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Comparison

Zygomatic implants vs the All-on-4® treatment concept

Both give fixed teeth for a whole jaw. Zygomatic implants are considered when the upper jaw lacks the bone for regular implants.

What actually differs
  • Different indications, not competing options for the same patient.
  • Zygomatic surgery is more complex.1

FeatureZygomatic implants
e.g. NobelZygoma™
All-on-4® treatment concept
Regular implants
When considered
Bone Severe upper-jaw bone loss1Enough bone for 4 regular implants2
Implant length 30 – 60 mm3Regular lengths
Evidence
Survival 96.2% over mean 6.3 years (ITI)194.7% up to 13 years, upper jaw2
Typical complication Sinusitis 14.2%1Bridge/screw issues4

Highlighted rows differ. A design difference is not evidence that one implant gives better results for you. No scores and no winner. The choice is a clinical and restorative decision.

Which one is right for me?

Neither is "better" in general. A design difference is not evidence that one gives better results for you. The surgeon decides based on your bone, the site and the planned teeth.

Would you like a clinician to explain which options fit your situation?

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Clinical review pending. Facts on this page are checked against the sources listed below (regulatory records, manufacturer documents, peer-reviewed research). A named clinician will review it before we call it medically reviewed.
Last updated 28 Sep 2026 · How we review

Sources

  1. Consensus / guidelineAl-Nawas B et al. ITI consensus report on zygomatic implants — Int J Implant Dent, 2023. Accessed 28 Sep 2026.
  2. Independent clinical studyMaló P et al. The All-on-4 concept for the edentulous maxilla: longitudinal study with 5–13 years of follow-up. Clin Implant Dent Relat Res 2019 — Clin Implant Dent Relat Res, 2019. Accessed 28 Sep 2026.
  3. Regulatory recordFDA 510(k) K243834 — NobelZygoma TiUltra Implant system — U.S. Food and Drug Administration, 2025-08-25. Accessed 28 Sep 2026.
  4. Systematic reviewShao WH et al. All-on-4 and All-on-6 implant-supported fixed prostheses: systematic review and meta-analysis. Int J Oral Maxillofac Surg 2026 — Int J Oral Maxillofac Surg, 2026. Accessed 28 Sep 2026.

Clinical assessment

Find out whether implant treatment suits you

Send a few details and, if you have one, a recent x-ray. A dentist from our clinical partner reviews your case and replies with next steps. Free and without obligation.

This website does not diagnose. Only an examination by a dentist can confirm a treatment plan.

Dentist explaining a panoramic x-ray to a couple
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