Abstract
Introduction: Patients presenting severe maxillary atrophy represent a challenge in terms of predictability, treatment time and complications. Prof. Branemark introduction of the zygoma fixtures to by-pass the alveolar area and reach the zygoma to obtain enough bone anchorage was a major breakthrough. Many patients were treated by either 2, 4 or 5 zygoma implants combined/or not with standard ones. The next frontier was to create enough initial stability for immediate loading.
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