Advanced Zygomatic Implants - The ZAGA Concept by Dr. Aparicio
Understand the “HOW” and the “WHY” of this innovative and patient-specific zygomatic implant rehabilitation concept.
This latest edition, published in 2023, is an updated and expanded version of Dr. Aparicio’s groundbreaking first book, Zygomatic Implants: The Anatomy-Guided Approach (ZAGA), originally released in 2012. That first edition became one of the most influential scientific publications on zygomatic rehabilitation, was translated into multiple languages, and has since sold out worldwide.
More than a decade later, after continuous contributions to both the scientific and clinical fields of zygomatic implants, Dr. Aparicio continues his commitment by dedicating all profits from this new book to the ZAGA Social Program, supporting access to dental care and education for those who need it most.
PLEASE NOTE: All proceeds from this book support the ZAGA Social Program, which enables access to zygomatic implant treatment for patients in need and sponsors implant dentistry students to participate in specialized ZAGA training.
Get a copy of the book and contribute to the ZAGA Social Program.
- Editorial: Quintessence Publishing Co Ltd; first edition (September 2023)
- Language: English
- Cover: Hardcover
- Dimensions: 21 x 28 cm
- Pages: 330
- Images: 1142
- ISBN: 978-1-64724-169-8
Value: 198 €
ADVANCED ZYGOMATIC IMPLANTSThe ZAGA Concept
Dr. Carlos Aparicio
MD, DDS, MSc, MSc, DLT, PhD
“Advanced Zygomatic Implants” introduces the ZAGA concept, supporting tailored oral rehabilitation methods over generic ones. It guides decision-making based on patient anatomy, highlighting techniques to minimize complications and ensure long-term success. The book encompasses soft tissue management, alternative implant techniques, and global expert insights, underscoring the benefits of the ZAGA approach in reducing complications and enhancing anatomical accuracy.
Get a Copy of the Book and Support the ZAGA Social Program
When you purchase this book, you also contribute to the ZAGA Social Program, an initiative by ZAGA Centers built on two pillars with a shared purpose: giving back to the community.
The first pillar is patient care. Through the ZAGA Aid program, patients from disadvantaged backgrounds can receive zygomatic implant surgery performed by certified ZAGA doctors, free of charge. The proceeds from book sales fully cover the material costs — meaning every copy sold helps more patients regain their smiles, health, and confidence. The second pillar is education. In collaboration with partner universities, the ZAGA Learn program offers talented students access to specialized training in zygomatic implants. This ensures the next generation of clinicians is equipped with the knowledge and skills to advance treatment for patients worldwide.
How does it work?
The book has a minimum contribution of 198€; however, many readers and colleagues choose to go beyond the minimum because every extra contribution helps more patients access treatment and allows more young professionals to receive specialized training.
✨ 198€ changes a life — more changes many. ✨
To acknowledge this generosity, we’ve created donor tiers:
- Silver Donor: 200€ – 300€
- Gold Donor: 300€ – 500€
- Platinum Donor: 500€ – 1,000€
- Diamond Donor: 1,000€+
Each tier reflects your impact and commitment to advancing patient care and education in the field of zygomatic implants.
👉 Start with the minimum, or give more if you can. Every contribution counts — and every copy sold makes a real difference.
Donation tiers recognitions
See the complete donor list below:
Silver Donors
Dr. Amanda M Sheehan
Dr. Hungchai Lai
Dr. Mark Lawhon
Dr. Samir Kumar Pal
Dr. Bettinger Holger
Dr. Paul Corpedian
Dr. Carmy Michael
Dr. Amir Guorgui
Dr. Orhan Haililli
Dr. Jorge B Manci
Dr. Michael Gu
Dr. Luc Vrielink
Dr. Chang Cheng Tai
Dr. Referendaru Dan
Dr. Aleksei Goncharov
Dr. Filipp Gorelov
Dr. Aleksandr Romantsov
Dr. Javier Arturo Paz
Dr. Kerem Turgut Atasoy
Dr. Naruto Otawa
Dr. Athanasios Tampouris
Dr. Caliniuc Catalin Vasile
Dr. Adrianne Golly
Dr. Misagh Habibi
Dr. Leonel Santos
Dr. Edward Jh Lee
Dr. Aliaksandr Varabyou
Dr. Byung Joo Lee
Dr. Safa Tahmasebi
Dr. Công Phát Trương
Dr. Tran Hung Lam
Dr. Dau Cao Luong
Dr. Van Son Le
Dr. Han Than Ly
Dr. Uichiro Nakaya
Dr. Takanobu Otomo
Dr. Takaomi Maeda
Dr. Michael Monteiro
Dr. Takatoshi Takada
Dr. Mojtaba Dorri
Gold Donor
Dr. Oleg Tukhvatullin
Dr. Tonea Ovidiu
Mr. Dimitrev Ilya
Platinum Donor
No donors here yet. Be the first one!
Diamond Donor
This space is waiting for its first donor! Make your contribution here.
About the Book
This book provides important details on the essence of the ZAGA concept. For the reader to understand not only the how but also the why and the reasoning behind it, a description of the set of ZAGA criteria that lead to the predictable success of zygomatic implant-anchored oral rehabilitation is presented.
In contrast to previously described systems that promote a surgical technique that is applied to all patients in a similar way , the ZAGA concept promotes patient-specific therapy that is tailored to the patient’s anatomy. Indeed, using the same type of osteotomy in all situations leads to unpredictable treatment with eventual complications such as bulky prostheses, sinusitis, dehiscence, and soft tissue infections.
In this book, we aim to explain the prosthetic, biomechanical, and anatomical criteria that guide the decision-making to determine the implant trajectory, the type of osteotomy, and also the choice of the most appropriate implant design. We further explain the procedures necessary to prevent complications and maintain bone and soft tissues over time.
For the first time, soft tissue management in zygomatic implant rehabilitation is discussed extensively. Also, alternative techniques such as customized subperiosteal, nasal, transnasal, and pterygoid implants are described, as well as adjuvant techniques like L-PRF and digital workflow related to zygomatic implants. The international experience of the ZAGA Network mentors in using this work philosophy is also shared. Finally, we include the results of the first international zygomatic consensus using the Delphi method, in which more than 50 ZAGA Centers that are considered experts in zygomatic implants have participated.
The results of using the combination of the ZAGA Concept, together with more individualized instrumentation, and the use of the new ZAGA implant designs proposed by the author show a consistently less traumatic osteotomy, better implant stability, improved bone-implant contact, bone sealing, and site adaptation. Thus, the rate of late complications is drastically reduced, and more anatomical rehabilitation is achieved.
About the Author
Dr. Aparicio received his Bachelor of Medicine and Surgery degree with Summa Cum Laude from the University of Navarra in 1978. Thereafter, he completed postgraduate studies in Dentistry in 1983 at the University of Barcelona. At the beginning of this career, he became a Dental Laboratory Technician in 1983 at Ramon y Cajal School in Barcelona. A year later, Dr. Aparicio received a Diploma in lmplant Dentistry in 1984 from the University of Gothenburg (with Prof P-I Brånemark as tutor), and he was awarded a Master of Materials Science at the University of Barcelona in 1990 before receiving his Diploma in Periodontics from the University of Gothenburg in 1995 (Profs. Jan Lindhe and Jose Javier Echeverría as tutors).
He was awarded a Master’s in Biomedical Research from the University of Barcelona in 2010, and in 2013, Dr. Aparicio became Ph.D. in medicine with Summa Cum Laude and International Mention. The thesis title was: “Zygomatic implants: state of the art and criteria for success” and this was defended at the University of Barcelona (Profs Tomas Albrektsson, Jan Lindhe, Xavier Gil, Jose M Suarez, and Mariano Monzo as Jury). He is a fellow researcher with the Handicap Research Group in the Department of Biomaterials at the University of Gothenburg (Prof Tomas Albrektsson as tutor), and became an International Teaching Scholar at Indiana University School of Dentistry, Indianapolis, USA, in 2021. He has written numerous articles for international journals. In 2012, he was the editor of the book “Zygomatic implants. The Anatomy-Guided Approach (ZAGA)”. He has served as Referee at European J. of Oral lmplantology and J. of Clinical lmplant Dentistry and Related Research. He is a Fellow of the Royal Society of Medicine in England and became an Academic at The Royal European Academy of Doctors in 2016.
Dr. Aparicio is a past president 2003-2004 of the Osseointegration Foundation of the American Academy of Osseointegration. From 2003 to 2005, he served as a Board Member of the European Academy of Osseointegration. He was President of the European Association Barcelona meeting, in Barcelona in 2007. He also founded and is the honorific President of the Spanish Society of Minimally Invasive Dentistry. Dr. Aparicio received the Fonseca Award from the Spanish Society of Periodontics three times and was awarded the Simo Virgili Prize by The Catalonian Society of Odonto-Stomatology twice. In his latest endeavor, he founded the Zygoma ZAGA Centers Network in 2018 (www.zagacenters.com) with the goal of spreading the ZAGA philosophy globally. Currently, he is sharing his knowledge as a Zygomatic implants Senior Consultant at Hepler Bone Clinic in Barcelona, Spain.
Content of the ZAGA Book
- Chapter 1: The Origins of the ZAGA Concept
- Chapter 2: Biomechanics of Tilted Implants
- Chapter 3: Planning for surgery.
- Chapter 4: ZAGA Classification and the ZAGA Minimally Invasive Zygomatic Osteotomy
- Chapter 5: Using the ZAGA Concept to determine the implant trajectory.
- Chapter 6: Soft Tissue Management
- Chapter 7: Leukocytes Platelet-Rich Fibrin
- Chapter 8: The New Portfolio of Site-Specific Zygomatic Implants
- Chapter 9: Prosthetic Rehabilitation
- Chapter 10: Digital Workflow
- Chapter 11: Alternatives to Quad Zygoma.
- Chapter 12: Evaluating Zygoma Implant Success: The ORIS Criteria
- Chapter 13: A Global ZAGA Mentor Experience
Author Collaborations
- Dr. Tomas Albrektsson
- Dr. Masami Ando
- Dr. Fabio Luiz Andretti
- Dr. Arnau Aparicio
- Ing. Graham Blackbeard
- Prof. John Brunski
- Dr. Vanderlim Camargo
- Prof. James Chow
- Dr. Lesley David
- Dr. Rubén Davó
- Dr. Eduardo Jose De Moraes
- Dr. Victor De Paz
- Dr. Pietro Ferraris
- Dr. Juan Gonzalez
- Dr. Joao Grossi
- Prof. Ole Jensen
- Dr. Sajid Jivraj
- Dr. Roberto López-Píriz
- Prof. Chantal Malevez
- Dr. Manuel Martín
- Dr. María José Messina
- Prof. Eduardo Meurer
- Prof. Maurice Y. Mommaerts
- Dr. Rudi Mukherjee
- Dr. Toshi Nagai
- Dr. Jay Neugarten
- Dr. Giovanni Nicoli
- Dr. Costa Nicolopoulos
- Dr. David Pastorino
- Dr. Michael Pikos
- Prof. Nelson Pinto
- Prof. Waldemar Polido
- Dr. Shouvik Ponnusamy
- Dr. Marco Rinaldi
- Dr. Antonio Sanz
- Dr. Jaume Villanueva
- Dr. Chao-Chieh Yang
- Dr. Petros Yuvanglu
- Dr. Hooman Zarrinkelk
