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Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

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The accuracy of robotic-assisted zygomatic implant placement: a systematic review and meta-analysis.

BMC oral health·2026
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Clinical validation of an automated zygomatic implant planning system: An international multicenter study.

Journal of dentistry·2026
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Rescue Therapy With Quad Zygoma After Failure of Full-Arch Implant Rehabilitation: A Retrospective Study With a Mean Follow-Up of 8 Years.

Clinical oral implants research·2026
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The Rehabilitation of Partially Edentulous Maxilla With Unilateral Zygomatic Implants: A Retrospective Study up to 23 Years Follow-Up.

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20 Years of Clinical Evolution in Zygomatic Implant Rehabilitation: Long-Term Outcomes and Current States.

Oral and maxillofacial surgery clinics of North America·2024
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Long-term survival and complications of Quad Zygoma Protocol with Anatomy-Guided Approach in severely atrophic maxilla: A retrospective follow-up analysis of up to 17 years.

Clinical implant dentistry and related research·2023

Related Experiment Video

Updated: Jan 26, 2026

Real-Time Dynamic Navigation System for the Precise Quad-Zygomatic Implant Placement in a Patient with a Severely Atrophic Maxilla
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Quad Zygoma: Technique and Realities.

Rubén Davó1, Lesley David2

  • 1Department of Implantology and Maxillofacial Surgery, Medimar International Hospital, Padre Arrupe, 20, 5th floor, Alicante 03016, Spain.

Oral and Maxillofacial Surgery Clinics of North America
|April 6, 2019
PubMed
Summary

The quad zygoma approach offers a predictable solution for severe maxillary atrophy, enabling fixed or removable prosthesis rehabilitation with high implant survival rates. Immediate loading provides an efficient, less invasive option for patients.

Keywords:
Atrophic maxillaGraftless implant solutionImmediate loadingQuad zygoma techniqueSurvival ratesZygomatic implants

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Area of Science:

  • Dental Implantology
  • Oral and Maxillofacial Surgery

Background:

  • Severe maxillary atrophy presents significant challenges for dental rehabilitation.
  • Traditional implant-supported prostheses may not be feasible in such cases.

Purpose of the Study:

  • To review the indications, contraindications, procedure, and complications of the quad zygoma approach.
  • To highlight treatment planning and surgical skill requirements for successful outcomes.
  • To present options for immediate loading in zygomatic implant rehabilitation.

Main Methods:

  • Review of scientific literature on quad zygoma implants.
  • Analysis of treatment planning and surgical techniques.
  • Discussion of immediate loading protocols and outcomes.

Main Results:

  • The quad zygoma approach is a predictable solution for severe maxillary atrophy.
  • High implant survival rates are reported in available scientific evidence.
  • Immediate loading offers a less invasive and efficient rehabilitation option.

Conclusions:

  • The quad zygoma technique, combined with appropriate planning and surgical expertise, provides a reliable method for rehabilitating patients with severe maxillary atrophy.
  • Immediate loading protocols enhance treatment efficiency and patient experience.