Once bone mass is gone, it cannot be reversed thus,
rehabilitation of the teeth may be needed. If you do not replace the missing
tooth with the replacement tooth, then dental occlusion and domino effect can
cause a drastic change to the overall dynamic of your teeth and mouth. Generally,
there are two surgical alternatives to achieve fixed rehabilitation for
completely edentulous patients, such as grafting and graft-less solution. For
patients with insufficient intra-oral donor sites, oral surgeons prefer
graft-less solutions using zygomatic implants. Unlike conventional implants,
zygomatic implants are safe and effective options for the management of
severely resorbed edentulous maxillae and atrophic jaws. Reducing the time
between surgery and fixed restoration, and offering a broad range of options for
prosthetics, zygomatic implants allow a quick return to normal life and
increases comfort and quality of life for the patients.
Straumann® zygomatic implant system stands as a breakthrough for the rapidly expanding field of
zygomatic implant rehabilitation that incorporates unique design and features.
The system consists of Straumann® Zygomatic Implant ZAGA™ Round and Straumann®
Zygomatic Implant ZAGA™ Flat designs, which were born out of the
collaboration of three surgeons and engineers. Each implant has been fabricated
to suit the patient’s anatomical situation for maximum comfort and efficiency.
With unique design and straightforward prosthetic concept, Straumann®
Zygomatic Implants provide versatile treatment options, which support
clinicians to customize solutions as per patient’s requirements. The size of
the Straumann® Zygomatic Implant makes it an excellent choice for enhancing
patient safety, with 2.6 mm at the apex, 3-3.9 mm for the tapered and threaded
apical portion.
Zygoma Anatomy-Guided Approach (ZAGA) is a concept used to place zygomatic implants in a
prosthetically driven manner. Adapting the implant design according to the
patient’s anatomy is the key to achieving clinical success as well as patient
satisfaction. Combining the ZAGA technique with the ZAGA Flat and ZAGA Round zygomatic implants helps to prevent soft tissue complications, rhinosinusitis
complications, and other pitfalls associated with the treatment of severe
maxillary atrophy. Straumann® Zygomatic Implant ZAGA™ flat design has a semi-circumference
section to overcome situations where circular/tunnel osteotomy cannot be
performed. However, it is at the surgeon's discretion to use either a flat or
round implant design based on the residual bone at the crestal/sinus floor
level. The two ZAGA zygomatic implants are thin, resistant, easily adaptive to
the anatomy of the patient, and are proven to be appreciated by oral surgeons.
Key features of Straumann® Zygomatic Implant System
Surface Type
Straumann® Zygomatic implants combine both rough and machined
surfaces, each having its benefits in the implant design. During the crucial
transition between initial mechanical stability and secondary biological
stability, the sandblasted rough surface enhances bone apposition onto the
titanium surface along with providing higher osseointegration values in
shorter healing times. The machined surface prevents the proliferation of
bacteria on the titanium implant surface, and ultimately reduces the risk of bone
loss around the implant neck. Some of the zygomatic implants whose final apex
is rounded, and threads are not as aggressive are IDC zygomatic implants, Noris
Medical Zygomatic implants, Nobel Biocare, among others.
Length
The oral surgeon needs to consider installing four zygomatic
implants, and with anterior implants much larger than posterior implants for
anatomical reasons, the space available for anchorage is not too large. The tip
of the implant should not be set too low otherwise it can fracture the
zygomatic bone, nor it should be set too high so as not to penetrate the
infratemporal fossa. The length of the Straumann® zygomatic implants (available
in a wide range of 30 -55 mm) is excellent for the surgical procedure as it
does not risk the patient's safety. The size might seem like a minor detail to
be taken into consideration, but length can become a decisive factor for the
resolution of some cases in an ideal way. Other zygomatic companies that stand
out in this regard are SIN Implant System with zygomatic implant length
up to 62.5 mm, Nobel BioCare with maximum implant lengths of 52.5 mm. The ideal
zygomatic implant system must cover a wide range of lengths to suit the varying
needs of individuals.
Prosthetic Versatility
The 55o implant platform provides a higher
angle and versatility, which also guarantees long-term mechanical behavior. An
ideal prosthetic component optimizes the prosthetic screw's emergence as well
as maintains a vertical position compatible with the soft tissue thickness. The
greater the range of possibilities offered by the zygomatic implant system in
terms of height and resolutions, the better are the outcomes of the surgical
treatment. Although zygomatic implants with a 45o head promote good
prosthetic resolution, an increase in angle to 55o provides a
greater advantage. JDentalCare, Noris, NobelZygoma, IDC Implants, Titaniumfix,
offer 0o head implants, which give the surgeon the flexibility to
install implants without assemblers and minimize the chances of mechanical
complications under high torque.
Thickness
Just like lengths, there is a wide variation between the
zygomatic implants' thickness among different brands. The zygomatic implant of
inappropriate thickness could lead to fracture due to lack of support to
implant head in the cervical region, lack of splinting, excess of the anterior
cantilever, etc. Straumann® zygomatic implants have an optimal thickness of
3.4 mm, which does not lead to any kind of complications after the
procedure. Southern implants are the unique zygomatic implant
manufacturer company that offers different alternatives for implant thickness,
3.4 mm, and 4.1 mm.
Some of the other unique features of the Straumann® ’s
implant design includes
·
Narrow 3.4 mm apex
diameter and grade 4 titanium to increase fatigue strength
·
Rough tapered apex
portion to improve primary stability and match ZAGA osteotomies
·
Turned machined implant
platform for optimizing prosthetic versatility
·
Flat mid-portion to
reduce soft tissues tension
·
Round mid-portion to fit
tunnel type osteotomy
·
Transporter with the
same outer diameter as an implant to preserve bone crest
Straumann® ’s zygomatic implant systems address the following concerns
post-procedure such as
·
Gradual
loss of volume in zygomatic bone, especially with quad surgeries
·
Breaking
of the bony crest valuable for soft tissue maintenance
·
Interference
of wide implant transporter with another implant in a compromised maxilla
·
Lack of
stability in zygoma area
·
Difficult
soft tissue anchoring at the crest level
·
High
tension of soft tissue during placement of implant extra-maxillary in ZAGA
types 2 and 4
·
Bacterial
adhesion over implant surface
Other Zygomatic Implants
Nobel Biocare’s zygomatic implants
Designed to achieve high primary stability for immediate function, the
Nobel Biocare's zygomatic implants allow patients to have a fixed provisional
prosthesis fitted immediately after surgery, resulting in shorter treatment
time. The precision-engineered Nobel Biocare component removes the risks
associated with ill-fitted third-party abutments and eliminates the risks that
unclean and non-biocompatible components encounter the soft tissue. The Nobel
Biocare zygomatic implants have an unthreaded implant body designed to
interface with the soft tissue, and for extra maxillary placement, the coronal
part of the implant provides bone support. Without the Nobel BioCare Zygomatic
implant, many people would have otherwise required invasive grafting procedures
to establish adequate bone volume for conventional implant placement.
The Nobel Biocare zygomatic implants have benefits for both the patient
and clinician. As the prosthesis is supported by the implants and not by the
soft tissue as the surgical site, the patient feels more confident with the
stability of the prosthesis. The immobility of prostheses allows for more
confident speech and enhanced appreciation of foods due to lack of palatal
coverage. Nobel Biocare's zygomatic implants, NobelZygoma 0̊ and NobelZygoma
45̊ implants provide an excellent alternative for the treatment of maxillary
resorption. The straight implant head ensures greater flexibility during
implant placement and the implant comes in a broad range of lengths, from 30 mm
to 52.5 mm with all external hex connections.
Noris Medical Zygomatic
implants
The Noris Medical Zygomatic implants provide an
excellent solution for cases of the extreme atrophic maxilla as it consists of
sharp threads at the apical part, specifically designed for extra maxillary
technique. The implant enables easy and convenient restoration and is available
in a variety of lengths, from 30 mm to 60 mm with 2.42mm internal hex
connection. The zygomatic implants offer 45°, 52°, and 60° angle
multi-unit abutments for providing the required angular correction and more
appropriate positioning of the restoration.
Conclusion
Straumann zygomatic implants are among the finest quality
dental implants that are made up of the finest materials and the latest
technology. Delivering optimum standards of functionality, comfort, and
aesthetics, Straumann implants cater to the needs of patients and provide the
best possible results, making them suitable treatment for patients with any
number of missing teeth.
According to TechSci research report on “Global Dental
Implants Market By Material (Titanium v/s Zirconium) By Design (Tapered v/s
Parallel-Walled) By Type (Root-Form v/s Plate-Form) By Connection Type
(Internal, External, One-Piece) By Procedure (One-Stage & Two Stage
Surgeries v/s Immediate Loading) By Price (Premium, Value, Discounted) By
Application (Single Tooth Replacement v/s Multi-Tooth Bridge Securement) By End
User (Hospitals & Clinics, Dental Laboratories, Others) By Region,
Competition Forecast & Opportunities, 2026”, the global dental implants
market is expected to grow at a significant CAGR, owing to the increasing
demand for prosthetics and growing dental problems globally.
According to another TechSci research report on “Global
Dental
Bone Graft Substitute Market By Type (Synthetic Bone Graft, Xenograft,
Allograft, Autograft, Alloplast, Others) By Material (Collagen, Human Cell
Source, Animal Source, Others) By Mechanism (Osteoconduction, Osteoinduction,
Osteopromotion, Osteogenesis) By Product (Bio OSS, Osteograf, Grafton) By
Application (Socket Preservation, Ridge Augmentation, Periodontal Defect
Regeneration, Implant Bone Regeneration, Sinus Lift) By End User (Hospitals
& Clinics, Dental Laboratories, Others) By Region, Competition Forecast
& Opportunities, 2026”, the global dental bone graft substitute market
is expected to grow at an impressive CAGR during the forecast period on the
account of increasing cases of dental disorders, and introduction of advanced
dental restoration products by major key players in the market.