All on 4 and Zygomatic Implants (Full Mouth)- A Deep Dive into a Complex Case

In my years of practicing dental implantology, I’ve encountered many challenging cases, but one in particular stands out due to its complexity and the remarkable transformation it brought about — a full mouth All on 4 and zygomatic implants case.

I’ll take you through a detailed look at a patient’s journey from removable teeth to a fixed, natural-looking smile, utilizing full mouth implants with an emphasis on the All on 4 or 6 technique and zygomatic implants.

The Patient’s Struggle: A Dire Dental Situation

My patient arrived with a dental condition that significantly impacted her quality of life. She was dealing with advanced gum problems and was left with only three real teeth on her upper jaw.

Her lower front teeth, although present, were loose and noticeably shifted forward, creating an unnatural appearance to her smile. The discomfort and insecurity she felt about having to remove her teeth were palpable.

before photo of patient smiling before getting all on 4 implants and zygomatic implants by Dr. Ramsey Amin of Burbank Dental Implants
Before smile. Only 3 real teeth on the upper jaw.
before photo of patient smiling before getting all on 4 implants and zygomatic implants by Dr. Ramsey Amin of Burbank Dental Implants
Side view showing lack of lip support

Addressing Bone Loss and the Role of Zygomatic Implants

The biggest hurdle in her case was the significant bone loss in her upper jaw, a result of long-term denture use leading to disuse atrophy. She was told this could not be done and she would need a snap in denture.

This is where the specialized approach of using zygomatic implants came into play. These implants are designed for such scenarios where traditional implants aren’t viable due to insufficient bone density.

before photo of patient smiling before getting all on 4 implants and zygomatic implants by Dr. Ramsey Amin of Burbank Dental Implants

Tailoring the Treatment: All on 4 Implants and Facial Analysis

Our treatment plan was comprehensive. After an in-depth discussion about lifestyle changes, including the necessity to stop smoking/vaping, we conducted a thorough facial analysis. This revealed the need to open up her vertical dimension of occlusion, as her face had become shrunken in from the loss of teeth over time.

The surgical procedure was meticulously planned and executed in a single session under IV sedation. We removed the remaining teeth and placed implants, including zygomatic ones in the upper jaw due to the lack of bone. The All on 4 technique was instrumental in providing a stable base for the new teeth.

From Prototypes to Permanent Teeth by Crafting the Perfect Smile

The journey from healing teeth prototypes to final full mouth implants was critical. These prototypes were carefully designed to closely resemble the final zirconia bridges, ensuring that the end result was both aesthetically pleasing and functionally effective.

The Transformation with All on 4: A New Smile and Renewed Confidence

The outcome was a complete transformation. Not only did my patient get a stable bite and a radiant smile, but the ease of cleaning the bridges and the comfort they brought significantly improved her life.

Patient of Dr. Ramsey Amin of Burbank Dental Implants showing zygomatic dental implants in the jaw
Under the All on 5 Bridge upper showing perfect gum health.
After photo of patient smiling with all on 4 implants and zygomatic implants by Dr. Ramsey Amin of Burbank Dental Implants
Prototypes – She wanted me to take away the natural bumps on the front teeth edges for the finals

Reflecting on the All on 4 Case: Expertise in Complex Dental Procedures

This case, with its intricate use of All on 4 and zygomatic implants, highlights the importance of expertise in handling complex dental procedures. It’s a testament to the trust patients place in us and the responsibility we bear in transforming lives. Complications are common with these procedures!

After photo of patient of Dr. Ramsey Amin of Burbank Dental Implants
Final zirconia teeth with natural bumps removed (per patient’s request)

Conclusion: The Gratification of Making a Real Difference

Seeing my patient’s journey from a state of discomfort and self-consciousness to one of joy and confidence was immensely gratifying. It’s cases like these that underscore the transformative power of full mouth implants and advanced techniques like All on 4 and zygomatic implants.

Your Thoughts and Questions are Valued

As we close this detailed journey of dental transformation, I invite you to share your thoughts and questions. Whether you’re curious about the specifics of the All on 4 technique, zygomatic implants, or have inquiries about your own dental concerns, I’m here to engage and provide answers.

Your comments and questions not only enrich our blog community, but also help others who might be facing similar dental challenges. I personally read and respond to your comments, as your insights and experiences are invaluable to me.

So, please, feel free to leave a comment below or ask any questions you might have. I look forward to our discussions and to assisting you in any way I can on your journey to a healthier, happier smile.

5 thoughts on “All on 4 and Zygomatic Implants (Full Mouth)- A Deep Dive into a Complex Case”

  1. Hello, in reading your All on 4 and Zygomatic Implants article, I’m curious about the space between the jaw and the implant in the last 2 pictures. The space seems like a lot visually, so wouldn’t food get lodged in there very easily. Does the implant eventually graft to the jaw?

    Reply

Leave a Comment