Fixtures pass beside or through the sinus into the zygoma, bypassing the maxilla entirely — a maxillofacial procedure, not routine implantology. This page covers the zygomatic implants appointment itself — what is prepared beforehand, what happens in the chair, and what the first hours afterwards feel like. Plan for 1 surgical visit under sedation or ga and 10-14 days.
Chair time runs roughly 20-30 minutes per fixture once the flap is open, so a single implant is a short appointment while a full arch typically occupies two to three hours including the temporary. Implant placement is done under local anaesthetic infiltrated around the ridge; you stay awake, feel pressure and drilling vibration but no pain. IV sedation is offered for longer arch cases and for patients with a strong gag reflex. Fixtures pass beside or through the sinus into the zygoma, bypassing the maxilla entirely — a maxillofacial procedure, not routine implantology.
Your scan or photographs are reviewed in person against the remote plan. Fixtures pass beside or through the sinus into the zygoma, bypassing the maxilla entirely — a maxillofacial procedure, not routine implantology.
The gum is reflected and the osteotomy is drilled in graduated steps under saline irrigation to keep the bone below 47°C — overheating is the classic cause of early failure.
Each implant is driven to a recorded insertion torque. That number decides whether a temporary can be loaded immediately or whether the site is left to integrate submerged.
Sutures go in, and a healing abutment or an immediate temporary is fitted depending on the torque reading and where the implant sits in the smile line.
Longer implants anchored in the cheekbone for patients with severe upper jaw bone loss.
You leave with written aftercare and the follow-up schedule fixed — for this option that means 10-14 days, with 1 surgical visit under sedation or ga in total.
Implant placement is done under local anaesthetic infiltrated around the ridge; you stay awake, feel pressure and drilling vibration but no pain. IV sedation is offered for longer arch cases and for patients with a strong gag reflex.
Chair time runs roughly 20-30 minutes per fixture once the flap is open, so a single implant is a short appointment while a full arch typically occupies two to three hours including the temporary.
An oral surgeon or an implantologist places the fixtures; the prosthetic stage — abutment, scan, crown or arch — is usually handled by a prosthodontist working with the same in-house laboratory.
Expect gauze pressure for 30-45 minutes, a numb lip for two to four hours and a small amount of oozing on the first evening. You walk out unaided, but you should not fly the same day if a graft or sinus lift was involved.
Cost and alternatives for Zygomatic Implants.
Compare vs alternatives → See full cost breakdown →It is the most invasive fixed option and belongs with an experienced maxillofacial surgeon. In the right hands survival rates are comparable to grafted conventional implants, without the graft healing time.
Temporary sinus pressure and congestion are normal for a couple of weeks. Persistent symptoms need review, which is why remote follow-up terms matter here.
Ask for the figure in Ncm. Above roughly 35 Ncm supports an immediate temporary; below that, the fixture is normally left to integrate before anything is loaded on it.
Get the brand and reference in writing. A globally distributed system can be serviced by any dentist at home; an unbranded fixture often cannot.
Only the CBCT answers this. If a graft is likely, ask whether it is quoted separately and how many extra months it adds before the final restoration.
1 surgical visit under sedation or GA — and 10-14 days. Any quote that compresses that materially is worth a second read, because laboratory and healing time set the schedule, not the clinic diary.
Sinus grafting plus standard implants is slower but less invasive; All-on-4 works only if anterior bone remains.
Zygomatic anchorage exists specifically for jaws that conventional implantology has ruled out.
Repeat grafting is not the only route after a failure in the upper jaw.
Long-term denture wear thins the maxilla, which is the anatomy this technique was designed for.
Fixtures pass beside or through the sinus into the zygoma, bypassing the maxilla entirely — a maxillofacial procedure, not routine implantology.
| Sessions | 1 surgical visit under sedation or GA |
|---|---|
| Time in Turkey | 10-14 days |
| Recovery | 2-3 weeks of swelling and sinus pressure; soft food 8 weeks |
| Expected lifespan | 10-20 years with disciplined hygiene and annual review |
Sinus grafting plus standard implants is slower but less invasive; All-on-4 works only if anterior bone remains.
Timeline, aftercare and what to watch for, day by day.
Fixtures pass beside or through the sinus into the zygoma, bypassing the maxilla entirely — a maxillofacial procedure, not routine implantology. Chair time runs roughly 20-30 minutes per fixture once the flap is open, so a single implant is a short appointment while a full arch typically occupies two to three hours including the temporary.
Fixtures pass beside or through the sinus into the zygoma, bypassing the maxilla entirely — a maxillofacial procedure, not routine implantology. Implant placement is done under local anaesthetic infiltrated around the ridge; you stay awake, feel pressure and drilling vibration but no pain. IV sedation is offered for longer arch cases and for patients with a strong gag reflex. Chair time runs roughly 20-30 minutes per fixture once the flap is open, so a single implant is a short appointment while a full arch typically occupies two to three hours including the temporary.
An oral surgeon or an implantologist places the fixtures; the prosthetic stage — abutment, scan, crown or arch — is usually handled by a prosthodontist working with the same in-house laboratory. Expect gauze pressure for 30-45 minutes, a numb lip for two to four hours and a small amount of oozing on the first evening. You walk out unaided, but you should not fly the same day if a graft or sinus lift was involved.
1 surgical visit under sedation or GA and 10-14 days are what the plan is built around. Sinus grafting plus standard implants is slower but less invasive; All-on-4 works only if anterior bone remains.