Zygomatic and Subperiosteal Implants: Advanced Solutions for Bone Deficiency

Jaw Surgery Under General Anesthesia and Advanced Implant Treatments

As Derya Dental Clinic, we perform all our advanced surgical operations safely under general anesthesia at Atasehir Florence Nightingale Hospital's fully equipped operating rooms, with an experienced anesthesia team.

Why a hospital setting? Advanced implant surgery requires sterile operating room conditions, a fully equipped anesthesia team, and emergency intervention capability. Operations performed in a hospital setting are both safer and far superior in terms of patient comfort.

Zygomatic Implant: A Solution for Patients with Advanced Bone Resorption

For patients with severe bone resorption in the upper jaw where standard implants cannot be placed, the zygomatic implant is one of the most effective treatment options. Named after the cheekbone (os zygomaticum), these specialized implants are anchored to the cheekbone rather than the jawbone.

Who Is a Candidate for Zygomatic Implants?

• Patients with advanced bone resorption in the upper jaw
• Patients who prefer not to undergo sinus lifting or major graft operations
• Patients who cannot wait for the long graft healing period
• Patients whose previous bone grafts have failed
• Patients requiring combined treatment with the All-on-4 technique

Advantages of Zygomatic Implants

How Is Zygomatic Implant Surgery Performed?

1. Detailed planning is done with 3D tomography
2. Implant position and angle are determined with a digital surgical guide
3. The operation is performed in a hospital setting under general anesthesia
4. Zygomatic implants are placed into the cheekbone, and if necessary, standard implants are placed into the jawbone
5. A temporary fixed prosthesis is placed in the same session
6. Transition to the permanent prosthesis occurs after 4-6 months

Subperiosteal Implant: Fixed Teeth Even When There Is No Bone

For patients with extremely insufficient bone volume where grafting is not possible or those who do not wish to undergo advanced surgery, subperiosteal implants offer a modern alternative.

What Is a Subperiosteal Implant?

While conventional implants are placed inside the bone, subperiosteal implants are placed on top of the bone (beneath the periosteum) as a specially designed titanium framework. This framework is manufactured with 3D printing technology, custom-made for the patient's jaw anatomy.

Who Is a Candidate for Subperiosteal Implants?

• Patients with extremely thin jawbone
• Cases where bone grafting is not possible
• Lower jaw cases where zygomatic implants cannot be applied
• Patients who have been edentulous for a long time and have experienced severe bone loss
• Patients who do not wish to undergo major surgery due to age or systemic disease

Advantages of Subperiosteal Implants

• Can be applied even with very thin bone structure
• Perfect fit with patient-specific 3D design
• Enables rapid transition to fixed prosthesis
• Does not require major bone graft operations
• Shorter overall treatment duration

Zygomatic vs. Subperiosteal vs. Standard Implant Comparison

Why Florence Nightingale Hospital?

Advanced implant surgery requires equipment and a team that exceed clinic capabilities. The reasons we prefer to perform our operations at Atasehir Florence Nightingale Hospital:

• Fully equipped operating room: Sterile surgical environment, advanced imaging systems
• Experienced anesthesia team: Safe general anesthesia with an attending anesthesiologist
• Emergency intervention capability: Access to the ICU and all specialty physicians
• Patient comfort: Professional nursing care before and after the operation
• Reliability: JCI-accredited, healthcare service meeting international standards

Patient safety is our priority. Since the patient is asleep during all operations performed under general anesthesia, they feel no pain or fear. The anesthesia team continuously monitors all vital functions throughout the operation.

How Does the Treatment Process Progress?

1. Free Initial Examination and Evaluation

A 3D volumetric tomography scan is performed at our clinic. Bone structure, nerve locations, and sinus anatomy are evaluated in detail.

2. Digital Planning

Digital surgical planning is carried out using tomography data. Implant type, position, angle, and prosthesis design are determined.

3. Hospital Appointment

The operation date is planned at Florence Nightingale Hospital. Required blood tests and pre-anesthesia evaluation are performed.

4. Surgical Operation

Implants are placed under general anesthesia and a temporary fixed prosthesis is placed in the same session. The operation duration ranges from 2-4 hours depending on the case.

5. Healing and Follow-up

The healing process is monitored with regular check-ups. Transition to the permanent prosthesis occurs after 4-6 months.