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Updated: Jan 24, 2026

Real-Time Dynamic Navigation System for the Precise Quad-Zygomatic Implant Placement in a Patient with a Severely Atrophic Maxilla
Published on: October 18, 2021
Real-Time Navigation in Zygomatic Implant Placement: Workflow.
Yiqun Wu1, Feng Wang2, Wei Huang2
1Department of Second Dental Clinic and Oral Implantology, Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University, School of Medicine, National Clinical Research Center for Oral Disease, Shanghai Key Laboratory of Stomatology, Shanghai Research Institute of Stomatology, No. 639, Zhizaoju Road, Shanghai 200011, China.
Real-time navigation enhances zygomatic implant placement for severe maxillary atrophy. This technique improves surgical precision and safety in complex craniomaxillofacial reconstructions.
Area of Science:
- Oral and Maxillofacial Surgery
- Medical Technology
- Surgical Navigation
Background:
- Zygomatic implants are effective for severe maxillary atrophy and deficiency.
- Zygomatic implant placement, especially via the quad approach, presents significant surgical challenges compared to conventional implants.
- Navigation surgery is increasingly utilized in complex craniomaxillofacial procedures to improve accuracy and patient safety.
Purpose of the Study:
- To demonstrate the feasibility of using real-time navigation for zygomatic implant placement.
- To establish a clear workflow for integrating navigation technology into zygomatic implant surgery.
- To assess the potential benefits of navigation in complex zygomatic implant procedures.
Main Methods:
- Development of a workflow for real-time navigation-guided zygomatic implant placement.
- Application of navigation surgery in complex craniomaxillofacial cases involving zygomatic implants.
- Focus on transferring the surgical plan accurately to the patient during the procedure.
Main Results:
- Real-time navigation was found to be feasible for zygomatic implant placement.
- The established workflow facilitates the integration of navigation technology.
- Navigation surgery aids in precise surgical plan transfer and potentially avoids adjacent anatomic injuries.
Conclusions:
- Real-time navigation is a viable tool for enhancing zygomatic implant placement.
- The developed workflow supports the safe and accurate execution of complex zygomatic implant surgeries.
- Navigation surgery offers a promising approach to improve outcomes in reconstructing severe maxillary defects.
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