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Zygomatic Implant Planning -Ramsey Amin DDS -Burbank

Planning zygomatic implants in 3D is one of the most important parts of the diagnostic process.  In this video you can see how I placed  a quad zygoma… Meaning four zygomatic dental implants for an upper jaw that has literally no bone.  The implants are kind of laying on the side of the jaw near the base of the nose on this patient.

You can see that the bone has been lost underneath the nose.   I don’t even have room to do a nasal lift, which is different than a sinus lift.  This happens when you have lost all of your teeth and all the bone has melted away all the way until the “floor” of the nose and sinuses.

You can see on this video that the implants are placed partially in and partially out of the sinuses and into the meaty part of the cheekbone.  They are placed below the eye sockets, below the eye.  The bone of the eye socket is much larger than the actual eyeballs.

This 3-D software that I use is called anatomage.  I use for every single implant patient that I treat.  It allows me to do a virtual surgery prior to doing the actual procedure and/or create a surgical guide/template.  I sure this 3-D analysis with my patient at their second visit consultation appointment.  This allows me make sure that my patient understands the treatment.  One of the cool things about this process is that patients that were told they can’t have implants are almost always treatable!  In fact most of these patients get their teeth screwed in place the very next day or on the same day of the surgery eliminating the denture forever!

The 3-D planning also allows me to see not only how much bone we have (volume) but how hard or soft that bone is (density.)

Please comment and ask questions.  Thank you for taking a look.

Ramsey A. Amin, D.D.S.
Diplomate of the American Board of Oral Implantology /Implant Dentistry
Fellow-American Academy of Implant Dentistry
BURBANK, CALIFORNIA

2 thoughts on “Zygomatic Implant Planning -Ramsey Amin DDS -Burbank

  1. Dr. Amin,
    After reading this article I was wondering why my impressions where taken with the gooey mold material. My thoughts are that it would have been less traumatic to use the digital workflow method.

    “This is how I take an impression for an implant. It can be one implant or it can be a whole mouth full of implants.
    This is a digital implant impression. This is far more accurate than messy gooey mold material.
    You may hear this called the digital workflow. This allows me to make the models and the implant crown/ Bridges/ prettau bridges digital from the start.
    This is not just simply replacing the material that a traditional impression would be taken with. It is a paradigm shift in design parameters. Your implant teeth will be far better done this way then in a traditional stone/plaster mold.”
    Thank You

    1. Hi Diana…thank you for your comment. I am glad I saw this! In the future please email me privately since you are a patient.

      Everything I have said here is exactly right. The difference is for some transitional/temporary appliances the analog workflow can be superior for capturing the palate anatomy. This is because the scanners love scanning teeth but sometimes have trouble scanning gums on the roof of the mouth.

      Often times I will digitize the analog mold and transition in and out of the analog/digital workflow along the way depending on each patient’s unique situation.

      The final teeth and Prototypes are almost always made through the digital workflow

      I hope this clarifies things for you.

      Looking forward to seeing you again 🤗

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About Ramsey A. Amin, DDS

Dr. Ramsey Amin has extensive experience in surgical and restorative implant dentistry. As one of only less than 400 Diplomates of the American Board of Oral Implantology/ Implant Dentistry (ABOI/ID) he is considered an expert, and board-certified in dental implants. He is a former instructor at the UCLA School of Dentistry.