What are Zygomatic Implants?

At Clínica Birbe, we specialize in the rehabilitation of severe atrophy of the upper jaw using fixed dental prostheses supported by zygomatic implants, which are anchored in the cheekbone. This way, we avoid the need for bone graft surgery.

What is achieved with Zygomatic Implants?

  • Zygomatic implants make it possible to treat cases involving severely atrophic (bone-deficient) jaws.
  • Zygomatic implants eliminate the need for bone grafts.
  • Zygomatic implants speed up the prosthetic rehabilitation process. The teeth are placed in the mouth on the zygomatic implants within 24 hours.
  • The number of follow-up visits is lower with zygomatic implants than with graft reconstructions.
  • Oral rehabilitation using zygomatic implants improves quality of life and is very well received by patients.
  • There is substantial scientific evidence supporting its reliability and validity.

Treatment Process

The process begins with a detailed evaluation: a 3D CT scan, a clinical examination, and an analysis of previous prosthetics. Dr. Joan Birbe evaluates whether zygomatic implants are the best option compared to extensive bone grafts. If they are, we perform digital surgical planning to define precise paths that make the most of the zygomatic bone. The surgery is scheduled in a hospital operating room under general anesthesia or deep sedation. Zygomatic implants are placed—usually in combination with conventional implants—and, in many cases, a temporary fixed prosthesis is screwed into place the same day or within a few days.

Recovery time

Recovery from zygomatic implant surgery is more demanding than recovery from conventional implant surgery. Facial swelling is pronounced during the first 7–10 days and subsides significantly by 2 weeks. Bruising may occur in the cheekbone area. We recommend a soft diet for 2–3 weeks, applying cold compresses for the first 48 hours, avoiding physical exertion for 4 weeks, and following the antibiotic and pain reliever regimen. The transition to the workforce usually takes place after two weeks. Functional rehabilitation with the temporary prosthesis begins on the very first day.

Expected Results

The results are very significant: patients who have worn unstable removable dentures for years regain fixed teeth, chewing function, and quality of life. Digital planning in advance allows us to predict the position and the aesthetic outcome. According to the clinical literature, the success rate for zygomatic implants exceeds 95% at 5–10 years when performed by experienced teams. The final prosthesis is placed after 3–6 months of osseointegration, ensuring stability and a natural appearance. The improvement in self-esteem and well-being is remarkable.

Duration of treatment

The surgery lasts between 3 and 5 hours, depending on the number of implants and the complexity of the procedure. The osseointegration phase lasts 3–6 months, during which time the patient wears a temporary prosthesis. After this period, the permanent prosthesis is placed. The entire treatment process, from the first visit to the final prosthesis, is usually completed in 6–9 months. Maintenance inspections are scheduled every 6 months during the first few years and then annually. It is a demanding treatment, but one that restores quality of life for many years to come.

Frequently Asked Questions About Zygomatic Implants

These are long implants that are anchored in the cheekbone (zygomatic bone) rather than in the upper jaw. They are indicated when there is significant bone loss in the posterior region and conventional implants are not possible without extensive bone grafts. At Clínica Birbe in Barcelona, they offer a solution for restoring fixed teeth in patients with severely resorbed jawbones.

Patients with severe maxillary atrophy, in whom an extensive bone graft is not feasible or is not desired. This also includes those who have had unsuccessful attempts at implant rehabilitation in the past. An evaluation by Dr. Joan Birbe, an ABOMS-certified maxillofacial surgeon, along with a 3D scan, determines whether this technique is the most appropriate option.

It is a demanding surgical procedure that requires specific maxillofacial expertise and detailed digital planning. It is performed in the operating room under general anesthesia or deep sedation. The main advantage is that it avoids extensive grafting and, in many cases, allows for fixed teeth to be placed in a single procedure. That is why it is essential to have it performed by a trained team.

The price depends on the number of implants (usually 2 or 4 zygomatic implants combined with conventional implants) and the type of fixed prosthesis that is placed. Due to its complexity and the materials used, the cost is higher than that of a standard implant. We provide a fixed quote following the 3D analysis and offer customized financing options.

Dr. Joan Birbe: Zygomatic Implants with ABOMS Maxillofacial Experience

Zygomatic implants are an advanced surgical technique for patients with severe bone atrophy of the upper jaw. They require skill in handling the zygomatic bone and a thorough understanding of anatomy that can only be gained through a solid maxillofacial education. Dr. Birbe’s ABOMS certification attests to his technical ability to restore severely damaged jaws in Barcelona without the need for extensive bone grafts, allowing him to provide fixed prostheses much sooner than with other conventional techniques.

Why Get Zygomatic Implants at Clínica Birbe?

When there is no bone in the maxilla, the zygomatic bone is a powerful alternative. But only when performed by experienced maxillofacial surgeons.
• Detailed CBCT evaluation of the zygomatic bone and virtual planning of the implant path.
• ABOMS-certified maxillofacial surgeon with specialized training in craniofacial anatomy.
• An accredited in-house operating room and anesthesia services tailored to more complex surgeries.
• The option to combine zygomatic implants with conventional implants in a single procedure.
• Prosthetic coordination for rehabilitation using fixed prostheses on zygomatic implants.


→ Schedule an appointment at Clínica Birbe Barcelona and find out if zygomatic implants are the right solution for you.

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After zygomatic implants

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  • Monday, Thursday and Friday from 8:00 a.m. to 4:00 p.m.
  • Tuesday and Wednesday from 8:00h to 19:00h.
  • Phone: +34 93 212 47 37

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During your first consultation we will provide you with:

✔ Personal diagnosis by oral and facial examination.

✔ Closed budget with different financing financing possibilities.

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