Our Dental Specialty Procedures

With decades of dental experience, Dr. Tran and Dr. Nguyen practice general dentistry with focus on specialty procedures in dental implants, smile reconstruction, dental surgery and helping anxious patients through sedation dentistry. Our passion for confident healthy smiles is the core of Pearly Smile Dental.
We invite you to contact us for a free consultation.

Zygomatic Implants


If you’ve been told you don’t have enough bone for dental implants, we can help. Thanks to modern research leading to the advancement of zygomatic dental Implants, patients who have been told they are not candidates for conventional dental implants, can be treated successfully by us at Pearly Smile Dental. Very few surgeons in the world are skilled at the placement of zygomatic implants, but at Pearly Smile Dental, our doctors regularly provide zygomatic implants to patients with advanced bone loss.

What Are Zygomatic Dental Implants?

Designed specifically for patients with bone loss, zygomatic implants are tilted and much longer than traditional dental implants. While traditional implants are placed in the jawbone, zygomatic dental implants are placed in the cheekbone which is very dense and provides excellent support. This difference in placement location means that zygomatic implants can provide a secure foundation to support teeth when older technology and traditional dental implants do not work due to severe bone loss.

Will You Need Bone Grafts?

Traditionally patients with bone loss would need bone grafting which can add 6 months to a year to their treatment and has a high failure rate. With zygomatic implants, Dr. Tran at Pearly Smile Dental routinely and successfully provide patients with full mouth restorations in one day with no bone grafting. There are very few surgeons in the world who regularly place zygomatic dental implants and one of those surgeons is Dr. Tran at Pearly Smile Dental.
Dr. Tran has been able to help many patients who have been told they would need bone grafting surgery from their hip to transfer to their jaw through zygomatic dental implant surgery.

Why Consider Zygomatic Dental Implants?

So if you would like dental implants but think you are not a candidate due to lack of supporting bone, then you should consider zygomatic dental implants. From restoring smiles to improvements in chewing and speaking, the end result is a new set of teeth for a person who up until the Zygomatic implant technology, could not enjoy the benefits of dental implants. But now, thanks to zygomatic implants, you can get a new smile with a full set of beautiful and functional teeth all in one day at Pearly Smile Dental which is one of the few practices in the world that place zygoma implants.

How Do Zygomatic Implants Work?

Zygomatic implants are anchored in the cheek bone which is called the “zygoma” in human anatomy textbooks. The extra-long implant is placed from inside the mouth near the location of the bicuspid teeth. It goes through or right next to the sinus and anchors into the thick and solid zygomatic bone. This bone is much more solid than what is found in the back part of the upper jaw.

1-2 zygoma implants are used on each side in addition to 2-4 regular implants towards the front of the jaw in the area where the upper front teeth used to be. Having additional support in the upper jaw is always good for the longevity of dental implant restorations in the upper jaw where the bone is typically very soft.
It is a safe and predictable procedure.

What Are The Advantages Of Zygomatic Implants?

• The beauty of this procedure is that it is “graft-less.” This means that for the majority of patients, no major bone grafting is necessary.
• The patient can leave with immediate loaded functioning fixed teeth on the same day of the surgery. The patient does not have to wait for complete healing to have teeth that are screwed in on the same day of the procedure. This allows for shorter “time-to-teeth.”
• The upper denture is eliminated.
• Patient always has teeth and does not have to be embarrassed.
• Block grafting is unnecessary.
• A is unnecessary.
• Reduces the time of a fixed implant screw retained zirconia dental implant bridge.
• Reduces the timeline to completion of the upper jaw restoration.
• It is one of the few times that the “All on 4” procedure can be done predictably in the upper jaw because the implants are much longer and stronger.
• One extra-long zygomatic dental implant equals about 3-4 regular dental implants.
• It is done under IV sedation while you sleep.
• In some cases, it can reduce cost.
• Double Zygomatic implants or “quad zygomatics” can be done on both sides of the upper jaw.
• This allows for faster healing than bone grafting.
• Natural teeth can be extracted and zygomatic cheek bone dental implants can be placed at the same appointment.
• Old, failing “All on 4” dental implants with bone loss can be removed and replaced with zygomatic dental implants.

Is A Specialist Dentist Required?

This procedure is not as common because very few dentists are trained and skilled enough to provide this procedure. Dr. Kiet Tran has been formally trained in zygomatic implants and has been placing them for over a decade. The surgical skill involved in the placement of zygomatic implants requires a high level of experience, understanding of the anatomy and specialized surgical training.

Additional Requirements?

A CBCT cone beam 3-D scan and a detailed two step exam and consult is mandatory. In that scan, Dr. Tran will also evaluate your sinuses to make sure that the normal sinus drainage passages are open. If they are not open, he may refer you to an ENT Otolaryngologist. He will review a virtual rendering of your procedure and take you through the pros and cons of zygomatic dental implant reconstruction or traditional sinus lift bone grafting reconstruction…. In our office we do both procedures routinely. Dr. Tran will help you decide which option is best for you.

Are Zygomatic Dental Implants Painful?

Although they may look a bit scary, the pain associated with zygomatic implants is about the same as regular bone grafting procedures. Dr. Tran administers a special anti-inflammatory in your IV sedation to help reduce postoperative pain. Most patients get some degree of temporary bruising. Most of our patients do not need heavy pain killers and end up using a combination of Ibuprofen and Tylenol by the second day. Most of our patients are pretty amazed how easy it was.

What Are The Risks Of Zygomatic Implants?

When there is little to no bone present, all dental implant and bone grafting procedures carry some degree of risk. There are no procedures without risk. No discussion would be complete without discussing remote risks.
Surgical risks, although rare, can include bleeding, cuts on the lips, poor primary stability, zygomatic fracture, hematoma , entrance into the bone under the orbit or infratemporal fossa, paresthesia (numbness), pain, tenderness to touch, sinusitis, thread exposure, oral-antral communication, implant failure, zygomatic-cutaneous communication, and zygomatic implant fracture.
The final bridge on the tongue side often needs to be made a bit thicker than normal because the zygomatic dental implant is sometimes closer to the roof of the mouth than a regular implant.
Just like any other complex oral dental implant surgery there are risks.

Should You Have Zygomatic Implants?

Although zygomatic implants may look a bit scary to some, they offer a safe solution to patients with extreme bone loss. The use of zygomatic implants are a predictable way to decrease patient cost and overall treatment time. Often, this option is much less invasive than other dental implant treatments for severe bone loss of the upper jaw.

For additional information about Zygomatic Implants and how it can benefit you or someone you know, please contact us at (714) 542-8888 today.

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