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