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Zygoma Implants for Complete Edentulous Upper Jaw

3/1/2018

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A patient of age 43 years who had visited multiple dental clinics looking for an immediate and cost effective solution for his oral rehabilitation; visited our hospital seeking the expert opinion of Maxillofacial Surgeon and Implantologist Dr. S. M. Balaji.
The patient complained of several missing and mobile teeth in the upper arch. The patient explained about his difficulty to chew foods and that he was experiencing a stutter. After thorough clinical and radiological examination, Maxillofacial Surgeon and Implantologist Dr. S. M. Balaji planned to perform complete extraction of the periodontally weak maxillary teeth followed by immediate implants placement along with zygoma implants, thereby providing a graft less and affordable alternative for tooth replacement.
All the maxillary teeth were extracted and dental implants along with zygomatic implants were placed. The zygomatic implants were placed by creating a window on the lateral wall of the sinus; the sinus mucosa was lifted away from the area where the implant would pass through; ensuring not to penetrate the membrane.
After a period of 3 months, complete osseointegration of implants with the alveolar bone was achieved and cosmetically well blended fixed ceramic prosthesis was placed onto the implants. The patient was greatly overjoyed to have a complete smile makeover using dental implants and also stated that he experienced an immediate change in his speech after placement of the prosthesis.
Keywords: Zygoma implants, implants, graft less technique, cheekbone implants, immediate implants.
Pre-operative showing periodontally weak teeth.
Preoperative OPG with severe bone loss
Immediate dental implants fixed into the extraction sockets with good stability and retention
Post-operative OPG with zygoma implants.
Post-operative view after conventional and zygoma implant placement
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Complete smile makeover with immediate dental implants

13/2/2017

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A 30 year old man came to our dental clinic with the complaints of fractured upper front teeth due to an accident.
After thorough clinical and radiological analysis, Maxillofacial Surgeon and Implantologist Dr. S. M. Balaji successfully removed the fractured upper front teeth without damaging the supporting teeth structures. Immediate dental implants were fixed into the extraction sockets with good stability and retention. Following complete osseointegration of implants with that of the alveolar bone cosmetically well blended fixed ceramic prosthesis was given. Patient feels very happy to have permanent fixed replacement for his broken teeth and complete smile makeover with the ceramic prosthesis.
Digital OPG showing fractured upper anterior teeth
Intraoral view showing badly broken upper anterior teeth
Extraction of broken tooth
Extraction of broken upper anteriror teeth
Immediate dental implants fixed in the extraction sockets with good stability and retention
Cosmetically well blended fixed ceramic prosthesis given for the upper anterior teeth
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Periodontally weak teeth replaced with immediate dental implants

9/8/2016

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This is a case of periodontally weak lower anterior teeth replaced with dental implants. She reported to our hospital with the complaint of severely mobile teeth. After thorough clinical and radiological examination, Maxillofacial Surgeon and Implantologist Dr. S. M. Balaji planned to do extraction and replacement with dental implants in single sitting. Mobile teeth were extracted and replaced with immediate dental implants. After complete osseointegration of implants with that of the alveolar bone, cosmetically well blended fixed ceramic prosthesis were placed onto the implants.
Periodontally weak teeth extracted
Immediate dental implants fixed into the extraction sockets with good stability and retention
Implant supported cosmetically well blended fixed ceramic prosthesis given
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Implant placed immediately after fractured tooth extraction

23/7/2016

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A patient reported to our dental clinic wanting to remove a broken tooth in her upper front teeth region due to failed prosthesis done following endodontic therapy elsewhere. She also requested a permanent replacement of the same. She was advised to undergo an extraction of the tooth which was badly broken. Eminent Maxillofacial Surgeon and Implantologist, Dr. S.M. Balaji, renowned for his expertise in dental implantology, successfully extracted the fractured endodontically treated tooth without damage to the supporting bone and an immediate dental implant was placed right away into the socket of the extracted tooth. Following complete osseointegration of the dental implant with that of the alveolar bone cosmetically well blended fixed ceramic prosthesis loaded onto the implant which improved her smile dramatically.
Digital radiograph showing failed prosthetic crown with cervical root structure damaged
Fractured upper right central incisor due to failed prosthesis following endodontic treatment
Failed prosthetic crown along with damaged tooth removed
Metal post with the root piece removed in toto
Fractured tooth removed with good support to the labial and palatal plates
Immediate dental implant fixed into the extraction socket with good retention and stability
Fixed ceramic prosthesis loaded on to the implant giving enhanced appearance
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Implants and ceramic crowns for complete smile makeover

26/2/2016

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A 45-year-old man from Dubai came to our dental clinic seeking to replace his missing lower front teeth. Few months back he had suffered a fall injury in which his lower central incisor teeth were severely fractured and subsequently extracted. The gap in his lower teeth gave him an unsightly smile. Also it was difficult for him to speak clearly and bite into foods. He wanted a fixed replacement without damage to the adjoining teeth.
After thorough clinical and radiological examination, Maxillofacial Surgeon & Implantologist Dr. S.M. Balaji placed dental implants in the missing teeth region with good stability and retention. After complete osseointegration of the implants with the surrounding bone, ceramic crowns of exact color match were fixed to the implants. The patient is very happy to have a natural-looking smile and to be able to bite and speak well.
Missing lower front teeth affecting appearance, speech and biting function
Implants placed in the jaw bone with good stability and retention
Implants will fuse with the surrounding bone and function as roots of teeth
Ceramic crowns of exact color match fixed to implants for complete rehabilitation
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Implant placed immediately after tooth extraction

26/2/2016

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A patient reported to our dental clinic wanting to remove the teeth with excessive mobility. He also requested a permanent replacement of the same. He was advised to undergo an extraction of the upper and lower anterior teeth which have severe mobility due to lack of supporting structures. Eminent Maxillofacial Surgeon and Implantologist, Dr. S.M. Balaji, renowned for his expertise in dental implantology, extracted the severely mobile teeth and immediate dental implants were placed right away into the socket of the extracted tooth. Fixed ceramic prosthesis was given following osseointegration after 3 months.
RVG showing periodontally compromised upper front teeth with the prosthesis
RVG showing periodontally compromised lower front teeth with the prosthesis
Extraction of the periodontally weak upper anterior along with the ceramic bridge
Dental implants fixed into the extraction sockets with good stability and retention
Periodontally weak lower front teeth removed
Extracted teeth with the prosthesis in toto
Lower anterior teeth replaced with immediate dental implants
Cosmetically well blended fixed ceramic prosthesis loaded onto the implants giving enhanced appearance
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Implant placed immediately after fractured tooth extraction

21/2/2016

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A patient reported to our dental clinic wanting to remove a broken tooth in her upper front teeth region due to failed prosthesis done following endodontic therapy elsewhere. She also requested a permanent replacement of the same. She was advised to undergo an extraction of the tooth which was badly broken. Eminent Maxillofacial Surgeon and Implantologist, Dr. S.M. Balaji, renowned for his expertise in dental implantology, skillfully extracted the fractured endodontically treated tooth without damage to the supporting bone and an immediate dental implant was placed right away into the socket of the extracted tooth. Following complete osseointegration of the dental implant with that of the alveolar bone cosmetically well blended fixed ceramic prosthesis loaded onto the implant which improved her smile dramatically.
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Implant placed immediately after tooth extraction

16/2/2016

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A patient reported to our dental clinic wanting to remove the badly decayed teeth. She also requested a permanent replacement of the same. She was advised to undergo an extraction of the upper right anterior teeth. Eminent Maxillofacial Surgeon and Implantologist, Dr. S.M. Balaji, renowned for his expertise in dental implantology, extracted the severely decayed teeth and immediate dental implants were placed right away into the socket of the extracted tooth. Fixed ceramic prosthesis was given following osseointegration after 3 months.
Extraction of the grossly decayed upper right anterior teeth
Implant fixed into the extraction sockets
Dental implants fixed into the extraction sockets with good stability and retention
Cosmetically well blended fixed ceramic prosthesis loaded onto the implants giving enhanced appearance
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Immediate implants and ceramic prosthesis for aesthetically-enhanced smile

12/2/2016

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A young man came to our dental clinic seeking expert treatment for his unattractive smile and mobile upper front teeth. Due to his loosened upper teeth he was unable to bite into foods and even speak properly. Also the unsightly gap between the teeth and the discolored fillings on the two front teeth that were done elsewhere, made him very conscious of his smile and he wanted to remove the teeth and get a fixed replacement.
Periodontal therapy was done to improve the gingival condition. The periodontally weak maxillary central incisors were extracted and dental implants placed in the same sockets with good retention and stability without any additional bone loss. Following complete osseointegration of the implants with the surrounding bone, cosmetically well blended ceramic crowns were fixed with good color match. This gave a natural-looking, pleasing, enhanced smile. The patient was very happy to have this complete rehabilitation that improved his smile and appearance and also he was able to bite foods well and speak easily.
Immediately after periodontal flap therapy
Periodontally weak upper central incisors were removed
Dental implants immediately fixed into the extraction sockets with good stability and retention
Cosmetically well blended fixed ceramic prosthesis loaded onto the implants following osseointegration
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Implant placed immediately after fractured tooth extraction

5/2/2016

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A patient reported to our dental clinic wanting to remove a broken tooth in her upper front teeth region due to failed prosthesis done following endodontic therapy elsewhere. She also requested a permanent replacement of the same. She was advised to undergo an extraction of the tooth which was badly broken. Eminent Maxillofacial Surgeon and Implantologist, Dr. S.M. Balaji, renowned for his expertise in dental implantology, skillfully extracted the fractured endodontically treated tooth without damage to the supporting bone and an immediate dental implant was placed right away into the socket of the extracted tooth. Following complete osseointegration of the dental implant with that of the alveolar bone cosmetically well blended fixed ceramic prosthesis loaded onto the implant which improved her smile dramatically.
Fractured upper right central incisor due to failed prosthesis following endodontic treatment
Fractured tooth removed with good support to the labial and palatal plates
Fractured tooth removed in toto
Immediate dental implant fixed into the extraction socket with good retention and stability
Postoperative x-ray showing successful implant placement
Fixed ceramic prosthesis loaded on to the implant giving enhanced appearance
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