Management of significant bone loss with sinus extended to distal of 12
Zygoma Case Report (20-03)
Overview
The following pictures correspond to a patient treated by Dr. Costa Nicolopoulos at SameDay Clinic, the ZAGA Center Dubai. The prosthetic work was performed by Dr. Fokion & Dr. Ramy. The patient presents a significant bone loss # 16-13 (3-7) and sinus extends to distal of #12 (7). Also, in this case, we are talking about a patient with a past medical-surgical history of larynx cancer (2017) treated with surgery & radiotherapy (DXT).
Dr. Costa Nicolopoulos tried bilateral ZYGAN implants but LHS had buccal-palatal mobility despite good primary stability. Also, OAC was inevitable on the left so he removed it but managed to perform internal sinus lift on the left & very good zygomatic bone on the right without OAC at the crest thanks to Versah/Densah zygomatic drills. All implants are > 100 N.cm primary stability.
In this case, we note that the optimized position of the zygomatic implant on the ridge is made possible by two elements: the 55º angle in the implant head (Southern Implants) and by following the ZAGA Concept.
Diagnostic & Planning
Surgery
Final situation
Post Surgery
POST X-rays POST X-rays POST X-rays POST OP #21 
POST OP #12 POST OP 
Testimonial
Dr. Costa Nicolopoulos (BDS cum laude, FFD (SA) MFOS, Specialist Oral & Maxillofacial Surgeon) along with Dr. Petros Yuvanoglu (D.M.D. summa cum laude, Cert. Prosthodontics, TUFTS, U.S.A.) is in charge of coordinating the treatment of the patients suffering from severe maxillary atrophy using zygomatic implants and the ZAGA philosophy. From the patient care to the anatomical position of the implant, the treatment adapts to each patient. Using the ZAGA technique, patients recover with fixed teeth in 24h.
