Zygom implants compared to classic implants in oral rehabilitation

Classic or zygomatic implants?

Once the bone mass fails, it can no longer be restored, so rehabilitation of the teeth may be required. If you do not replace the missing tooth with a replacement tooth, dental occlusion and domino effect can cause drastic changes to the overall dynamics of your teeth and mouth.

In the case of patients who are candidates for Zygma implants, if they opt for bone augmentation and classical implant-prosthetic rehabilitation, a large amount of bone replacement is usually required, which requires a longer recovery and healing duration – at least a year - and requires two separate surgical operations. With Zygma implants in one procedure, we toow the patient and thus skip the long-term recovery and potential complications that can come with bone augmentation.

In general, there are two surgical alternatives to the realization of fixed rehabilitation of a completely toothless patient, such as transplantation and solutions without grafts. For patients with insufficient intra-oral donor sites, oral surgeons prefer graft-free solutions using zygomatic implants. Unlike conventional implants, zygomatic implants are harmless and effective alternatives to deal with significantly resorbed toothless upper and atrophied jaws. By reducing the time between surgery and fixed restoration and offering a large number of prosthesis options, zygomatic implants enable a quick return to normal life and increase the comfort and quality of life of patients.

The successful application of the Zygma technique to four points requires a high level of surgical skill and training. Such a procedure requires a very experienced clinician, who can carry out the entire implant-prosthetic therapy. Unlike some other methods, Zygom implants and fixed prosthetic solutions do not require technological solutions that are performed outside the patient's mouth, which sometimes extend the entire therapy in time. With a fixed procedure on Zygma implants, only 24 hours pass from the operation to the first installation of fixed teeth.

Zygom implants are also a solution for patients in whom classic implants or bone augmentations have failed. Such patients were doomed to wear removable dentures before the advent of technologically advanced zygoma implant-prosthetic solutions, but now they too have a new opportunity for fixed teeth and a beautiful smile with the help of Zygma implants.

What is a zygomatic implant system?

The anatomically guided Zygom technique was introduced as a personalized surgical procedure in which implant placement depends on different anatomical properties, and special attention is paid to the curvature of the maxilo-zygomatic assembly.

A perfect zygomatic implant system will produce poor results in unskillful hands, and a zigomatic implant of mediocre quality can give excellent results if successfully treated. Our Dr. Miroslav Piljagić below brings more information about zygomatic implant systems, as the top achievements of modern science.

The zygomatic implant system best addresses our clinical needs in the following ways:

• Lengths of zygomatic implants
  The sizes of zygomatic implants that will be used in a particular case depend not only on the anatomy of the patient, but also on the three-dimensional placement of the implant itself. Zygom implants are 30-65 mm long, while they are classic up to 15-18 mm, which allows wide application in a wide variety of patients, even when bone deficiency is very pronounced.
• Zygoma implant design and surface
  Here you should pay attention to the details of the ideal tip for a zygomatic implant. It should have a good instillation swing, but it must also be shaped for corticalized bone, which means that less aggressive threads are needed.
• Surface treatment of zygomatic implants
  Before we think about whether surface treatment with zygomatic implants is necessary, we need to ask ourselves what type of bone we are implanting our implant in. What do we ask of osteointegration? Anesthetic, functional and stable rehabilitation over time.
• Prosthetic elements of zygomatic implants
  Final prosthetic solutions can be made of different materials. The composite has a milling structure made of titanium or Bio Hpp material, to which layered composite crowns are upgraded. The composite has several advantages, and one of the biggest is that it can be aesthetically individualized in order to achieve the most natural desired shape of the crown. Also, unlike ceramics it is less prone to cracking because as a material it is less rigid.
• Scientific publications
  Their success rate is over 98% and has been used for more than 40 years. The reason for the success, among other things, is better blood circulation of the zygomatic bone, which allows better ossification of the implant itself.

We at Dentum use Neodent® Zygoma GMTM implant systems from the Straumann® Group. Zygoma GMTM neodent® are complementary to standard implant systems to achieve an immediate filling protocol for fixed full-arch restoration. The solution combines the mechanical strength of Grand Morse™ with various prosthetic solutions. One prosthetic link for all Grand Morse™ implants: ease of use.

Designed to achieve high primary stability for direct function, Straumann's® zygomatic implant systems allow patients to have a fixed temporary prosthesis placed immediately after surgery, resulting in a shorter treatment time. Precision-engineered elements eliminate the risk associated with poorly placed upgrades and eliminate the risk of a combination of impure and non-biological parts and soft tissue. Straumann's® zigomatic implant systems have a threadless implant body, designed for a soft tissue compound and an additional maxillary lining, and the coronal part of the implant provides bone support.

Straumann's® zygomatic implant systems have advantages for both the patient and the dentist. Since the prosthesis sticks to the implant and not the soft tissue as a surgical location, the patient feels more confident as far as the stability of the prosthesis is concerned. The solid stability of the prosthesis allows for safer speech and increased sense of taste, since the palate is not covered.

Zygomatic implants have become a choice for cases with severely reabsorbed maxilla. Without this implant, patients would need an invasive graft procedure to achieve adequate bone volume for implantation of common implants. Zygomatic implants help avoid grafting and shorten treatment time, with significant post-operative improvements in function and aesthetics.

If you want to learn more about zygomatic implants, come for a free examination and consultation with Dr. Piljagić.

Make an appointment for your first examination and consultation:

email: smile@dentum.com

phone: +385 1 5802 333