09/01/2026
Full arch reconstruction in a severely atrophic maxilla is one of the harder things we do, and this case is a good example of why.
She’d been in an upper denture for a while, and was not tolerating it well. The bone in her upper jaw had resorbed to the point where standard implants had nowhere to go. That’s usually where people get told to keep wearing the denture and make peace with it.
Zygomatic implants change that math. Instead of relying on jaw bone that isn’t there anymore, they anchor into the cheekbone, which is dense and stable and doesn’t resorb the way the alveolar ridge does. One on each side here, three standard implants anteriorly where we still had bone to work with, and five in the lower. Both arches immediately loaded.
Planning matters more than anything on these. The CBCT work, the angulation, coordinating with the restorative side before surgery.
Photos shared with patient consent.
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