Severe upper jaw atrophy
Bone loss after years without teeth, advanced gum disease or ill-fitting dentures.

When the upper jaw has lost too much bone, we anchor longer implants in the cheekbone to give you fixed teeth again, often without months of bone grafting.
“…I travelled from the Netherlands to have wisdom tooth surgery with Dr. Eloy Bustamante, and the experience exceeded all my expectations.”
What they are
Zygomatic implants are longer than conventional implants and are anchored in the zygomatic bone (the cheekbone), which is much denser and more stable than an atrophic upper jaw. They make it possible to restore the upper jaw with fixed teeth without long bone-grafting procedures.
It is an advanced surgical technique that should be performed by a surgeon with maxillofacial training and planned with a 3D CT scan. At IDEA we combine it, when the case requires, with pterygoid and conventional implants.

Who for
Patients from other cities, and even other countries, choose IDEA to solve their case. Common situations:
Bone loss after years without teeth, advanced gum disease or ill-fitting dentures.
Patients with failed bone grafts or implants looking for a reliable alternative.
You avoid the waiting time of grafts and, in many cases, leave with fixed provisional teeth.
Process
Get a dental 3D CT scan (CBCT) near home and send us the DICOM files before the video call.
With your CT scan already studied, we explain whether zygomatic implants suit your case.
Final 3D planning of the cheekbone, sinuses and bite, surgery with an anaesthetist and, when feasible, fixed teeth around 24 hours later.
A second trip, a few months later, for the final prosthesis and a personalised maintenance plan.
Comparison
| Zygomatic implants | Graft + conventional implants | |
|---|---|---|
| Bone graft | Usually not needed | Needed |
| Time to fixed teeth | Immediate loading possible | Several months after the graft |
| Number of surgeries | Usually one | Two or more |
| Trips to Madrid | Usually two | Several |
| Complexity | High: requires an expert surgeon | Medium |
Your surgeon
Oral and maxillofacial surgeon with more than 15 years dedicated exclusively to surgery, and wide experience in reconstructive and regenerative jaw surgery, zygomatic implants, immediate loading and custom implants.
FAQ
They are longer implants anchored in the zygomatic bone (cheekbone) instead of the upper jaw. They are used when the upper jaw does not have enough bone for conventional implants.
In many cases, yes, with zygomatic, pterygoid or custom implants. A 3D CT scan is essential to know for sure: send us yours before the free video consultation and we will tell you which option suits your bone.
At IDEA it is usually done under local anaesthesia and conscious sedation monitored by an anaesthetist, so you are calm and pain-free throughout.
When the implants achieve enough stability, fixed provisional teeth can be fitted around 24 hours after surgery. We assess it case by case.
A first trip usually lasts about four days: study, surgery, fixed teeth and a check-up before you fly. We confirm the plan for your case before you book.
Enjoy Madrid
The clinic is next to Retiro Park, a short walk from the Prado. Plan a few calm days and enjoy the city between appointments.

Second opinion
We have received your request and will contact you shortly to arrange your video consultation.