Zygomatic Dental Implant at Clínica Dr. Fernando Giovanella

ZYGOMA 2.0 METHOD - https://www.fernandogiovanella.com/zygoma (online traning for dentists).

The function of the jaw bone is to hold the teeth. Once the teeth have been removed from the jaws, that jaw bone has no more function and it starts to dry, it gets thinner and consequently the gingiva also gets thinner - because the gum is like the bone mat, this process is what we dentists call bone resorption.

As this process is progressive, there comes a point where the upper jaw is left with bone and gum so reduced that the denture does not stop. These are the cases that we call server bone atrophy - bone loss of great proportion due to the use of dentures for decades on end. Often, only 1 or 2mm of bone remains in the jaw. The subject cannot even speak properly because the dentures fall off. He bites on one side, he dislocates on the other .. and life gets difficult.

The solution to problems like this would then be to make a fixed dentition through dental implants, to make a fixed dentition screwed on dental implants - the so-called prosthesis protocol - where a dental arch with teeth and artificial gums is installed over the implants, returning the dental aesthetic, gingival, facial and making the dentition fixed.

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So you must be thinking, but wait, if there is a lack of bone in the jaw where these implants will be installed?

Well, there we have 2 possibilities, 2 completely different paths 1) is to replace the bone in the jaw - what is known as bone graft. This bone can be removed from the patient himself, from the bone bank or from synthetic materials. The problem is that 3 surgeries are needed. 1) bone graft surgery + 6 to 8 months waiting for the bone to incorporate in the jaw 2) surgery to install the implants + another 4 months waiting to wait for the implant to incorporate in the jaw bone, 3) surgery to reopen the implants and only from then on start to make the fixed teeth. It is a long process and you need to use your dentures with even more difficulty throughout this process. Anyway, the 1st. possibility is the bone graft. which is proposed by 99% of dentists. But understand ... this is not the only way.

The second possibility is to make a special type of implant that is inserted into the bone adjacent to the jaw bone - the so-called zygomatic bone, which is the bone that supports the cheekbone - this special type of implant is called the zygomatic implant. How is this possible? What happens is that although the jaw bone has been reabsorbed after tooth removal, the zygomatic bone maintains its structure because it does not depend on the teeth for its maintenance. It is constantly stimulated by a powerful chewing muscle called the masseter muscle. That is, even after the loss of all teeth and the jaw bone, this bone remains strong and intact. Then the implants are installed in this bone and allow to do all the treatment without any type of graft, which brings some advantages such as:

All treatment is performed only with surgery; the implant is installed in the patient's native bone and not in a grafted bone (which usually tends to be a softer bone) and the main one: as the zygomatic bone is a very hard bone, it is possible to make the immediate load, that is, install the implants and already place the fixed dentition in a few days, usually 3 days.

But what about fixed teeth, do they change anything? do not. either with a graft or with a zygomatic implant, the prosthesis will always be a prosthesis that has a tooth and gum known as protocol prosthesis or dento-gingival prosthesis. There are only 4 exposed pins in the mouth where the prosthesis is then screwed over the implants, and the dentition is then fixed.