CBCT Assessment
Bone volume, sinus anatomy and alternative anchorage zones are studied in three dimensions.
COMPLEX IMPLANTOLOGY · ADVANCED UPPER-JAW IMPLANTS
Severe bone loss. New implant options.
Zygomatic, pterygoid and nasal implants use alternative anchorage sites when the upper jaw no longer provides enough bone for conventional implants.
Samarani Clinic uses advanced 3D planning and complex maxillofacial implant techniques to create fixed-tooth options for carefully selected patients with severe upper-jaw bone loss.
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WHEN CONVENTIONAL IMPLANTS ARE NOT ENOUGH
Use stronger anatomy.
Bypass the deficiency.
Long-term tooth loss, periodontal disease and other conditions can leave the upper jaw with too little bone for conventional implants.
Instead of relying only on the resorbed maxilla, advanced implant techniques can engage denser neighboring structures such as the zygomatic bone, pterygoid region and nasal area.
01
Severe Upper-Jaw Bone Loss
Advanced anchorage can be considered when conventional implant sites no longer provide sufficient bone.
02
Alternative to Extensive Grafting
Selected patients may avoid complex multi-stage bone grafting by anchoring implants in more stable anatomical structures.
03
Full-Arch Rehabilitation
These implants are commonly used as part of complex upper full-arch reconstructions.
04
3D-Guided Planning
CBCT imaging is used to map implant trajectories around critical anatomy.
05
Selected Immediate Loading
Fixed provisional teeth may sometimes be delivered immediately when implant stability and the clinical situation allow.
06
Complex-Case Expertise
These procedures require advanced surgical training and detailed knowledge of maxillofacial anatomy.
ZYGOMATIC IMPLANTS
Anchor in the
cheekbone.
Zygomatic implants are longer than conventional implants and are designed to engage the dense zygomatic bone when the upper jaw itself is severely resorbed.
Because the cheekbone remains comparatively stable even after major maxillary bone loss, it can provide an alternative anchor for selected fixed full-arch restorations.
PRECISION IS ESSENTIAL
Complex anatomy.
Planned in 3D.
Zygomatic implant placement follows a different trajectory from routine implant surgery and passes close to important anatomical structures.
Samarani Clinic uses CT/CBCT imaging to plan implant direction, available bone engagement and the relationship to surrounding anatomy before surgery begins.
02
PTERYGOID IMPLANTS
Support the arch
from the back.
Pterygoid implants engage dense bone in the posterior upper jaw and can provide additional support behind the usual implant zone.
Samarani Clinic describes Dr. Rawad Samarani as having more than 15 years of experience with this technique. Pterygoid implants may be used alone or together with zygomatic implants in complex full-arch cases.
PTERYGOID POSTERIOR SUPPORT
Add stability
where chewing forces are high.
Posterior anchorage can reduce the need for distal cantilevering and help distribute chewing forces across the reconstructed arch.
The exact implant combination depends on bone anatomy, sinus anatomy, prosthetic design and the complete full-arch treatment plan.
THE ADVANCED IMPLANT JOURNEY
Diagnose deeply.
Plan the whole arch.
Prosthetic Planning
The intended fixed restoration is planned together with implant number, position and support strategy.
Advanced Surgery
Zygomatic, pterygoid, nasal and/or conventional implants are placed according to the individualized plan.
Fixed Provisional When Suitable
Immediate provisional teeth may be delivered when primary stability and clinical findings allow. This is not guaranteed for every case.
NASAL / TRANSNASAL IMPLANTS
Create support
at the front.
In the anterior upper jaw, severe bone loss can make conventional implant placement difficult. Nasal or transnasal implants use available bone around the nasal region to create additional anterior support.
They are typically considered as part of a larger full-arch strategy rather than as an isolated solution.
IMMEDIATE FIXED TEETH · SELECTED CASES
Fixed provisional teeth
can sometimes be immediate.
Samarani Clinic has used immediate loading protocols since 2003 in appropriately selected implant cases, including complex full-arch treatment in deficient-bone situations.
Immediate loading is never automatic. It depends on implant stability, bone quality, anatomy, prosthetic design and the surgical findings at the time of treatment.
25+ YEARS OF COMPLEX IMPLANTOLOGY
Advanced techniques.
Specialist judgment.
Samarani Clinic combines more than 25 years of implantology experience with advanced surgical planning for severe bone-loss cases.
The objective is not to use the most complex technique available, but to identify the safest and most appropriate combination of conventional, zygomatic, pterygoid or nasal anchorage for each patient.
COMMON QUESTIONS
Before advanced
implant treatment.
Who may need zygomatic or pterygoid implants?
They may be considered for selected patients with severe upper-jaw bone loss who do not have enough conventional bone for routine implant placement.
Do these techniques always avoid bone grafting?
They can reduce or avoid extensive grafting in selected cases, but the need for grafting depends on the individual anatomy and full treatment plan.
Can I receive fixed teeth immediately?
Sometimes. Samarani Clinic uses immediate-loading protocols in selected cases when sufficient implant stability is achieved. Immediate provisional teeth cannot be guaranteed before surgery.
What is the role of pterygoid implants?
Pterygoid implants provide posterior anchorage in dense bone at the back of the upper jaw and may improve support for complex full-arch restorations.
What are nasal or transnasal implants used for?
They provide additional anterior support in selected upper-jaw reconstructions when conventional front-jaw bone is severely reduced.
How is this surgery planned?
Advanced 3D CT/CBCT imaging is used to study bone availability, sinus anatomy, implant trajectories and nearby anatomical structures before treatment.
TOLD YOU DO NOT HAVE ENOUGH BONE?
Severe bone loss does not always
end the implant conversation.
Book a complex implant assessment to determine whether zygomatic, pterygoid, nasal or combined anchorage could be appropriate for your case.
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