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Zygomatic Dental Implants

If you’ve been told you don’t have enough bone in your upper jaw for traditional implants, there might still be other options. Zygomatic implants anchor into the cheekbone instead of the jaw, making full arch restoration possible for patients who have experienced significant bone loss — often without the need for extensive grafting or lengthy healing periods.

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What Are Zygomatic Dental Implants?

Zygomatic implants are longer than conventional implants and follow a different path to stability. Rather than anchoring into the upper jawbone, they extend into the zygomatic bone, which is the dense, sturdy structure that forms your cheekbone. Because the cheekbone retains its density even when the jaw has deteriorated significantly, it provides a reliable foundation where the jaw no longer can.

This approach was developed specifically for patients with severe upper jaw atrophy — a condition that typically disqualifies someone from traditional implant treatment. For those patients, zygomatic implants are often the most direct route to permanent, fixed dental restoration.

Who Is a Good Candidate?

Zygomatic implants are designed for a specific group of patients: those looking for an alternative to conventional implants due to the extent of bone loss in the upper jaw. You may be a candidate if you have experienced severe bone deterioration in the upper jaw, have worn dentures for many years and the underlying bone has thinned considerably, have had previous implants fail due to insufficient bone volume, or have been told that the scale of bone grafting required makes traditional implants impractical.

A thorough evaluation, including 3D CBCT imaging, will help us confirm candidacy. Your surgeon will review your bone structure, overall health, and treatment goals before recommending a course of action.

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What to Expect from Consultation Through Recovery

  • Consultation and Surgical Planning: Your initial visit includes a comprehensive exam, a review of your medical and dental history, and advanced 3D imaging to map the structure of your cheekbone and upper jaw. This imaging is essential because it allows your surgeon to plan the precise angle and depth of each implant before the procedure begins. It helps improve both accuracy and predictability.
  • The Procedure: Zygomatic implant surgery is performed under IV sedation or general anesthesia. The implants are placed through the upper jaw and into the cheekbone, where they are secured firmly in place. In many cases, the procedure is combined with conventional implants in areas where adequate bone remains, providing a complete foundation for full arch restoration. Temporary teeth can often be placed the same day, so you leave with a functional smile while the final restoration is being prepared.
  • Healing and Recovery: Because zygomatic implants bypass the areas of bone loss rather than trying to rebuild them, the recovery process is often less involved than what patients expect. Most people return to light, everyday activity within a few days. Your surgeon will provide detailed post-operative instructions and schedule follow-up visits to monitor your healing closely as you progress toward your final restoration.

Life After Zygomatic Implant Surgery

Once your restoration is complete, zygomatic implants function and feel much like natural teeth. They provide stable support for full arch prosthetics and are designed to last long term with proper care. Maintaining good oral hygiene around the implant sites is important, and your care team will walk you through the specific cleaning routine that works best for your prosthetic.

The experience of patients who have gone through this procedure is transformative. Many had spent years dealing with ill-fitting dentures or living with the functional limitations that come with significant tooth loss. A fixed, permanent result changes daily life in ways that are hard to overstate.

This Procedure Requires an Expert

Zygomatic implant surgery is among the more technically demanding procedures in oral and maxillofacial surgery. The anatomy involved requires precise planning, a thorough understanding of the cheekbone structure, and experience handling the complexity that often comes with this type of cases. Our surgeons have treated many patients in exactly these circumstances, including those who sought a second opinion after being turned away elsewhere. Digital planning tools and advanced imaging guide every step, and your safety and comfort remain the priority throughout.

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Common Questions About Zygomatic Dental Implants

The best way to find out is through consultation and imaging. Generally speaking, candidates are patients with severe bone loss in the upper jaw who don’t have sufficient bone volume to support conventional implants. If you’ve been told you’re not a candidate for traditional implants, or if previous implants have failed due to bone-related issues, zygomatic implants may be worth exploring. Your surgeon will give you a clear answer based on your specific anatomy.

Traditional implants are placed directly into the jawbone and rely on that bone for stability. Zygomatic implants are longer and follow a path through the upper jaw into the cheekbone, which offers dense, reliable anchorage even when the jaw itself might be compromised. The clinical goal is the same — a fixed, permanent restoration — but the path to get there is different.

They typically involve a higher investment than conventional implants, reflecting the complexity of the procedure and the specialized training it requires. For many patients, the comparison isn’t simply between zygomatic implants and traditional ones; it’s between zygomatic implants and a combination of extensive bone grafting, multiple surgeries, and extended healing periods that may still not guarantee success. Viewed in that context, the overall cost difference is often less significant than it initially appears. Our team will provide a clear, itemized breakdown during your consultation.

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OUR SURGEON

Brian S. Krost, DMD

A founding presence at the Center for Oral & Maxillofacial Surgery, Dr. Brian Krost specializes in the full range of oral and maxillofacial surgery with particular focus on TMD treatment, reconstructive and cosmetic surgery, laser surgery, and dental implants. He is affiliated with Monmouth Medical Center and is proud to practice alongside his son, Dr. Daniel Krost.

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The best measure of our care is the experience of the people we treat. Read what patients across New Jersey have to say about their time with our team.

What a great practice this place is! Dr Krost is amazing! He knows his stuff, he’s funny too! His staff is unreal! Sooo attentive and kind. Very professional and understanding. Not your usual office if you know what I mean.
Excellent place; the doctors and staff are amazing too. I had an absolutely best experience ! Thank you
Do you want your oral surgery to be swift and done extremely well? Look no further. I had a mucocele on my lower lip and was DESPERATE to get it out. When no other oral surgeon would take me for over a week, COMS took me within 24 hours. And Dr. Anderson just NAILED this operation. I understand it’s routine, but there was a calmness and a professionalism that he brought with him that you can’t find many places. Front desk staff was extremely helpful, too. Have to give them some love. They were quick and had me checked in and ready to go in no time. Thank you, COMS!

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