Derya Dental Clinic Logo

Blog

Zygomatic and Subperiosteal Implants: Advanced Solutions for Bone Deficiency

Aykut Gürel, DDS, PhD
Aykut Gürel, DDS, PhD

Oral & Maxillofacial Surgeon

7 min read
Updated: March 19, 2026
Zygomatic and subperiosteal implant treatment - advanced implantology

Did You Know?

For patients experiencing severe bone resorption, standard dental implants may not be sufficient. In such cases, advanced surgical techniques like zygomatic implants and subperiosteal implants come into play.

01

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.


02

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

AdvantageDescription
No bone graft requiredSince it anchors to the cheekbone, jawbone volume is irrelevant
Quick resultsFixed temporary teeth can be placed in the same session
High success rateSuccess rates of 95-98% are reported in the literature
Single surgical sessionSolution in one operation instead of graft + healing + implant
All-on-X compatibilityCan be combined with All-on-4/6 concepts

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

03

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

04

Zygomatic vs. Subperiosteal vs. Standard Implant Comparison

FeatureStandard ImplantZygomatic ImplantSubperiosteal Implant
Placement siteInside jawboneCheekboneOn top of jawbone
Bone requirementSufficient bone essentialJawbone irrelevantMinimal bone sufficient
AnesthesiaLocal sufficientGeneral anesthesiaGeneral anesthesia
Surgical settingClinicHospitalHospital
Healing time3-6 months4-6 months3-4 months
Same-day teethIn some casesYesYes
Application areaUpper and lower jawUpper jaw onlyUpper and lower jaw

05

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.


06

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.


07

Appointment and Information

If you have been told "you cannot get implants" due to bone deficiency, contact us to evaluate advanced implant options. Let us assess your condition with a free 3D tomography and examination.

Phone: 0507 245 03 05 WhatsApp: Get Information via WhatsApp

Related Treatment Pages

This content is for informational purposes only and does not replace medical diagnosis or treatment. Please consult a specialist for decisions about your oral and dental health.

Frequently Asked Questions

Common Questions

Are zygomatic implants painful?
No. Since the operation is performed under general anesthesia, you do not feel anything during the procedure. Mild swelling and pain may occur after the operation and are easily controlled with prescribed medications.
How long do subperiosteal implants last?
With proper planning and good oral care, subperiosteal implants can be used for 15-20 years or more. Regular check-ups increase durability.
How much does a zygomatic implant cost?
Since zygomatic implants involve more advanced surgery compared to standard implants, their cost is higher. The price varies depending on hospital expenses, anesthesia fees, and the number of implants. You can schedule an examination appointment for current pricing information.
How long is the hospital stay after surgery?
You are generally discharged the same day. In comprehensive cases, you may be asked to stay one night for observation.
Who cannot get zygomatic implants?
The operation may not be suitable for those with uncontrolled diabetes, active cancer treatment, severe heart disease, or systemic conditions that prevent general anesthesia. Detailed evaluation is performed during the examination.
Does smoking affect zygomatic implants?
Yes. Smoking slows healing and reduces implant success. Quitting smoking at least 2 weeks before and 4 weeks after the operation is recommended. For detailed information, read our article on implants and smoking. ---
Aykut Gürel, DDS, PhD

Author

Aykut Gürel, DDS, PhD

Oral & Maxillofacial Surgeon

Dr. Aykut Gürel is an Oral & Maxillofacial Surgeon who graduated from Istanbul University and completed his residency at Marmara University. He specializes in dental implantology, zygomatic implant surgery, and digitally guided surgical planning.

View doctor profile