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Zygomatic implants

Zygomatic implants are longer implants anchored in the cheekbone (the zygoma) instead of the upper jaw, so a patient with severe bone loss in the upper jaw still gets fixed teeth, with no bone graft and no months of waiting. Dr. Nabeel Al Nahhas, a consultant prosthodontist in the UAE with more than 28 years in dentistry, plans the path of each implant along the shape of your own cheekbone on your 3D scan, following the ZAGA concept (Zygoma Anatomy-Guided Approach). Your fixed teeth are attached within 24 hours.

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Dr. Nabeel Safwat Al NahhasDr. Nabeel Safwat Al NahhasConsultant Prosthodontist, ImplantologyMOHAP licence D21482

Who zygomatic implants are for

  • Severe bone loss in the upper jaw, with too little bone left for regular implants.
  • Patients told they need a sinus lift or a large bone graft before any implants.
  • Long-term denture wearers whose upper bone has shrunk over the years.
  • Full upper arches: in one of Dr. Nabeel's cases, two zygomatic implants and implants at the front carry a fixed upper bridge, with no bone graft.

How treatment runs

  1. Free consultation and 3D scan

    Examination, digital X-ray and a CBCT scan that shows your cheekbone, sinus and remaining bone. You receive your plan and its cost in writing.

  2. ZAGA digital planning

    Your new teeth are designed first. Dr. Nabeel then plans the path of each zygomatic implant along your own cheekbone, the ZAGA way, together with the implants at the front.

  3. Implant surgery

    The zygomatic and front implants are placed in one surgery, with no bone graft and no sinus lift.

  4. Your new teeth within 24 hours

    Within 24 hours, a fixed bridge is screwed onto the zygomatic and front implants, so you leave with a full upper arch of teeth.

  5. Final upper bridge

    When the cheekbone has bonded around the zygomatic implants, Dr. Nabeel fits your final upper bridge and sees you for regular reviews.

Results

Zygomatic and full-arch implants, both jaws

Zygomatic and full-arch implants, both jaws

Two zygomatic implants and front implants carry the upper arch; six implants carry the lower bridge. No bone graft.

See the full case

All results

Zygomatic implants or bone grafting first?

Zygomatic implants

Anchored in the cheekbone, which keeps its strength even when the upper jaw has shrunk. One surgery and fixed teeth within 24 hours.

Sinus lift and bone grafting first

Builds new bone under the sinus in a separate surgery, then months of healing before the implants and teeth.

Why zygomatic implants work so well

  • The cheekbone is dense, strong bone, and it keeps that strength even after the upper jaw has lost bone.
  • Dr. Nabeel plans every zygomatic case on your own 3D scan with the ZAGA concept, implant by implant, following the shape of your cheekbone.
  • You receive clear written aftercare and regular reviews to keep your new teeth healthy for years.

Dr. Nabeel explains

Told your jaw is too weak for implants? That's outdated

Dr. Nabeel on implants without bone grafting: implants placed in specific positions and angles, with teeth fixed within 24 hours.

Read what he says

No, no, no, no, no. Who told you that you're not suitable for dental implants? Dental implants are possible using certain techniques. If they told you that you can't have dental implants because your jaw is weak, that's old talk. Using modern techniques, namely dental implants without bone grafting, by trained dentists experienced in dental implants and prosthodontics, implants can be placed in specific positions, specialised implants at specific angles, and the teeth fixed onto them within 24 hours. This is a modern technique, and all you need to do is turn to specialised, experienced dentists. This is Dr. Nabeel Safwat Al Nahhas, consultant in prosthodontics and dental implants, with more than twenty-eight years of experience in the United Arab Emirates.

Over 40 with bone loss? Implants are still for you

Bone loss is natural and doesn't rule out implants. Dr. Nabeel places implants even with bone loss, using a 3D scan and angled implants.

Read what he says

Are you over forty and have bone loss? Don't rush to judge. Bone loss at this age is normal, it doesn't mean you can't have implants. The truth is, the amount of bone isn't the only thing that matters. What matters most is how we plan the case. And now, thanks to modern techniques and specialised angled implants, we can place implants even with bone loss, and sometimes without a bone graft, without patching, without a long wait. But before any step, I have to do a 3D scan and a thorough examination, so we can choose the best solution for you. This is Dr. Nabeel Safwat Al Nahhas, consultant in prosthodontics and dental implants. Book your consultations at Adamah Center, and don't think it's too late. You're still young at forty!

Technology he uses

NewTom GiANO HR 3D CBCT
A low-dose 3D scan of your bone, nerves and sinus, so every implant is planned on real measurements.
X-GRAM iGrapher
Full-arch records without impressions: a camera reads the exact position of every implant in seconds, so your fixed bridge fits precisely.
ClaroNav Navident EVO
Real-time navigation: the implant goes exactly where it was planned on your 3D scan.
COXO C-Sailor Pro implant motor
Precise control of drilling speed, torque and cooling while each implant is placed.

The published references behind this technique

All his technology

Common questions

I was told I need a bone graft. Can zygomatic implants replace it?

Yes. That is exactly what they are for. In Dr. Nabeel's words: if you were told you can't have implants because your jaw is weak, that is outdated. Zygomatic implants use the cheekbone, so there is no graft and no long wait.

What is the ZAGA approach to zygomatic implants?

ZAGA stands for Zygoma Anatomy-Guided Approach, the concept set out by Dr. Carlos Aparicio in Advanced Zygomatic Implants: The ZAGA Concept. Instead of one fixed path for everyone, each zygomatic implant is planned on your 3D scan around the shape of your own cheekbone and jaw. Dr. Nabeel plans every zygomatic case this way.

Will anyone see the implant in my cheek?

No. The implant sits inside the bone. Nothing shows on your face, and only your new teeth are seen.

How much do zygomatic implants cost?

The consultation is free and includes a digital X-ray, and Dr. Nabeel gives you your plan and its cost in writing.

Can I send my scan first?

Yes. Send your panoramic X-ray or CBCT scan on WhatsApp and Dr. Nabeel will give you his opinion.

How long does zygomatic implant treatment take?

The zygomatic and front implants are placed in one surgery, and a fixed bridge is screwed on within 24 hours. When the cheekbone has bonded around the zygomatic implants, Dr. Nabeel fits your final upper bridge.

Related treatments

Told your upper jaw has no bone? Talk to Dr. Nabeel.

Send your panoramic X-ray or CBCT scan on WhatsApp. The consultation and digital X-ray are free. Patients from Dubai, Sharjah, Abu Dhabi and across the UAE message him here.

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