Severe Jawbone Loss Solutions at Advanced Restorative Dentistry
At Advanced Restorative Dentistry, our dental team is completely dedicated to helping you regain your confidence, oral health, and complete chewing function. Led by Dr. Michael Nishime, our Honolulu dental office specializes in top-tier restorative and cosmetic dentistry solutions designed to resolve even the most complex dental challenges. Our exceptionally friendly, bilingual (English-Japanese) staff understands that extensive tooth loss can be a highly emotional experience, and we are here to provide a stress-free, supportive environment where you feel truly heard and cared for. For patients dealing with extreme bone loss in the upper jaw, zygomatic dental implants offer an incredible, permanent alternative to traditional implants or extensive bone grafting.
Historically, patients who suffered from severe upper jawbone resorption were told they were not candidates for implant dentistry. Traditional implants require a solid foundation of healthy bone tissue in the maxilla (upper jaw) to remain stable, which often disqualified patients who had been missing teeth for many years or who had suffered from advanced gum disease. Fortunately, zygomatic implants provide a highly advanced workaround that allows our team to rebuild your smile without the need for multiple preparatory surgeries or long healing delays. By utilizing modern 3D imaging and digital X-ray technology, Dr. Nishime can meticulously plan your procedure to ensure optimal precision and outstanding, life-changing results.
If you are ready to find out how our advanced implant techniques can restore your quality of life, please reach out to our Honolulu dentists near you today by calling (808) 732-0291.
What Are Zygomatic Dental Implants?

The cheekbone is an exceptionally dense, stable bone structure that does not suffer from the same resorption or volume loss that occurs in the jawbone after teeth are lost. This makes the cheekbone a virtually perfect foundation for supporting a full arch of new prosthetic teeth. Because of their unique anatomical placement, zygomatic implants are significantly longer than standard implants, measuring up to several centimeters in length to safely reach from the mouth to the dense cheekbone. This advanced procedure is widely considered a highly specialized facet of modern restorative and reconstructive dentistry.
To learn more about the mechanics of zygomatic implants and schedule an examination, call our friendly team today at (808) 732-0291.
Who Is a Candidate for Zygomatic Implants?
Determining whether you are an ideal candidate for zygomatic implants involves a comprehensive evaluation of your unique dental history, anatomical structure, and smile goals. At our Honolulu office, we perform highly detailed diagnostics to assess the health of your mouth and jawbone before recommending any complex surgical plan. Generally, zygomatic implants are recommended for individuals who experience specific dental and structural conditions:
- Severe Maxillary Bone Resorption: Patients who have lost a significant amount of bone tissue in their upper jaw due to long-term tooth loss, severe periodontal disease, or facial trauma.
- Failed Previous Treatments: Individuals who have previously undergone unsuccessful sinus lifts or bone grafts and are seeking a more predictable, alternative solution.
- Desire to Avoid Bone Grafting: Patients who wish to bypass the discomfort, high cost, and lengthy recovery times associated with major bone grafting procedures.
- Inability to Wear Traditional Dentures: Patients who struggle with loose, slipping, or painful complete & partial dentures and want a highly secure, fixed tooth replacement option.
- Suitability for Full-Arch Restorations: Individuals looking for a stable foundation to support an immediate All-on-X prosthetic bridge.
If you are struggling with any of these issues and want to explore a permanent solution to reclaim your smile, reach out to our team today.
The Key Benefits of Zygomatic Implants

- No Bone Grafting Required: By anchoring the implants into the naturally dense cheekbone, we completely eliminate the need for preparatory bone grafts, saving you months of healing time and reducing the number of surgeries.
- Immediate Teeth in a Day: In many cases, the exceptional stability of the zygomatic bone allows us to attach a temporary, highly aesthetic fixed bridge to your implants on the very same day as your surgery.
- Exceptionally High Success Rate: Zygomatic implants have a documented history of long-term success and durability, providing a highly predictable outcome even in patients with compromised oral health.
- Restored Chewing and Speech: A fixed implant-supported bridge restores your complete biting force and prevents your teeth from slipping, allowing you to speak clearly and enjoy a highly nutritious, varied diet.
- Preservation of Facial Structure: Rebuilding your smile with fixed restorations provides vital support to your lips and cheeks, preventing the hollowed, prematurely aged appearance that often accompanies severe bone loss.
To discuss the potential benefits of this treatment for your health, contact our supportive office today at (808) 732-0291.
The Treatment Process at Our Honolulu Practice
Achieving a fully restored, functional smile is a highly detailed and customized clinical journey. At Advanced Restorative Dentistry, we fiercely ensure that every single step of your ongoing care is physically comfortable, clinically precise, and entirely tailored to your unique anatomical needs. The treatment process for zygomatic implants generally involves the following highly structured steps:
- Detailed Initial Consultation: Dr. Nishime will perform a comprehensive physical examination and utilize advanced 3D imaging to closely evaluate your bone density and map out vital anatomical structures.
- Surgical Planning: Using highly precise digital software, our team maps out the exact surgical path and placement angle for each zygomatic implant to ensure absolute safety and accuracy.
- Surgical Placement: The implants are carefully placed into the zygomatic bone during a specialized oral surgery procedure. We prioritize your physical comfort by utilizing highly effective local anesthesia and offering safe sedation options to ensure you remain completely relaxed and pain-free.
- Temporary Bridge Attachment: On the same day as your surgery, we will attach a temporary fixed bridge to your implants, allowing you to leave our office with a functional, beautiful smile.
- Healing and Osseointegration: Over the next few months, the zygomatic bone will naturally fuse to the biocompatible titanium implants, creating a permanent, unmoving foundation.
- Final Restoration: Once your healing is fully complete, you will return to our office to receive your custom-crafted, permanent bridge, beautifully finishing your smile makeover.
When you visit our dentist’s office near you, our priority is making sure you feel safe, informed, and completely relaxed throughout every phase of your treatment. Call us today at (808) 732-0291 to take the first step toward your new smile.
Frequently Asked Questions
Most patients are pleasantly surprised by how quickly they recover from zygomatic implant surgery. While some mild swelling, bruising, and minor discomfort are completely normal for the first few days, these symptoms can be easily managed with prescribed or over-the-counter pain relievers. Most individuals are able to return to their normal daily activities within three to five days, though you will need to stick to a soft diet for several weeks to allow the implants to heal.
Yes, when performed by an experienced and highly trained professional like Dr. Nishime, zygomatic implant surgery is an exceptionally safe and highly predictable procedure. We utilize advanced 3D diagnostic imaging to precisely plan the entire surgery, ensuring we avoid sensitive sinus cavities and nerve pathways while achieving maximum stability in the dense cheekbone.
The primary difference lies in their length and where they are placed in the mouth. Traditional implants are shorter and are placed directly into the upper or lower jawbone, requiring adequate bone volume to succeed. Zygomatic implants are much longer and are anchored into the dense, stable zygomatic (cheek) bone, making them an ideal solution for patients who have suffered from extreme jawbone loss.
No, zygomatic implants are anatomically designed exclusively for the upper jaw because they must anchor into the cheekbones. If you are experiencing severe bone loss in your lower jaw, our office offers other advanced restorative options, such as bone grafting, implant-supported dentures, or specialized full-arch replacement techniques to rebuild your lower smile.
Reclaim Your Confidence at Advanced Restorative Dentistry
Living day-to-day with severe tooth loss and jawbone deterioration can make eating difficult, affect your speech, and hold you back from smiling with confidence. At Advanced Restorative Dentistry, we believe that everyone deserves a complete, highly functional, and radiantly beautiful smile. Dr. Nishime stays very current with advanced continuing education, bringing exceptional skill, advanced technology, and genuine compassion to every patient we serve. Our modern, state-of-the-art office is located in the heart of Honolulu at 1401 S. Beretania St., Suite 470, Honolulu, HI 96814, making it easily accessible for all residents of Oahu seeking trusted dentists near you.
Do not let severe bone loss prevent you from achieving the healthy, permanent smile you deserve. Let our dedicated, bilingual English-Japanese team help you navigate your restorative options and guide you toward a healthier, happier life. Contact our Honolulu dental office today by calling our team at (808) 732-0291 or visiting our website to schedule your personalized zygomatic implant consultation. We look forward to welcoming you to our dental family and helping you transform your smile!
