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REHABILITATION OF SEVERE ATROPHIC MAXILLA WITH ZYGOMATIC IMPLANTS: A REPORT OF TWO CASES

Tuna Sumer, Nihat Akbulut, Dilara Doğay

Clinical Dentistry and Research - 2025;49(3):178-183

Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Ondokuz Mayıs University

 

Zygomatic implants provide a viable solution for the rehabilitation of patients with severe maxillary atrophy, offering improved function and aesthetics in cases where conventional implant placement is not feasible due to insufficient bone quantity and quality. Severe maxillary atrophy, often resulting from tooth loss and sinus expansion, presents significant challenges for implant-supported prostheses. Zygomatic implants eliminate the need for extensive bone grafting by anchoring into the zygomatic bone, enabling fixed or removable prostheses. This case report presents two patients with atrophic maxilla rehabilitated using zygomatic implants: one with a history of failed implants and grafts and another with cleft lip and palate. Both patients achieved satisfactory outcomes with minimal complications. Zygomatic implants offer a reliable, long-term solution for severe maxillary atrophy, provided that detailed pre-surgical planning and experienced surgical teams are involved to minimize risks and optimize outcomes.