Thanks to the development in question, specialists are able to restore not only the functionality of the jaws, but also restore a beautiful smile. In this case, there is no need to build up bone tissue even in cases where it has been severely destroyed. Before you start using the development, you need to familiarize yourself with it in more detail.
Design features of zygomatic implants
Zygoma implants are elongated titanium rods (up to 52.5 mm) with a cylindrical cross-section, screw thread and angled neck. The latter makes it possible to place the crown on a support located at an angle to the gum. Implants are installed not in the jaw bone, but in the denser zygomatic bone, the structure of which does not change even with prolonged absence of teeth.
In the case of a complete absence of teeth in the upper row, but a sufficient amount of alveolar bone tissue, the supporting system for the prosthesis will include two root and zygomatic implants. If there is a deficiency in the amount of bone, then Zygoma implantation will come in handy. It is based on the concept of "all on four" pillars.
Scheme of installation of Nobel Zygoma implants fixed in the zygomatic bone area
The essence of the technique is the placement of supports in the zygomatic bone of the upper jaw at a special angle, which provides a reliable foundation for the prosthesis, as well as distribution of the chewing load.
Alexey Isaevich, what are the advantages of zygomatic implants?
The main advantages of using Zig include:
- Possibility to install fixed dentures immediately after surgery. In our clinic we practice immediate loading with metal-plastic structures. The client immediately leaves with a new smile.
- Reliability. The titanium structure will not go anywhere from the cheekbone and almost on the day of the operation it is ready to serve as a support for future teeth of the upper jaw.
- Efficiency. A patient with a zygomatic implant does not require a sinus lift. Long-term osteoplastic surgery is not required.
Indications for zygoma implantation
Nobel Biocare Zygoma implants are indicated for installation in the following cases:
- absence of all teeth of the upper row;
- the patient has pathologies that make it impossible to perform classical implantation;
- severe atrophy of the bone jaw structures;
- there are contraindications to bone augmentation and bone grafting;
- there is a complex defect of the maxillary sinuses;
- complete edentia due to serious trauma or malignant process.
Usually, for the problems listed above, the only solution is removable prosthetics. This is not always convenient; artificial teeth can fall out at the wrong time. A jaw removed overnight and left in a glass is not a good prospect. Plus, food debris constantly gets clogged under such dentures. These moments of discomfort for the patient became decisive in the decision of the American company to develop a zygomatic implant system.
Implant models used
Today, several companies offer their models of zygomatic implants: Nobel Biocare, Southern Implants, Noris Medical, Oneway Biomed and others. Among the distinctive characteristics of, in principle, all implants, one can highlight the presence of various types of threads along the entire length of the rod - it helps to achieve high levels of primary stability. Fixation in the zygomatic bone allows restoration of the upper chewing teeth even in conditions of acute lack of bone tissue volume. In addition, implants are often equipped with an angular or angular platform - with inclined fixation, the base of the implant at the gum automatically aligns with the edge of the mucosa.
Important! The first zygomatic implants were presented by Nobel - a model called Zygoma. Their length can reach 52 mm, and their diameter is 4.2 mm. Currently, the manufacturer offers 2 varieties of this model - with a straight and angular platform (beveled edge), as well as with threads along the entire length of the rod or only at the top. Additionally, the products are coated with a porous antimicrobial layer TiUnit, which protects against peri-implantitis and other complications, and also promotes very, very rapid fusion of the implant and bone.
Zygoma zygomatic implantation
Zygoma system zygomatic implantation has been successfully used for decades, which means that the implants of this brand have successfully proven themselves in terms of quality, reliability and durability. (Nobel) pays special attention to research in the field of dental implantation in general, and in recent years with an emphasis on immediate loading. Its highest quality is confirmed by numerous reviews from real patients, doctors and, in fact, many effective clinical studies:
“I recently underwent implantation using the All-on-4 system using the same Zygoma zygomatic implants from Nobel. Despite the fact that they are implanted into very deep layers of the upper jaw, the operation was easy and painless for me. Yes, it was not very pleasant to feel all these manipulations in your mouth, but if you switch your attention to something else, it will be quite bearable. I was fitted with a prosthesis on the same day, and this is the main plus! I didn’t have to walk a day with a toothless mouth. In addition, my bone was severely atrophied, and I thought that I would also have to do a sinus lift, but thanks to these long implants, I didn’t have to do anything.”
Svetlana K., 52 years old, Moscow, from correspondence on a thematic forum
Other popular brands of zygomatic implants include Zygomatic from Southern Implants. The manufacturer focuses on the production of angular models with a beveled edge, designed specifically for inclined fixation. Although experts note that such implants are very good, they have not yet received certification in Russia.
Implants of the same name are also produced by the Israeli company Noris Medical. Models of this brand have an active thread on top and an absolutely smooth surface of the rest of the rod - thus providing reliable protection against plaque accumulation and the development of inflammatory processes. But this brand is quite young, so choosing it or not is the right of each individual implantologist and the patient himself.
Oneway Biomed also offers its products for this implantation method. In this case, we are talking about models designed specifically for basal implantation. These are one-piece implants with a smooth neck and an antimicrobial coating for use in conditions of acute atrophy and inflammatory processes in periodontal tissues. That is, they are fundamentally different from Zygoma “Nobel”, both in design and shape, and in price.
Contraindications
Zygomatic implantation is a complex traumatic process that has a number of contraindications:
- diseases of the nervous system;
- poor blood clotting;
- cardiovascular pathologies;
- serious disruptions in the functioning of the immune system (AIDS);
- hepatitis;
- uncompensated diabetes mellitus;
- malignant formations;
- infectious, inflammatory processes in the acute stage;
- tuberculosis.
Implantation is not advisable during pregnancy and breastfeeding.
Why is this type of implantation called “zygomatic”?
Zygomatic implantation is not a separate type of “restoration” of teeth. It complements existing methods, allowing you to immediately apply loads to the prosthesis. Bone grafting is not used, and the patient can immediately begin to lead a full-fledged lifestyle. The only limitation of zygomatic implantation is that it only applies to the upper jaw.
As the name suggests, this method involves working with the cheek bone. This bone is located between the upper jaw, frontal and temporal parts of the skull. These layers are so dense that they do not atrophy. They are also not affected by dental disease.
Experts in the field of implantology have concluded that this bone can and should be used for dental implantation. At the time of this discovery, implants had already been created that were used for people with problems in the jaw part of the face. Today they are used more widely.
Advantages of the system over the classical method
The surgical protocol for the classical technique of implanting the upper lateral units usually involves a preliminary sinus lift to build up the bone while simultaneously raising the floor of the maxillary sinus. This takes a lot of time and involves additional expenses.
Zygoma implants allow you to quickly restore the entire dentition without waiting for an increase in bone volume.
The difference between implantation with Zygoma systems and the traditional method is the immediate loading of structures with prostheses , the possibility of carrying them out in cases of oncological diseases. An undeniable advantage is the cost of implants. Fewer steps in the procedure significantly saves costs.
Implantation complexes
It was already mentioned earlier that zygomatic implantation is not used as a separate technique, but is included in the developed complexes. After using them, you can immediately load your jaw and lead a full life. Below are the complexes that use zygomatic implants.
Segment of chewing teeth on the upper jaw
This technique was developed by Russian implantologist Vladimir Aleksandrovich Put. He was among the first doctors who began to use the zygomatic implantation method. Now his experience exceeds 20 years. He works in the capital, in the Smile-at-Once center (this clinical center uses all one-stage implantation protocols). The path of V.A. is also involved in teaching and research activities.
The method allows you to restore 3-4 chewing teeth of the upper jaw. For the procedure you will need 1-2 Zygoma implants and classic models. It depends on the client’s condition whether 1 Zygoma implant and 1-2 classic ones or 2 extended ones and 1 classic model will be installed.
All on 4
This is the official name of the complex, which is also called the “complex on four” (meaning implants). It was developed by Nobel Biocare. The method consists of using four implants. The two central ones are installed parallel to each other, and the two outer ones are installed at an angle. The method is used to restore all teeth in any jaw. In case of atrophy of the jaw bone from above, zygomatic implants can be used.
All on 6
The all-on-six complex is an extended version of the previous method. It is used during bone resorption to ensure reliable support for the prosthesis and eliminate the risk of breakage. Zygomatic implants can be used within the method in quantities from 2 to 6 pieces.
Basal implantation
This is the most effective method that allows you to restore all your teeth within a day. It is suitable for absolutely everyone, including chronic smokers, edentulous patients, diabetics, etc.
With basal implantation, 8-12 implants are installed per row. If zygomatic models are used among them, then only the option from Biomed. A large number of implants makes it possible to restore all teeth at once. The prosthesis is installed within 1-3 days.
Preparation and protocol for installation in the zygomatic bone
Preparation for surgery usually includes:
- consultation with a specialist;
- computed tomography;
- blood tests;
- definition of contraindications;
- treatment plan, procedure details.
The latter is possible thanks to special Nobel Clinician software. It allows you to recreate a model of the jaw with the exact location of the pins in the zygomatic area and in the exit areas. The doctor orders the production of a 3D model, which will serve as a visual guide during the operation.
Implantation is performed under general anesthesia, as the procedure is quite traumatic. The structures are fixed in the zygomatic bone, and their necks are placed in the same places as with the classical technique.
In case of restoration of the entire upper jaw, the All-on-4 technology is used. Four screws are screwed into the cheekbone at an angle of 30 to 60 degrees. During the operation, the doctor carefully moves the sinus membrane away from the implant so as not to damage it. At the end of the installation process, a conditionally removable prosthesis is placed on the artificial roots.
Advantages of this design:
- the ability to chew food comfortably;
- improvement of speech;
- aesthetics.
Stock
-37%
Osstem dental implant and metal-ceramic crown RUB 63,000.
40,000 rub.
get -16 %
Premium implantation Nobel and zirconium dioxide crown 125,000 rub.
105,000 rub.
get -25 %
Removable denture for 1 jaw RUB 20,000.
15,000 rub.
get -19 %
German implants XIVE Friadent 80,000 rub.
65,000 rub. get
Possible consequences after installation
Complications after implantation can occur due to incorrect actions of the doctor, as well as neglect of his recommendations by the patient. The most common consequences of poor quality care and technological errors during the implantation procedure:
- pain;
- swelling;
- bleeding;
- increased body temperature;
- seam divergence;
- numbness;
- inflammation of bone tissue, soft structures;
- rejection.
The last point is rather an exception to the rule. The first three are a normal reaction after surgery. The gums may hurt, the stitches may bleed, and swelling may last up to a week. If the symptoms do not disappear, you should urgently contact the clinic. All other issues must be urgently resolved.
What is the cost of implantation using the Zygoma system?
The cost of the implantation procedure using the Zygoma system in our clinic will cost you from 300 thousand rubles. The price of the service includes:
- cost of Zygomatic or Zygoma implants,
- installation procedure,
- production and installation of temporary acrylic prosthesis.
The patient pays separately for diagnostic procedures before Zygoma implantation. These are computed tomography and blood tests that will help determine the presence of contraindications. A permanent denture is installed after the implants have healed, about six months after the procedure. Permanent dentures are also paid separately. Its cost depends on the choice of materials. On average, it will cost the patient 250 thousand rubles.
You can find more detailed information about the Zygoma implantation technology and its prices on our website.
Life time
Nobel Biocare provides 10-year warranty on Zygoma zygomatic implants. In general, how long Zygoma implants will last (10-20 years or a lifetime) depends on the following points:
- careful oral hygiene;
- the quality of the material from which the structures are made;
- reliability of fixation of the pin and abutment.
Orthopedic systems fixed on implants periodically need to be replaced with new ones, as they tend to wear out and change color.
What manufacturers' implants are used today?
About ten years ago, Nobel Biocare released its first zygomatic implants. The Zygoma line is still one of the best. It was this manufacturer that set the first direction for this branch of implantology. It spread first to European countries and then to Russia.
Despite the fact that the manufacturer Nobel Biocare has a representative office in the Russian Federation, not every clinic can use its products and methods. Nobel only grants approval to institutions that have passed numerous certifications. As a rule, they are located in Moscow. There are few such clinics, but they use the best implantation techniques.
After the 80s, other manufacturers began to produce zygomatic implants. The most famous among them are Noris Medical, Oneway Biomed, Southern Implants. They are different from Nobel Biocare products. For example, Oneway dentures have a smooth surface, best suited for patients with inflammatory processes of bone tissue (Nobel implants have a porous coating structure, and their top is quite narrow). Another difference between Nobel implants is the integrity of the abutment and the implant body.
If we talk about Noris Medical products, these are implants that exactly replicate the Nobel product. They can be used in clinics, but have undergone less testing.
Southern Implants is based in South Africa. Its products are unique and have a large number of positive reviews. In Russia, these zygomatic implants are not yet certified.
Another company that has been producing zygomatic implants for about 30 years (since 1989) is Radix, which is located in Russia. In Russia it became popular about 10 years ago. Radix offers more than 15 models on the artificial roots market. In particular, its products are represented by zygomatic implants, which are available as part of the “ZygoLine” line.
Differences between Zygoma and basal implant
The difference between the Zygoma zygomatic and basal dental systems lies in the design of the rods themselves. The first ones are dismountable and involve fixing the abutment after installing the artificial root into the jaw bone. The second ones are monolithic, the abutment is connected to the body of the implant.
Implant systems: 1) Zygoma zygomatic; 2) Basal
Speaking of similarities, both types:
- implanted into the deep layers of the bone of the upper jaw;
- allow immediate loading (immediately after implantation, temporary prosthetics are performed).
Basal implantation is perhaps the only one that can become a worthy competitor to the method of restoring teeth using classic two-piece zygomatic models. Moreover, it is a more economical option. Basal implantation, unlike other immediate loading methods, involves the implantation of 8 to 12 implants per dentition, which may also include zygomatic models , but single-piece ones . Due to the increased number of rods, the method has virtually no contraindications regarding the condition of the jaw bone and periodontal tissues.
From the history of the zygomatic implantation method
The first zygomatic implants appeared in the late 80s of the last century. They were developed by none other than. P.I. Branemark, the discoverer of implantation and creator of the first classical implants. But unlike conventional models, zygomatic ones were used to a greater extent for the rehabilitation of patients with any problems of the upper jaw: bone destroyed by injury or cancer.
Gradually, zygomatic implants, namely from the end of the last century, began to be used for a wider range of patients, which made it possible to abandon the sinus lift and significantly speed up the return to a full life without restrictions.
Since zygomatic implants were originally created for the rehabilitation of patients with complex clinical situations, from the point of view of durability, this is one of the most reliable solutions for restoring teeth in the upper jaw.
What patients say about treatment
Fluza Khaidarovna 1 year after zygomatic implantation of NobelZygoma on the upper jaw
Sergey Vladimirovich Selfie after complex zygomatic dental implantation
Nadezhda Aleksandrovna Selfie and review after implantation of all teeth, including the use of zygomatic implants
Florida Afruzovna With words of gratitude for the new smile! After zygomatic dental implantation
— 1 year after zygomatic NobelZygoma implantation in the upper jaw
After zygomatic implantation in the upper jaw using NobelZygoma and one-stage prosthetics for up to 3 days. In the first photo - with the attending physician, maxillofacial surgeon, implantologist Roman Bespalov immediately after implantation and prosthetics. In the second photo - 1.5 months after the completion of implantation - after correction of the prosthesis and a medical examination, with orthopedic dentist Dmitry Creamer. The following photos show one year after implantation: re-prosthetics with a permanent structure were carried out, as well as hygiene and maintenance. Lifetime guarantee on the work of doctors + annual care - you are not abandoned after treatment, together with you we support and preserve the achieved treatment results!
Fluza Khaidarovna
1 year after zygomatic NobelZygoma implantation in the upper jaw
Doctor: Specialization: Experience:
3 days
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— Selfie after complex zygomatic dental implantation
Our patient with his attending physicians – dentist-therapist Elena Orlova and orthopedist Bair Sambuev. NobelZygoma zygomatic implantation was carried out in the upper jaw with the installation of a fixed prosthesis immediately, as well as preparation of the abutment teeth in the lower jaw for the subsequent installation of crowns.
Sergey Vladimirovich
Selfie after complex zygomatic dental implantation
Doctor: Specialization: Experience:
3 days
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— Selfie and review after implantation of all teeth, including the use of zygomatic implants
With words of gratitude to the attending physicians - a review and photo after prosthetics using the all-on-4 technology: “Many thanks to Evgeniy Aleksandrovich for the excellent job done! Yuri Alexandrovich for his beautiful smile! May God bless you with health and prosperity. Happy New Year!"
Nadezhda Alexandrovna
Selfie and review after implantation of all teeth, including the use of zygomatic implants
Doctor: Specialization: Experience:
3 days
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— With words of gratitude for the new smile! After zygomatic dental implantation
With one of the attending physicians - orthopedic dentist Dmitry Sidorov - after prosthetics as part of zygomatic implantation using original NobelZygoma implant models. Restoration of teeth in the upper jaw in 3 days, even with extreme bone tissue atrophy.
Florida Afruzovna
With words of gratitude for a new smile! After zygomatic dental implantation
Doctor: Specialization: Experience:
3 days
View all reviews
What is the difference between Zygoma implants and Nobel Biocare Active (Nobel Active)
Nobel Active designs are famous for their practicality and reliability. Widely used due to internal connection, ease of installation in confined spaces. The same cannot be said about Zygoma implants, which require general anesthesia due to the high trauma and complexity of the process. However, the latter are the only ones effective in solving the most complex problems of edentia.
The size of the pins is the main difference between these two models of the world famous American manufacturer of dental products Nobel Biocar. The method of implantation also differs. Nobel Active is mostly used in a two-step method, while Zygoma is always installed at once. The rehabilitation period for zygomatic implants is shorter. Plus, they allow you to immediately fix the prosthesis, which significantly improves the patient’s quality of life.
What is implantation and implantation?
Implants are metal pins that are implanted into bone tissue and serve as support for a special adapter (abutment) and a tooth-shaped crown. Most often, dental implants are made from titanium as one of the most durable metals, which does not interact in any way with human tissue and therefore does not cause rejection reactions.
Implantation is the process of implanting metal pins into bone tissue, which will later become a support for an artificial crown or bridge. Implantation is used in cases where it is no longer possible to save one or more damaged teeth, and it is necessary to restore the continuity of the dentition using an artificially implanted structure.
Implantation takes time and can be carried out in several stages, especially dental implantation. All dental procedures are performed using modern, highly effective painkillers. Adequate anesthesia makes the prosthetic procedure comfortable for the patient.
Before starting treatment, the dentist must analyze x-rays in order to determine the scope of work, the number and duration of the stages of sanitation and prosthetics themselves.
A few words about implants
What are the benefits of implants? They allow you to restore lost teeth without grinding down nearby healthy teeth. We can replace one lost tooth in the dentition with crowns or several at once. Implants fix bridges much more reliably compared to the roots of ground down teeth and prevent the destruction of jaw bone tissue.
Prices for dental implantation in Minsk are slightly higher than for other types of prosthetics. However, implantation justifies every ruble invested in it due to the fact that it allows the patient to forget about the problem the patient had for decades, or even for life. You can reduce the cost of treatment thanks to promotions that are periodically held at DEC
