Learn more about zygomatic implants at https://www.fernandogiovanella.com Instagram: / drfernandogio Let's look at 2 bizarre examples when it comes to zygomatic implants. Understand: There are two extremes. At one extreme, we have dentistry that does not follow evidence-based practices, which is a problem. At the other extreme, we have the idea repeaters, those who only literally recite excerpts from books and articles, and confuse information with knowledge. And we have a third area, which is the optimal area, where reality, practical experimentation and clinical results reside. This is the region where so-called critical thinking and systemic thinking are found. You base your practices on evidence but at the same time triangulate with practical perceptions and evaluate situations from various perspectives. You are able to contextualize what you are reading and not accept everything passively. Zygomatic implants have been the area of ​​dentistry most affected by this type of approach and then they claim that zygomatic implants do not work. Take a look at this article published in the Journal of Prosthodontics. The authors propose a way to optimize the trajectory of the zygomatic implant. But take a look at this zygomatic implant on the right side. The zygomatic implant is violating the orbital cavity already in the virtual planning! We all know that in the trajectory of a long implant with the zygomatic implant there can be a large apical deviation of the implant. Now, when you add a large potential apical deviation to a planning of this type, this can result in a catastrophic error. Do you understand now why they say that zygomatic implants do not work? If this is what they publish, imagine the rest. Is This Why Zygomatic Implants Do Not Work? But let's move on, an article published in the renowned International Journal of Oral & Maxillofacial Implants. They wanted to evaluate the influence of alveolar defects on the distribution of stress when using 4 zygomatic implants. Now let's evaluate how these implants were installed. We can see that all the implants were installed excessively distal to the alveolar ridge region. The prosthetic emergence of the posterior implants would come out in the wisdom tooth region or even much further. Another problem: the distal implants were installed crossing the infratemporal fossa, taking up only a small portion of the most terminal part of the zygoma, close to the zygomatic arch where the bone is much thinner and has poor anchorage. In these situations, the implants can even start to wobble, so I ask: is this why zygomatic implants don't work?! This unfavorable more posterior position makes shorter zygomatic implants necessary. Do you now understand why companies make zygomatic implants shorter than ideal? Because most people don't understand these details. Take a look at the arrangement of the implant emergence in relation to the prosthesis, look at the size of the anterior cantilever. Then there is a zygomatic implant fracture and companies think that the solution is to create thicker zygomatic implants. No, it's not! You heard Nobel, it's not a problem of thickness. It's a problem of implant length. When the head of the implants is more anterior in the ridge region, the anterior cantilever becomes smaller. Now, in order to do this, we need implants larger than 52.5 mm. I talk about this in my book. Anyway, the zygomatic implant is an incredible technique, it takes the patient away from the bone graft and allows immediate loading with a high success rate in the short and long term. However, if you want to learn, start studying and think critically about what you see in Facebook groups and even in scientific articles. Just because something is published does not mean it is the absolute truth. Only by being bold and having the courage to apply a critical way of evaluating studies will we be able to perform and teach zygomatic implants responsibly and with a commitment to our clinical results and our patients. This video is not a personal criticism of any company or author, but a way to encourage the advancement of science, critical thinking and, consequently, the truth. Learn more about zygomatic implants at https://www.fernandogiovanella.com