Zygomatic vs Bone GraftingDecision Framework
For patients with severe maxillary atrophy, zygomatic implants offer a single-stage alternative to multi-procedure bone grafting protocols, reducing treatment time from 12-24 months to 4-7 months while achieving comparable long-term success rates.
COMPARISON
Treatment Options at a Glance
| Factor | Zygomatic | Conventional + Graft | Sinus Lift |
|---|---|---|---|
| Bone Grafting Required | |||
| Same-Day Provisional Teeth | |||
| Single Surgical Procedure | |||
| Suitable for Severe Atrophy | Limited | ||
| Treatment Under 6 Months | |||
| Avoids Harvest Site Surgery | |||
| 95%+ Long-Term Success Rate | |||
| Immediate Esthetic Result | |||
| Requires Specialized Training | |||
| Extended Implant Length (30-52mm) |
CONFIGURATIONS
Zygomatic Protocol Options
Bi-Zygomatic
2 zygomatic + 2-4 conventional
Two zygomatic implants replace posterior sinus lifts while conventional implants utilize remaining anterior ridge.
Indication
Moderate posterior atrophy with adequate anterior bone
Quad-Zygomatic
4 zygomatic implants
Four zygomatic implants provide full-arch support without any conventional implant requirement.
Indication
Severe total maxillary atrophy
Zygomatic + Pterygoid
2 zygomatic + 2 pterygoid
Combines zygomatic and pterygoid anchorage for cases where quad-zygoma is not feasible.
Indication
Extreme atrophy with compromised zygoma access
ECONOMICS
Treatment Investment Comparison
| Factor | Zygomatic | Grafting Route |
|---|---|---|
| Surgical Procedures | 1-2 | 3-5 |
| Anesthesia Sessions | 1-2 | 3-5 |
| Graft Material Cost | $0 | $2,000-5,000 |
| Time in Temporary Denture | 0 days | 12-18 months |
| Follow-up Appointments | 6-8 | 15-20+ |
| Total Treatment Duration | 4-7 months | 12-24 months |
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