-dental-implant","tag-dental-implants","tag-implant-surgery","tag-zygomatic-dental-implant","tag-zygomatic-implants-limitations"],"_links":{"self":[{"href":"https:\/\/royalimplant.com\/blogs\/wp-json\/wp\/v2\/posts\/9754","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/royalimplant.com\/blogs\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/royalimplant.com\/blogs\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/royalimplant.com\/blogs\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/royalimplant.com\/blogs\/wp-json\/wp\/v2\/comments?post=9754"}],"version-history":[{"count":4,"href":"https:\/\/royalimplant.com\/blogs\/wp-json\/wp\/v2\/posts\/9754\/revisions"}],"predecessor-version":[{"id":73314,"href":"https:\/\/royalimplant.com\/blogs\/wp-json\/wp\/v2\/posts\/9754\/revisions\/73314"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/royalimplant.com\/blogs\/wp-json\/wp\/v2\/media\/15421"}],"wp:attachment":[{"href":"https:\/\/royalimplant.com\/blogs\/wp-json\/wp\/v2\/media?parent=9754"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/royalimplant.com\/blogs\/wp-json\/wp\/v2\/categories?post=9754"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/royalimplant.com\/blogs\/wp-json\/wp\/v2\/tags?post=9754"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}