Zygomatic Implants and the ZAGA Concept

Welcome to an informative guide on zygomatic implants, a groundbreaking treatment option for individuals suffering from severe maxillary atrophy. This article discusses how zygomatic dental implants can help with severe maxillary atrophy and improve oral health.

We use scientific research and information from zygomaticimplants.org. This helps us explain how the ZAGA Technique can benefit dental patients. The technique provides a reliable solution for those seeking improved dental care.

Table of Contents

Understanding Severe Maxillary Atrophy

Severe maxillary atrophy refers to a condition characterized by significant bone loss in the upper jaw (maxilla). It can occur because of factors such as advanced gum disease, tooth loss, trauma, or natural aging. Severe maxillary atrophy can make it difficult for regular dental implants to be successful because of insufficient bone.

Dentists use zygomatic dental implants for patients with severe upper jaw bone loss. These implants attach to the zygomatic bone, which is denser and stronger than the maxillary bone. This provides a more stable foundation for the implants. This enables secure placement of the implants even with minimal bone available in the upper jaw.

With the ZAGA Technique this process involves a unique method for inserting implants. The goal is to ensure they function properly. This helps patients with severe maxillary atrophy improve their oral health.

Dentists can help patients with severe jaw bone loss by using zygomatic dental implants.

Introducing Zygomatic Implants

Zygomatic implants have revolutionized the field of dentistry by offering a breakthrough solution for patients with severe maxillary atrophy, who will be perfect candidates for zygomatic implants. Surgeons insert zygomatic implants in the cheekbone for support, and place regular implants in the jawbone. This technique provides a stable foundation for dental prosthetics, ensuring optimal functionality and aesthetics.

Zygomatic implants are for people with insufficient upper jaw bone for regular dental implants. Imagine your jawbone as the soil in a garden.

Just like certain plants need deep soil to grow well, regular dental implants need a good amount of bone to hold onto. But what if the soil (or bone) isn’t deep enough? That’s where zygomatic implants come in.

Zygomatic implants are longer and anchor into the cheekbone instead of the jawbone for better stability. The cheekbone is usually much stronger and has more depth than the upper jawbone, making it a great foundation for these implants.

Here’s a simple breakdown:

  • Traditional Dental Implants: Need a good amount of jawbone to attach to.
  • Zygomatic Implants: Don’t rely on jawbone depth. They anchor into the cheekbone, offering a solution for those with less jawbone.


Zygomatic implants help people with not enough bone for regular implants get fixed teeth. They can now enjoy the benefits of having permanent teeth. It’s like planting a tree in shallow soil with a strong support that reaches a solid foundation for stability and growth.

Zygomatic implants Dentistry
Maxillary prosthesis implants

The Benefits of Zygomatic Implants

  1. Immediate Results: One of the key advantages of zygomatic implants is their ability to provide immediate functionality. Zygomatic implants can fix your smile in just one dental implant procedure. Patients must wait several months for traditional implants to heal before the dentist can add the final prosthetics.(1)
  2. Avoidance of Bone Grafting: Severe maxillary atrophy often necessitates extensive bone grafting procedures to augment the jawbone. However, zygomatic implants can eliminate the need for such interventions (2). This reduces treatment time and avoids additional surgical procedures, making the process more convenient and less invasive.
  3. Severe maxillary atrophy can make it hard to chew and enjoy different foods. Restoring chewing function can help with this. Zygomatic implants give strong support, helping patients eat normally again. They can enjoy a balanced diet with ease (3).
  4. Severe maxillary atrophy can make the face look sunken and decrease confidence in one’s appearance. Zygomatic implants can make your face look better and give you more confidence by fixing your smile and supporting your face.(4)

The ZAGA Technique: A Pioneering Approach

The ZAGA Technique is a pioneering approach in zygomatic implantology. The treatment is called the “Zygoma Anatomy-Guided Approach.” It fits each patient’s unique anatomy through personalization.

This approach uses advanced dental implant technology to achieve the best results. The technique involves meticulous planning and precise implant placement based on the individual’s zygomatic bone structure (5).

By utilizing the ZAGA Technique, dental professionals can achieve the following benefits:

  • The ZAGA Technique focuses on patient-centered care. It prioritizes the patient’s needs and takes into account their individual anatomy. This approach enables the development of a personalized treatment plan, which increases the chances of highly successful outcomes.
  • The ZAGA Technique plans and places zygomatic implants carefully. This ensures predictable results and lasting stability. Patients can have peace of mind about their treatment.
  • Simpler Surgery: The ZAGA Technique focuses on each patient’s anatomy, making surgery less complex. This leads to quicker and more efficient surgeries.
  • The ZAGA Technique reduces complications during zygomatic implant surgery. It considers bone and anatomical factors to lower the risk of problems. This technique helps to minimize potential issues that may arise during the surgery. By taking these factors into account, the ZAGA Technique improves the overall high success rates and safety of the procedure.(6)
ZAGA zygomatic implant book
Zygomatic Implants 3D Image


For dental patients suffering from severe maxillary atrophy, zygomatic implants offer a revolutionary solution that can restore oral health, functionality, and self-confidence. With their immediate functionality, avoidance of bone grafting, restored chewing function, and enhanced aesthetics, zygomatic implants can significantly improve the quality of life.

The ZAGA Technique, with its patient-centric approach and predictable outcomes, further enhances the success of zygomatic implant treatments. Consult a dental professional trained in the ZAGA Technique to improve your smile. This technique can help you begin a journey towards a better smile.



  1. Aparicio, C., Dawood, A., Ucer, C. (2023). Zygomatic Implants. The ZAGA Concept. In: Rinaldi, M. (eds) Implants and Oral Rehabilitation of the Atrophic Maxilla. Springer, Cham.

  2. Solà Pérez A, Pastorino D, Aparicio C, Pegueroles Neyra M, Khan RS, Wright S, Ucer C. Success Rates of Zygomatic Implants for the Rehabilitation of Severely Atrophic Maxilla: A Systematic Review. Dent J (Basel). 2022 Aug 12;10(8):151.

  3. Aparicio, C., Polido, W.D., Chow, J. et al. Round and flat zygomatic implants: effectiveness after a 1-year follow-up non-interventional study. Int J Implant Dent 8, 13 (2022).

  4. Aparicio, C., Olivo, A., de Paz, V. et al. The zygoma anatomy-guided approach (ZAGA) for rehabilitation of the atrophic maxilla. Clin Dent Rev 6, 2 (2022).

  5. Aparicio C, López-Píriz R, Peñarrocha M. Preoperative Evaluation and Treatment Planning. Zygomatic Implant Critical Zone (ZICZ) Location. Atlas Oral Maxillofac Surg Clin North Am. 2021 Sep;29(2):185-202.

  6. Aparicio C, Polido WD, Zarrinkelk HM. The Zygoma Anatomy-Guided Approach for Placement of Zygomatic Implants. Atlas Oral Maxillofac Surg Clin North Am. 2021 Sep;29(2):203-231.

  7. Aparicio C, Polido WD, Chow J, David L, Davo R, De Moraes EJ, Fibishenko A, Ando M, Mclellan G, Nicolopoulos C, Pikos MA, Zarrinkelk H, Balshi TJ, Peñarrocha M. Identification of the Pathway and Appropriate Use of Four Zygomatic Implants in the Atrophic Maxilla: A Cross-Sectional Study. Int J Oral Maxillofac Implants. 2021 Jul-Aug;36(4):807-817.

  8. Clarós, P. & Końska, N. & Clarós-Pujol, P. & Sentís, J. & Clarós, Pedro & Penarrocha, Miguel & Aparicio, Carlos. (2021). Prevalence of maxillary sinus alterations after zygomatic surgery. A comparative study between intra-sinus and ZAGA approaches. Dentistry and Oral Maxillofacial Surgery.

  9. Aparicio C, López-Piriz R, Albrektsson T. ORIS Criteria of Success for the Zygoma-Related Rehabilitation: The (Revisited) Zygoma Success Code. Int J Oral Maxillofac Implants. 2020 Mar/Apr;35(2):366-378.

  10. Aparicio C, Antonio S. Zygoma Anatomy-Guided Approach “Scarf Graft” for Prevention of Soft Tissue Dehiscence Around Zygomatic Implants: Technical Note. Int J Oral Maxillofac Implants. 2020 Mar/Apr;35(2):e21-e26

  11. M PD, Jc BM, A FR, C A, D PO. Bone Regeneration and Soft Tissue Enhancement Around Zygomatic Implants: Retrospective Case Series. Materials (Basel). 2020 Mar 29;13(7):1577

  12. Aparicio C, Manresa C, Francisco K, Claros P, Alández J, González-Martín O, Albrektsson T. Zygomatic implants: indications, techniques and outcomes, and the zygomatic success code. Periodontol 2000. 2014 Oct;66(1):41-58.

  13. Aparicio C, Manresa C, Francisco K, Aparicio A, Nunes J, Claros P, Potau JM. Zygomatic implants placed using the zygomatic anatomy-guided approach versus the classical technique: a proposed system to report rhinosinusitis diagnosis. Clin Implant Dent Relat Res. 2014 Oct;16(5):627-42.

  14. Aparicio C, Manresa C, Francisco K, Ouazzani W, Claros P, Potau JM, Aparicio A. The long-term use of zygomatic implants: a 10-year clinical and radiographic report. Clin Implant Dent Relat Res. 2014 Jun;16(3):447-59.

  15. Aparicio, Carlos. (2011). A proposed classification for zygomatic implant patient based on the zygoma anatomy guided approach (ZAGA): a cross-sectional survey. European journal of oral implantology. 4. 269-75.

  16. Aparicio C, Ouazzani W, Aparicio A, Fortes V, Muela R, Pascual A, Codesal M, Barluenga N, Franch M. Immediate/Early loading of zygomatic implants: clinical experiences after 2 to 5 years of follow-up. Clin Implant Dent Relat Res. 2010 May;12 Suppl 1:e77-82.

  17. Aparicio C, Ouazzani W, Aparicio A, Fortes V, Muela R, Pascual A, Codesal M, Barluenga N, Manresa C, Franch M. Extrasinus zygomatic implants: three year experience from a new surgical approach for patients with pronounced buccal concavities in the edentulous maxilla. Clin Implant Dent Relat Res. 2010 Mar;12(1):55-61.

  18. Aparicio C, Ouazzani W, Hatano N. The use of zygomatic implants for prosthetic rehabilitation of the severely resorbed maxilla. Periodontol 2000. 2008;47:162-71.

  19. Aparicio C, Rangert B, Sennerby L. Immediate/early loading of dental implants: a report from the Sociedad Española de Implantes World Congress consensus meeting in Barcelona, Spain, 2002. Clin Implant Dent Relat Res. 2003;5(1):57-60.

  20. Aparicio C, Ouazzani W, Garcia R, Arevalo X, Muela R, Fortes V. A prospective clinical study on titanium implants in the zygomatic arch for prosthetic rehabilitation of the atrophic edentulous maxilla with a follow-up of 6 months to 5 years. Clin Implant Dent Relat Res. 2006;8(3):114-22.

  21. Carlos Aparicio, MD, DDS, DLT, MS/Per-lngvar Brånemark, MD, PhD/Eugene E. Keller, DDS, MSD/Jordi Olivé, MD, DDS, DUPMF. Reconstruction of the Premaxilla With Autogenous lliac Bone in Combination With Osseointegrated Implants. International Journal of Oral & Maxillofacial Implants. Volume 8 , Issue 1. January/February 1993. Pages 61-67

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