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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

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

  1. Hi Dr. Amin,

    My 65 year-old sister was advised by various Board Certified Oral Surgeons, Prosthodontists & Periodontists that she would need a full mouth restoration. It is because of having multiple loose & failed implants & severe cavities due to her previous general dentist’s sub-standard implant planning & placement.

    Recently my sister had consultations with a Board Certified Prosthodontist at a reputable implant center and he recommended using longer & wider implants one of which is 16 mm in length & the other one is little shorter and his surgeon would place 2 implants in a V shape in each side of the upper jaw. This implant method does not require bone grafts & sinus lifts and it will provide strong stability for the upper All On Four implants to last for a long time,

    Please advise if this recommended treatment plan will offer a long term solution for my sister. Also, please advise your consultation fee.

    Thank you!

    Elaine

    1. This is a fairly standard design of the all on x/all on 4 procedure. I routinely use implants that are 16 mm long and some that are shorter. In fact some of the zygomatic implants go from 30 mm to 60 mm long including placement into the pterygoid areapterygoid area which can allow for an excellent fixed prosthetic for the upper jaw with teeth that go further back also avoiding sinus lift bone grafting. This should work in most cases but there are so many more factors than just bone. You are welcome to call my office in Burbank California if you would like to have a consult. The phone number is 818-846-3203

  2. 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 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.