592 US Highway 46, Fairfield, NJ 07004 Mon–Fri · By Appointment
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Zygomatic Implants

Fixed upper teeth for patients told they don’t have enough bone

Lost too much upper jawbone for regular implants? Zygomatic implants take their hold in your cheekbone instead, so fixed teeth are still possible, often with no bone graft first. At Smile Again in Fairfield, NJ, they are placed by oral surgeon Dr. David Zelig, a leader and teacher in zygomatic and pterygoid implants, and your teeth are designed by Board-Certified Prosthodontist Dr. Daniel Greenbaum.

Diagram of zygomatic implants anchored in the cheekbone on each side, supporting a fixed full upper arch of teeth beneath the sinuses
What they are

A stronger anchor when the upper jaw has thinned

After teeth are lost, the upper jaw slowly shrinks and the sinuses take over the space. A regular implant has nothing solid to hold. A zygomatic implant is longer, runs alongside the jaw, and locks into the dense bone of the cheekbone.

They are usually placed one on each side, often with regular implants at the front, and together they hold a fixed bridge of upper teeth that stays in, day and night.

Patient standing in a CBCT 3D scanner for an implant consultation
Sound familiar?

Who zygomatic implants are for

  • You were told you don't have enough bone for implants
  • Your upper denture has gotten loose and hard to wear
  • An earlier upper implant or bone graft didn't succeed
  • You'd rather skip a bone graft and the months of waiting
  • You want fixed upper teeth that don't come out at night

At Smile Again, everyone is a candidate for implants and permanent teeth, even if told before they don't have enough bone.

3D CBCT scan on screen showing jaw cross-sections and implant position planned at Smile Again
Planned on your CBCT scan

See your own bone in 3D before anything is placed

A flat x-ray can miss bone you still have. Our CBCT 3D scan shows your jaw, sinuses and cheekbones in full, so Dr. Zelig can plan the exact angle and length of every implant, then place it with guided surgery. More on 3D imaging

How it works

From your first scan to your final teeth

Consultation & CBCT scan

We scan, listen to your goals and explain every option that fits you.

Digital plan

Implants are planned on your scan; your new teeth are designed in our lab.

Placement under sedation

You rest comfortably. If the implants are stable enough, fixed temporary teeth go in the same day.

Final teeth

After healing, your permanent bridge is made on site and fitted.

Real patient results

New upper teeth, made in Fairfield by our team

Full-arch implant patients of Smile Again. Not every case shown used zygomatic implants.

BeforeSmile Again NJ patient before treatment — case 9
AfterSmile Again NJ patient after treatment — case 9
All-on-4 / Full-Arch Implants

Albert's teeth were loose and beyond repair. He wanted a smile that looked natural and teeth that were strong enough to enjoy all his favorite foods again. A Full-Arch dental implant bridge on the upper jaw made it happen.

BeforeSmile Again NJ patient before treatment — case 3
AfterSmile Again NJ patient after treatment — case 3
Smile Makeover (multiple procedures)

We replaced the upper teeth with a full-arch implant bridge and restored the lower teeth with custom crowns. The result is a healthy, beautiful smile made with today's most advanced materials.

BeforeSmile Again NJ patient before treatment — case 8
AfterSmile Again NJ patient after treatment — case 8
All-on-4 / Full-Arch Implants

Broken teeth and excess bone left Pedro feeling hopeless about his smile. Our specialist team gave him strong, beautiful Full-Arch dental implant teeth and the confidence to Smile Again.

Every smile is unique. These are real, unretouched results from patients treated at Smile Again Dental Implant Center; individual results vary based on each person’s condition and treatment plan.

See all patient results
Comparing your options

Cheekbone anchor or bone graft: how the options differ

Zygomatic implantsBone graft, then implantsPterygoid implants
Anchored inCheekboneRebuilt upper jawboneBone behind the last upper molars
Best forSevere upper bone lossMild to moderate lossLoss toward the rear of the jaw
Separate graft surgeryUsually notYesUsually not
Wait before implantsNoneSeveral monthsNone
Paying for treatment

What zygomatic implants cost, and ways to pay

Cost depends on how many implants you need, any extractions, your bridge material and sedation, so you get a personal quote after your scan. We submit to all insurance companies as a courtesy, are in the Delta Dental PPO network, and offer financing through CareCredit, LendingClub and Cherry.

See insurance & financing
Your implant team

A surgeon and a prosthodontist on every case

Dr. David Zelig, Board-Certified Oral and Maxillofacial Surgeon

Dr. David Zelig, DDS

Board-Certified Oral and Maxillofacial Surgeon

A leader and teacher in zygomatic and pterygoid implants, known for complex bone-loss cases once believed to be impossible.

Dr. Daniel S. Greenbaum, DDS, MS, FACP, Board-Certified Prosthodontist

Dr. Daniel S. Greenbaum, DDS, MS, FACP

Board-Certified Prosthodontist

Specializes in complex full-mouth reconstruction and designs your new teeth in our in-house lab.

Meet our doctors
FAQ

Questions patients ask us

Extra-long implants that take their hold in the cheekbone instead of the upper jaw. They support fixed upper teeth when the jaw has too little bone for regular implants.
At Smile Again NJ, every person is a candidate for dental implants — we have new techniques for those previously told they lack the bone for implants. Our oral surgeon, Dr. David Zelig, is a leader in Zygomatic and Pterygoid implants and is well known for treating complex bone-loss cases once believed to be impossible.
Usually not. Because the cheekbone provides the hold, zygomatic implants are meant for patients who would otherwise need major grafting. Your CBCT scan confirms it.
Often, yes. If the implants are stable enough during surgery, fixed temporary teeth are attached that day. Your final bridge follows after healing.
Yes. Treatment is done under sedation, overseen by our double board-certified anesthesiologist, Dr. Roy Berenholtz, MD.
At Smile Again Dental Implant Center, 592 US Highway 46, Fairfield, NJ 07004. Call (973) 808-9908 to book a consultation.

Let us help you smile again

Call (973) 808-9908 or request your consultation online.