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Severe Bone Loss? You Mayn Still Be a Candidate.
Advanced implant solutions using zygomatic implants — no bone grafting required in many cases.
Even If You’ve Been Told “No” Before
Board-Certified Specialist
- San Diego
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Zygomatic implants are a specialized solution for patients who have experienced significant bone loss in the upper jaw. Instead of relying on traditional implant placement, these implants anchor into the zygoma (cheekbone), providing a stable foundation without the need for extensive bone grafting.
The cheekbone is one of the densest, most reliable structures in the skull — and it rarely loses density the way the upper jaw does. By placing implants into this stable foundation, we can deliver same-day fixed teeth to patients who would otherwise require months of bone grafting, multiple surgeries, and extended healing periods before even being considered for traditional implants.
This procedure was specifically developed for patients who’ve been told they’re not candidates for implants — and at Advanced Implant Specialist, it’s one of our specialty procedures. Dr. Winfield’s training in advanced full-arch rehabilitation and complex implant techniques makes him one of the few specialists in San Diego performing this procedure routinely.
Most zygomatic cases are paired with All-on-X full-arch restoration, allowing patients to leave the same day with a complete, fixed smile.
What Are Zygomatic Implants?
- Surgery in the morning
- No months of waiting
- Fixed teeth by evening
- IV sedation included
How Zygomatic Implants Work.
Traditional dental implants are placed into the alveolar bone of the upper jaw. When this bone has resorbed (deteriorated), there’s not enough volume to support standard implants — which is why many patients are told they need bone grafting.
Zygomatic implants take a different anatomical path. They are longer than standard implants and angled upward to anchor into the dense bone of the cheekbone (zygoma) — bypassing the deteriorated upper jaw entirely.
Longer implants
Specially engineered length to reach the cheekbone
Strategic angle
Placed at a specific angle to maximize bone-to-implant contact
Cheekbone anchorage
The zygoma is dense and resistant to resorption
Immediate stability
Sufficient stability for immediate-load same-day teeth

Why Patients Choose Zygomatic Implants
For patients with severe bone loss, zygomatic implants deliver outcomes traditional approaches simply can’t.
No Bone Grafting
Avoids sinus lifts and bone grafting in many cases — saving you months of healing, additional surgeries, and significant cost.
Immediate Function
Same-day teeth means you walk out with a fixed, functional smile — no months of waiting with gaps or temporary dentures.
Hope Where There Wasn't
Ideal for patients previously told they are not candidates for traditional implants — the procedure was developed specifically for these cases.
Faster Treatment Timeline
Skip the 6–12 months of bone graft healing — go directly from consultation to placement to permanent teeth.
Highly Stable & Predictable
The cheekbone is one of the densest structures in the skull — providing exceptional stability and predictable outcomes.
Premium Final Restorations
Final teeth are crafted from medical-grade zirconia — engineered to look natural and last decades.
Who Is a Candidate?
If you’ve been told you don’t have enough bone for dental implants, you may still be a candidate for zygomatic implants. The procedure is specifically designed for patients who fall outside the criteria for traditional implant placement.
The only way to know definitively is a free 3D consultation with comprehensive CBCT imaging. We evaluate your bone density, sinus position, and overall health to determine the best approach for your specific case.
- You have multiple missing or failing teeth
- You wear dentures and want a permanent solution
- You have bone loss or were told you're not a candidate
- You can't afford months of healing without teeth
- You want one surgery instead of multiple visits
- You're committed to a soft-food diet during initial healing
Common Zygomatic Patient Profiles
The Difference
Zygomatic vs. Traditional Bone Grafting Approach
For patients with severe bone loss, here’s how zygomatic implants compare to the traditional approach of grafting first, then implants.
Compare Across
Bone Grafting Required
Replacement Frequency
Adhesives & Maintenance
Bone Loss Treatment
Cost Over 20 Years
Quality of Life
Quality of Life
Zygomatic Implants
- Not required (most cases)
- One surgical visit
- Same-day fixed teeth
- 1 day to 6 months
- Avoided in most cases
- Single recovery
- Comparable or less
Bone Grafting + Implants
- Required first
- Two or more procedures
- 6–12 months waiting
- 12–18 months
- Often required
- Multiple recoveries
- Often higher with grafting
Performed by a Board-Certified Specialist.
Zygomatic implants require advanced training and experience. The procedure involves the cheekbone, proximity to the maxillary sinus, and complex angulation — requiring expertise that goes far beyond standard implant training.
At Advanced Implant Specialist, your procedure is performed by a board-certified prosthodontist specializing in complex full-arch rehabilitation and advanced implant techniques. Most general dentists do not perform zygomatic procedures — and even most implant specialists refer these cases out.
Dr. Winfield’s training in prosthodontics and complex restorative care makes Advanced Implant Specialist one of the few practices in San Diego performing zygomatic implants regularly and confidently.
Dr. Jonathan Winfield
BOARD-CERTIFIED PROSTHODONTIST
- Loma Linda University DDS
- 3-Year Prosthodontics Residency
- American Board of Prosthodontics Certified
- Advanced Zygomatic Training
- Complex Full-Arch Specialty
- Fewer than 1% of dentists hold ABP certification
Patients Told
"No" Elsewhere
See real patients who came to us after being denied implants by other providers — and walked out with a complete fixed smile.
Before
After

Maria S
Full Reconstruction
Both Arches · 12 Months
Before
After

Robert K.
Complex Case
All-on-X + Grafting + Cosmetic
Before
After

Linda T.
Failed Dentistry Rescue
Multiple Failing Crowns → New Smile
They said it wasn't possible..
Watch real patient stories of zygomatic transformations — the moments patients realized “no” wasn’t actually the answer.
Common Questions
Zygomatic Implant
FAQs
Everything you need to know about zygomatic dental implants.
What are zygomatic implants?
Am I a candidate if I was told I have no bone?
Do zygomatic implants require bone grafting?
Can I get same-day teeth with zygomatic implants?
Why do zygomatic implants require a specialist?
Is the zygomatic implant procedure painful?
Continue Exploring
Related Resources.
01 / SERVICE
All-on-X Dental Implants
Most zygomatic cases are paired with All-on-X full-arch restoration.
02 / OVERVIEW
Dental Implants Overview
Understand all your implant options across our complete service range.
03 / COST
Cost & Financing
Transparent pricing and 0% APR financing for complex implant cases.
04 / SERVICE
Teeth in a Day
Same-day immediate-load implants — including zygomatic cases.