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Updated: Oct 26, 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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Fully Guided Zygomatic Implant Surgery.

Leone Rigo1, James Tollardo2, Enrica Giammarinaro3

  • 1Tuscan Dental Institute, Private Practice, Vicenza.

The Journal of Craniofacial Surgery
|July 28, 2021
PubMed
Summary

This study introduces a novel guided surgery technique for placing zygomatic implants in severely atrophic maxillas. The method simplifies the procedure, reduces surgery time, and achieves successful outcomes with a high implant success rate.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Dental Implantology
  • Guided Surgery

Background:

  • Rehabilitation of severely atrophic maxilla presents significant challenges.
  • Zygomatic implants are indicated for severe bone resorption.
  • Immediate loading of zygomatic implants is a desirable outcome.

Purpose of the Study:

  • To present a novel guided surgery method for zygomatic implant placement.
  • To simplify the surgical procedure and optimize outcomes.
  • To facilitate immediate loading of zygomatic implants.

Main Methods:

  • Digital treatment planning for fully guided prosthetic rehabilitation.
  • Design of a radiographic template for prosthetic planning.
  • Utilization of a surgical template for in vivo replication of planned steps.
  • Pre-surgical planning on stereolithographic models.

Main Results:

  • Successful implant and prosthesis placement in 19 out of 20 patients.
  • Reduced surgery duration and procedural simplification.
  • Optimized surgical and prosthetic outcomes.
  • Effective collaboration between technicians, prosthodontists, and surgeons.

Conclusions:

  • The presented approach effectively addresses zygomatic implant surgery needs.
  • Virtual environment planning enhances surgical and prosthetic design.
  • Pre-surgical simulation on models simplifies the operative procedure.
  • The method is suitable for complex maxillary reconstructions.