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Zygomatic and Pterygoid Implants
Restore Your Smile with Confidence: Reliable, Long-Lasting Zygomatic & Pterygoid Implants

At Texas Periodontal Associates, Dr. Roberto Porras now offers advanced solutions for patients with severe bone loss through zygomatic and pterygoid implants. These specialized dental implants are ideal for individuals who may not be candidates for traditional implants due to insufficient bone in the upper jaw. If you’ve been told you’re not a candidate for dental implants, schedule a consultation to see if zygomatic or pterygoid implants are right for you.

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Zygomatic and Pterygoid Implants

Zygomatic & Pterygoid dental implants are a type of tooth replacement that places implants in the zygomatic bone and pterygoid plate, located in the cheek area of the upper jaw. These implants are longer than standard dental implants, providing added stability for patients with significant bone loss in the upper jaw’s cheekbone.

Zygomatic implants are specifically designed to secure a prosthetic tooth, such as a dental bridge or denture, in the upper jaw. These implants are surgically inserted into denser and stronger bones than the jawbone, allowing them to effectively support the prosthetic's weight.

The Benefits:

A solid base for dental restorations: Zygomatic and pterygoid implants create a reliable foundation for restorations like dental bridges or dentures, helping patients regain their ability to speak and eat comfortably.

Ideal for patients with significant bone loss: These implants are a viable choice for individuals with extensive bone loss in the upper jaw who may not qualify for traditional dental implants, eliminating the need for bone grafts.

Quicker recovery: Recovery time after zygomatic implant placement is usually shorter than with traditional implants, allowing patients to resume normal activities within a few days.

Durable: With proper care, these implants can provide a long-lasting solution, lasting many years for patients.

Visually appealing: Zygomatic and pterygoid implants deliver a natural appearance for missing teeth, boosting patients' confidence and self-esteem.

Steps for the procedure:

Consultation: The process begins with a consultation with Dr. Porras who specializes in implant dentistry. During this meeting, your oral health will be assessed to determine if these implants are the right choice for you.  

Treatment Planning: If zygomatic and pterygoid implants are recommended, Dr. Porras will  create a personalized treatment plan. This plan will identify the best locations for the implants and ensure the prosthetic teeth are properly aligned.  

Sedation: Before the procedure starts, the patient will receive IV sedation and anesthetic to numb the treatment area and ensure comfort.  

Incisions: The surgeon will make incisions in the gum tissue to reach the zygomatic bone and pterygoid plate, where the implants will be placed. These implants will serve as a stable foundation for the prosthetic teeth.  

Abutment Placement: After securing the implants, the surgeon will attach abutments to the top of the implants. These act as connectors, linking the implants to the prosthetic teeth.  

Healing Process: Following the procedure, the patient will need time for the implants to fully heal and fuse with the bone. This healing period typically takes several months and requires maintaining good oral hygiene and attending regular check-ups.  

Placing the teeth: Once healing is complete, the dentist will attach the custom-made prosthetic teeth, such as a dental bridge or denture, to the implants. These will be designed to blend seamlessly with the patient’s natural teeth, offering an aesthetically pleasing and functional solution.

Success Rate and Longevity

Zygomatic & pterygoid implants have a high success rate, with studies showing that they are a reliable and effective solution for patients with severe bone loss in the upper jaw. These implants are anchored in the zygomatic bone and/ or the pterygoid plate, which is denser and stronger than the jawbone, providing excellent support for prosthetic teeth. When properly placed and cared for, zygomatic implants can offer long-term stability and durability, with success rates comparable to traditional implants. The advanced surgical techniques and materials used in the implant placement further contribute to their overall success, allowing many patients to regain full function and an improved quality of life.

Post-Operative Care and Maintenance

After zygomatic & pterygoid implant surgery, patients will need to follow specific post-operative care instructions to ensure proper healing and implant integration. Initially, there may be some swelling, bruising, and discomfort, which can be managed with prescribed medications. It's essential to maintain excellent oral hygiene, using gentle cleaning techniques to avoid irritation around the surgical sites. A soft diet may be recommended for the first few weeks to prevent putting pressure on the implants. Patients should attend regular follow-up appointments to monitor healing and check implant stability. Long-term maintenance involves routine dental check-ups, professional cleanings, and continuing good oral hygiene practices to prevent infection and ensure the longevity of the implants. By adhering to these care guidelines, patients can help maximize the success and durability of their implants.

 

Frequently Asked Questions

Zygomatic implants are long dental implants that anchor into the cheekbone (zygomatic bone) instead of the upper jaw. They are designed for patients with severe bone loss in the upper jaw who are not candidates for traditional dental implants.

Pterygoid implants are placed at an angle into the pterygoid bone behind the upper jaw. They provide strong support for fixed dental prostheses in patients with limited posterior bone structure, often eliminating the need for bone grafting.

These implants are ideal for patients with significant upper jaw bone loss, often due to long-term denture use, periodontal disease, or trauma, and for those who have been told they are not candidates for conventional implants.

After periodontal procedures or oral surgery, it's important to use a mouthwash that supports healing without harsh chemicals or alcohol that can irritate tissues. We recommend Stellalife® VEGA Oral Rinse, a natural, alcohol-free solution formulated to reduce inflammation, promote healing, and support overall oral health. It’s a great alternative to traditional mouthwashes, especially for sensitive patients. You can purchase Stellalife directly here https://amzn.to/4iHLpFA

Meet Our Doctor:

Dr. Roberto Porras

Dr. Roberto Porras – Experienced Periodontist and Implant Specialist in Houston

Dr. Roberto Porras is a trusted periodontist and implant specialist serving the Houston area. With an impressive educational background and over 20 years of experience, Dr. Porras offers advanced periodontal care tailored to meet each patient's needs.

Educational Background and Expertise
Dr. Porras completed his undergraduate degree with honors before pursuing his passion for periodontics. He spent three years as a periodontology resident at The University of Texas Health Science Center at Houston, earning both his periodontal specialty certification and a ...

Featured Blog Posts - Zygomatic and Pterygoid Implants

March 21, 2025

Zygomatic and Pterygoid Implants- Restore Your Smile with Confidence: Reliable, Long-Lasting Zygomat

Zygomatic & pterygoid dental implants are a type of tooth replacement that places implants in the zygomatic bone and pterygoid plate, located in the cheek area of the upper jaw. These implants are longer than standard dental implants, providing added stability for patients with significant bone loss in the upper jaw’s cheekbone.

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