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Related Experiment Video

Updated: Dec 9, 2025

Real-Time Dynamic Navigation System for the Precise Quad-Zygomatic Implant Placement in a Patient with a Severely Atrophic Maxilla
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The Morpho-Functional Three-Dimensional Analysis for Zygomatic Implants: A Clinical Tool With Surgical Implications.

Humberto Fernández-Olarte1, Andrés Gómez-Delgado2, Juan G Gutiérrez-Quintero3

  • 1Oral and Maxillofacial Surgeon, Oral and Maxillofacial Surgery Residency Program, Universidad El Bosque; and Oral and Maxillofacial Surgery Department, Hospital Simon Bolívar.

The Journal of Craniofacial Surgery
|September 5, 2020
PubMed
Summary

Zygomatic implants offer successful jaw rehabilitation for severe atrophy. Advanced 3D planning and custom surgical guides improve outcomes for patients with atrophic jaws.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Dental Implantology
  • Biomedical Engineering

Background:

  • Zygomatic implants (ZIs) have been a reliable solution for severe jaw atrophy for 20 years.
  • Advancements in computed tomography (CT), 3D analysis, and stereolithography have enhanced preoperative planning for ZI placement.

Purpose of the Study:

  • To describe a 10-year protocol for zygomatic implant (ZI) installation developed at El Bosque University.
  • To detail the evolution of ZI placement techniques, from intraoperative guidance to computer-aided design and manufacturing (CAD/CAM) surgical guides.

Main Methods:

  • Comprehensive clinical examination, including jaw relationships, oral opening, and soft tissue dynamics.
  • 3D CT-based planning for designing and preparing surgical guides with executable insertion patterns.
  • Integration of clinical and imaging data into a 'morpho-functional 3D planning' approach.

Main Results:

  • The protocol incorporates detailed clinical and advanced 3D imaging analysis.
  • Surgical guides are designed using CAD/CAM technology for precise ZI placement.
  • The morpho-functional 3D planning approach optimizes treatment for atrophic jaws.

Conclusions:

  • The described protocol refines zygomatic implant surgery for atrophic jaws.
  • The integration of advanced planning and guided surgery enhances treatment predictability.
  • Morpho-functional 3D planning represents a significant advancement in rehabilitating patients with severe jaw atrophy.