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. As a pre-order, the book(s) will be shipped as soon as they are released. Expected October 2023.

book Advanced Zygomatic Implant by Carlos Aparicio
  • 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

PRICE: 198 €

The ZAGA Concept

Dr. Carlos Aparicio

“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.

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.

book Advanced Zygomatic Implant by Carlos Aparicio

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.

Dr. Carlos Aparicio

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 ( 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
Zygomatic Aparicio Book

Author Collaborations

ZAGA Book v2
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