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Procedure & Technology, Candidacy & Suitability

Advanced Solutions (Complex Bone Loss)

Published 22 April 2026

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There are several advanced solutions All-On-4 Plus® which include Dental Implants with Sinus Grafting, Zygoma Implants, Zygoma Implants with Zygoma Grafting, Quad Zygoma and and Pterygoid implants. On this page we explore these options in greater detail.

Overview

Not every smile starts from the same place and complex bone loss doesn't have to be the end of the road.
Through advanced surgical techniques, digital planning and options like Zygomatic and Pterygoid implants there are possibly fix solutions which can be achieved.

These longer implants anchor into stronger bone areas making a stable, fixed outcome even when bone grafting has been ruled out.

Our Premium Providers specialise in these complex cases and will assess your condition thoroughly with 3D imaging and clinical expertise.

On this page we explore a number of these options.

Zygoma Implants

Zygomatic implants or "Zygoma" are longer than regular implants. They go through the weaker upper jaw area, often passing the sinus, to anchor into the cheekbones.
This method is used when the upper jawbone is very thin or weak. These implants are placed from inside the mouth, along with one or more regular implants in the front part of the jaw on each side.

Bone Grafting

Bone grafting is a crucial technique in dental implantology, used to rebuild and strengthen jawbone structure where bone volume is insufficient.
This procedure involves adding bone material to areas with low density, creating a solid foundation necessary for successful implant placement.
Commonly used in the upper jaw, especially in the sinus regions, bone grafting enables precise implant positioning and increases long-term stability. By enhancing bone quality and volume, grafting not only supports the immediate success of implants but also offers future flexibility for additional implants if needed, making it an essential step for patients with compromised jawbone integrity.

Pterygoid Implants

An option for severe upper jaw bone loss is All-on-4 Plus® Pterygoid implants. Often this solutions can work where traditional methods fall short. These longer implants anchor into stronger bone areas allowing the dental provider to achieve a stable, fixed outcome.

Zygomatic Implants

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Zygomatic Implants, also known as ‘Zygoma’, are longer than standard dental implants that instead of relying on jawbone, transverse the poor area of your upper jaw to anchor into the underside of the cheekbones from the inside through the sinus space. This approach is used for severely resorbed upper jaws and is designed to facilitate immediate rehabilitation with fixed replacement teeth.
The zygoma implants are inserted in the back section from within the mouth, along with one or more additional regular implants in the front part of your jaw, or in the most sever of cases two zygomatic implants may be placed on each side, which is referred to as Quad Zygoma .

The “Plus” difference refers to enhancements in planning, materials and surgical techniques designed to improve stability, comfort, aesthetics and long-term outcomes compared to traditional approaches.

Bone grafting is a crucial technique in dental implantology, used to rebuild and strengthen jawbone structure where bone volume is insufficient.

Biological integration is the process by which living bone tissue gradually attaches to the surface of a titanium implant. Over time, the bone treats the implant as part of the body, forming a secure and functional connection.

Important Note

All surgical procedures carry risks, including infection or implant failure. Individual recovery times vary based on age, systemic health, and smoking status. Please follow the specific post-operative instructions provided by your All On 4 Plus® Clinician.

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The information contained in this webpage is general in nature and has been provided in good faith, without taking into account your personal circumstances. While all reasonable care has been taken to ensure that the information is accurate and opinions fair and reasonable, nothing is to be construed as any kindof warrantee. Your suitability for any treatment is subject to full assessment by a qualified professional. All cosmetic and surgical procedures carry risks. Before proceeding you should seek a second opinion from an appropriately qualified health practitioner. The dental, medical, cosmetic and beauty professionals employed by All On 4 Plus Pty Ltd (ACN 164844428) and its network of clinics and licensees trading as All On 4 Clinic, All-On-4 Plus® Premium Provider and All-On-4 Plus® Affiliates are trained, registered and fully qualified to provide second opinions and undertake treatments within their respective scope of practice. The use of the information contained on this page is governed by Australian law and is subject to the Terms and Conditions which can be read by clicking here. View the ALL ON 4 PLUS® Pty Ltd Privacy Policy by clicking here.