Zygomatic Dental Implants Cost and Procedure Guide

For patients with significant bone loss in the upper jaw, traditional dental implants aren’t always an option. Zygomatic dental implants, which are anchored in the cheekbone rather than the jawbone, offer an alternative procedure that doesn't involve bone grafting.¹ This advanced approach can help patients regain dental function and a more natural smile when traditional treatment is not an option.

What Are Zygomatic Dental Implants?

Zygomatic dental implants are specialized dental implants that anchor into the zygomatic bone, typically known as the cheekbone, rather than the upper jaw. They are designed for patients who have insufficient bone density in the upper jaw — often due to tooth loss, infection, advanced periodontal disease, trauma or long-term denture damage — and who may not be good candidates for traditional implants.²

Depending on a patient’s needs, two implants may be used, one on either side of the jawbone. For patients with extensive bone loss, quad zygomatic implants, which use four implants, two on each side of the upper jaw, may be the recommended treatment.³

Who Is a Good Candidate for Zygomatic Implants?

Good candidates for zygomatic dental implants are patients with acute bone loss in the upper jaw due to disease, trauma or long-term denture wearing, or who have experienced implant failure from previous procedures.⁴

In addition, the procedure is often a good fit for patients who want to avoid the process and recovery time of bone grafting or a sinus lift and are seeking a permanent solution for full-arch upper restorations. Your dental professional will conduct a thorough health evaluation, including CT or other diagnostic imaging, to assess if this is the right procedure for you.⁴

How Much Do Zygomatic Dental Implants Cost?

The national average cost* for zygomatic implants is $3,918, but can range from $3,018 to $7,357 based on the complexity of the procedure, the materials used and follow-up care, among other factors.⁵

Average cost of a dental bridge by state/district

The price for zygomatic implants can vary by geographic location. Below is a breakdown of the average cost* of a zygomatic implant procedure for each of the 50 states and the District of Columbia.⁵

Does Insurance Pay for Zygomatic Implants?

Generally, a zygomatic implant is not covered by dental insurance, as it’s considered a highly specialized, elective procedure, although some dental plans may partially cover certain aspects of the process. Some medical insurance plans may cover a portion of the overall cost if the procedure is proven to be medically necessary due to an underlying condition. It’s important to contact your insurance provider to ensure you have a clear understanding of what is or is not covered before undergoing the procedure.⁶

How Does the Procedure Work?

Preparation for the procedure begins with a comprehensive evaluation that includes 3D imaging using CT or CBCT scans to map the sinus cavities, bone structure and zygomatic bone.³ These scans are used together with advanced virtual surgery software to create a surgical guide, giving your provider the ability to precisely position the implants for your new teeth.⁷

Your provider will review your medical history and discuss sedation options. On the day of surgery, patients are most often given general anesthesia to ensure comfort.⁷

During the procedure, the surgeon positions and anchors the titanium implants securely into the zygomatic (cheek) bone. The implants are inserted at a precise angle using the surgical map to avoid the sinus cavity, while providing immediate stability. The entire surgery may take several hours, typically two to three hours per arch, depending on how many zygomatic implants are needed and whether they are combined with traditional implants.⁷

Prosthetic teeth are often attached the same day.¹ In some cases, a patient may wear a temporary prosthetic bridge for six to eight months.⁷ The implants fuse with the bone through a process called osseointegration, and a custom-fit permanent bridge is then installed once healing is complete.⁸

Potential Complications

Overall, zygomatic implants are considered safe, with 95% long-term success rates.² Side effects of the surgery may include swelling, bruising and discomfort.⁸ This discomfort may be treated with an over-the-counter (OTC) pain reliever.⁸

Less common side effects include sinus complications, infection, implant failure, facial numbness or speech or oral hygiene difficulty.⁹

These complications may highlight the importance of working with an experienced oral and maxillofacial surgeon and trained specialists using advanced imaging and planning technology.⁹

Recovery for Zygomatic Implants

For the first few days after zygomatic implant surgery, it’s recommended to use gentle care. Patients typically keep their head elevated, particularly when sleeping, to help reduce swelling and apply cold and warm compresses to help reduce swelling and discomfort. Medications such as over-the-counter pain relievers and antibiotics are commonly prescribed to control pain and prevent infection. Nutritional intake and hydration is often maintained through a liquid or soft food diet to avoid placing stress on the surgical site.⁸

Patients are generally advised to maintain gentle oral hygiene, including the use of recommended rinses as directed by their provider. Strenuous activities are typically avoided until the provider gives clearance to resume them. These measures support infection prevention and promote healing.⁸

It’s also recommended for patients to keep follow-up appointments so their healing is monitored and providers can make adjustments as needed.⁸

It’s important to keep follow-up appointments so your surgeon can monitor your healing and make adjustments as needed.⁸ Mild swelling, bruising and nasal congestion are common, but worsening pain, fever or persistent bleeding should be reported right away.

A Long-Lasting Solution for Severe Bone Loss

For patients with severe upper jaw bone loss who can’t receive traditional dental implants, zygomatic implants can be a suitable, long-lasting solution to restore healthy oral function and a bright smile. Consult with a highly-qualified oral surgeon trained in zygomatic implant procedures to see if this solution is right for you.

Frequently Asked Questions About Zygomatic Implants

Do you still have questions? Here are answers to some commonly questions about zygomatic implants.

How long do zygomatic implants last?

With proper care and maintenance, zygomatic implants are designed to last a lifetime. Daily brushing and flossing are recommended, as well as seeing your dental provider to monitor your oral health.²

Can zygomatic implants be combined with traditional implants?

Yes, in some cases, zygomatic implants can be combined with traditional (root form) implants to create a viable treatment option. Your surgeon will create a custom treatment plan based on your upper jaw bone density in the front and back of your mouth.³

How do I find an oral surgeon?

Zygomatic implant surgery is a highly specialized procedure that not all dental professionals are trained to perform, so it’s important you work with a skilled, experienced provider.² Consult your regular dental care provider for recommendations for an oral and maxillofacial surgeon, or consult a professional organization such as the American Association of Oral and Maxillofacial Surgeons for a directory of qualified surgeons in your area.

Financing Zygomatic Implants With the CareCredit Credit Card

Whether you're getting zygomatic implants or you're simply paying for a dental exam, the CareCredit credit card can help you pay for costs not covered by insurance.** Use our Acceptance Locator to find a dentist or oral surgeon near you that accepts CareCredit. Use the CareCredit credit card, again and again, to pay for your health and wellness wants and needs, and download the CareCredit Mobile App to manage your account, find a provider on the go and easily access the Well U blog for more great articles, podcasts and videos.

In addition to dental care, you can also use your CareCredit credit card for pet care, cosmetic, vision, hearing, health systems, dermatology, pharmacy purchases, spa treatments and so much more within the CareCredit network. How will you invest in your health and wellness next?

Author Bio

Anne-Marie Kennedy is a freelance writer with more than 20 years of experience covering health and wellness, personal finance and real estate/investing.