All-on-4® Zygomatic Implants
A graftless alternative solution for severe upper jaw bone loss!
What are Zygomatic Dental Implants?
Zygomatic implants are designed to provide support for a full arch of teeth in cases where there is insufficient bone in the upper jaw to support traditional implant placement. The procedure involves anchoring the implant into the zygomatic bone (cheekbone), which provides a more secure foundation for the All-on-4® dental implant.
Zygomatic implants are longer, angled implants anchored in the cheekbone, designed for patients with severe upper jaw bone loss. They provide a stable foundation for full-arch prosthetics when traditional implants aren’t possible, often eliminating the need for bone grafts.
Like All-on-4®, new teeth can usually be attached within 1–2 days. Depending on your X-rays, one to four implants may be used.
Do I Need Zygomatic Implants?
Benefits of All-on-4® Zygomatic Implants?
Suitable for Severe Bone Loss
All-on-4® Zygomatic implants are an excellent solution for patients with extensive bone loss in the upper jaw, eliminating the need for bone grafting procedures.
Immediate Loading
In some cases, zygomatic implants allow for immediate loading and faster placement of prosthetics. However, for patients with softer bone, loading is typically delayed for up to three months, with the final bridge fitted around 12 months post-surgery once full osseointegration has occurred.
Enhanced Aesthetics and Function
Zygoma implants provide improved aesthetics and function compared to removable dentures. They feel and function more like natural teeth, allowing for confident speech and a wider variety of foods to be enjoyed.
Longevity
With proper care and oral hygiene, dental implants are a long-lasting durable and reliable solution for patients.
Quality of Life
All-on-4® dental implants may significantly enhance a patient's quality of life by restoring their ability to eat, speak, and smile with confidence.
Real Patients. Real Transformations.
Your Graftless Next Smile in 5 Steps
Every treatment is performed by our trusted network of highly qualified dental surgeons, using the MALO Protocol – the gold standard for advanced full-arch implant procedures worldwide. Zygomatic implants are a highly specialised solution designed for patients with severe bone loss, eliminating the need for bone grafting.
Consultation
Meet with our experienced treatment coordinators and dental surgeon in a comfortable, judgment-free environment. We review your dental and medical history, take advanced CBCT (3D) scans, and assess your bone density and sinus anatomy.
This detailed digital planning allows us to determine whether zygomatic implants are the right solution and map precise implant placement into the strong zygomatic (cheek) bone.
Preparation
Once you’re ready to proceed, your surgeon finalises a highly customised treatment plan.
At the same time, Next Smile Labs begin designing your provisional teeth—ensuring your new smile is ready immediately following surgery.
Surgery and Provisional Smile
Your procedure is performed by a highly trained surgical team in a hospital-grade setting, typically under general anaesthesia for maximum comfort.
Zygomatic implants are longer implants anchored into the cheekbone, bypassing areas of bone loss in the upper jaw.
Within 24 hours - often the same day - you’ll be fitted with a fixed set of provisional teeth, so you leave with a functional, confident smile.
Final Smile
Over the next 3–6 months, your implants integrate with the bone through a process called osseointegration.
During this time, we monitor your progress and refine your final smile. Trial fittings ensure the ideal fit, shape, and colour before your permanent bridge is crafted and securely placed.
Aftercare & Support
Your long-term success is supported through regular maintenance appointments and professional cleaning, typically every six months.
With proper care and adherence to the MALO Protocol, zygomatic implant treatments are designed to provide a stable, long-lasting solution - even in complex cases where traditional implants are not possible.
Your Zygomatic Implant Recovery Roadmap
| Timeline | What to Expect | Your Action Plan |
| Days 1–3 | Initial swelling and mild bruising around the cheeks/eyes. | Use ice packs and rest with your head elevated. |
| Days 4–14 | Swelling subsides; stitches may begin to dissolve or be removed. | Stick to a “fork-tender” soft diet (e.g., flaky fish, soft pasta). |
| Months 1-3/6 | Osseointegration: The implants fuse permanently with your cheekbone. | Maintain meticulous oral hygiene; avoid hard, crunchy, or “sticky” foods. |
| Month 3+ | Final stability check and placement of your custom-made permanent bridge. | Enjoy a range of foods and smile with confidence. |
Cost of Zygomatic Dental Implants
If you’ve been advised that you may need zygomatic implants, then your best option for getting a price for surgery, it is to book a no-obligation consultation with your local Next Smile Australia to team to get a transparent breakdown of the cost of zygomatic dental implants.
Next Smile Australia also offers a range of All-on-4® payment plans for patients who want a life free from dentures or troublesome teeth but don’t have the funds readily available. We can also help patients with accessing super for dental, if you meet all criteria laid out by the ATO and your super fund.
Treatment You Can Trust.
Wherever You Live.
With 7 Super Clinics across Australia and a network of accredited regional partners, reliable dental implant care is always within reach. From your first consultation to lifelong aftercare, our coordinated network delivers complete implant solutions – all under one roof.
All-on-4® Zygomatic Implants FAQ's
What is the cost of zygomatic implants?
The cost of zygomatic implant treatment can vary depending on the complexity of your case, the number of implants required, and whether additional procedures are needed.
Because zygomatic implants are a specialised solution – typically used in cases of severe bone loss – they are generally more complex than traditional dental implants.
The best way to receive an accurate cost is through a personalised consultation, where we assess your bone structure using 3D imaging and provide a tailored treatment plan.
Not all people with periodontal disease or dental decay require All-on-4® treatment. With many patients we can restore the teeth and treat the gum disease for many years. All-on-4® should not be considered a treatment of choice based on shorter treatment times or cost. At Next Smile Australia we believe we should not be removing good restorable teeth.
Can I get dental implants if I have jawbone atrophy?
Yes – patients with jawbone atrophy may still be suitable candidates for dental implants, thanks to advanced solutions like zygomatic implants.
Traditional implants rely on sufficient jawbone density, which can be reduced over time due to missing teeth, gum disease, or ageing. Zygomatic implants, however, anchor into the stronger cheekbone, often avoiding the need for bone grafting.
If you’ve been told you don’t have enough bone for implants, this treatment may still be an option. Learn more about jawbone atrophy and how it impacts your eligibility in our dedicated blog.
What are quad zygomas and why would I need them?
Quad zygomas refer to a treatment approach where four zygomatic implants are placed in the upper jaw, instead of a combination of standard and zygomatic implants.
This approach is typically recommended for patients with extreme bone loss in the upper jaw, where there isn’t enough bone to support traditional implants at all.
By anchoring all implants into the cheekbone, quad zygomas provide a stable, graft-free solution for full-arch restoration – even in the most complex cases.
Do you use Nobel Biocare zygomatic implants?
Yes, we use zygomatic implants from Nobel Biocare, a global leader in implant technology.
Nobel Biocare implants are designed specifically for advanced procedures like zygomatic treatment and are backed by extensive clinical research and long-term data. When combined with the MALO Protocol, they support a predictable, high-quality outcome for patients requiring full-arch rehabilitation.
Are zygomatic implants safe?
At Next Smile Australia, safety of our patients is our priority. The two-bridge Malo Protocol we follow has been clinically proven over 25 years, resulting in a 98% success rate*. We only use TGA approved dental implants and materials.
Even if zygomatic implants are placed by experienced professionals, there is no known way to determine if your body will accept them. So, careful analysis of your medical situation may assist in determining potential success rates.
Take the first step toward your Next Smile
Our highly experienced consultation teams offer a warm, caring and non-judgemental approach to assessing your suitability for All-on-4® Dental Implants.
If you’d like to schedule a personal consultation, please get in touch