All-on-4 and zygomatic implant treatments are modern, fixed dental solutions used in individuals with advanced bone loss or those who are not suitable candidates for conventional implants. Traditional implant planning may not be possible, particularly in patients experiencing severe bone resorption in the upper jaw. At this point, All-on-4 and cheekbone implants (zygomatic implants) offer a fast and effective alternative without the need for bone grafting operations.
What Are Zygomatic (Cheekbone) Implants and All-on-4?
In individuals with advanced bone loss in the upper jaw, the implants are placed not into the jawbone but into the cheekbone, which is referred to as a zygomatic implant. Because the cheekbone is dense and strong, it provides a solid foundation for a fixed prosthesis. This method is suitable for individuals who do not want a bone graft, who have severe resorption in the upper jaw, and whose quality of life is diminished by removable dentures.
In the All-on-4 method, only four implants are placed in the jaw, and fixed temporary teeth can be fitted on the same day. This method may be preferred in cases of complete edentulism, where bone height is limited, and for individuals seeking a more economical, fast and aesthetic solution.

What Are the Advantages of All-on-4 and Zygomatic Treatment?
These two methods are among the safest and fastest ways of obtaining a fixed prosthesis in individuals with complete tooth loss or advanced bone loss. The most prominent advantages can be listed as follows:
- Insufficient bone is no longer an obstacle. The zygomatic implant uses the cheekbone to support the implant, so there is no need for bone grafting.
- Fixed temporary teeth can be fitted on the same day.
- The healing process is more comfortable than with traditional methods.
- Prosthesis stability is high and the result is long-lasting.
- An aesthetic appearance is regained within a short time.
The All-on-4 and zygomatic treatments we perform at Dentram are permanent and functional solutions, especially for individuals who struggle with removable dentures.
Case Examples of All-on-4 and Zygomatic Implant Treatment
Both All-on-4 and zygomatic implant treatments can be understood far better through the case examples below.
Severe Bone Loss in the Upper Jaw – Zygomatic Treatment
In a patient who struggled to use dentures, tomography analysis showed that the upper jawbone was insufficient for implants. Zygomatic implants were placed into the cheekbone and a fixed prosthesis was planned. This case demonstrates how effective the zygomatic technique is for individuals who want fixed teeth without bone grafting.
Full-Mouth Rehabilitation – All-on-4 Treatment
All-on-4 treatment was planned for a patient who had lost all of the teeth in both the upper and lower jaws. After the implants were placed, fixed temporary teeth were fitted on the same day. This case shows that the All-on-4 method can restore aesthetics and function in a short period of time.
In some patients, zygomatic implants may be used in the upper jaw and All-on-4 in the lower jaw. In this way, both jaws are restored with a fixed prosthesis on the same day.

What Are the Stages of Treatment?
The treatment steps may vary according to the patient’s bone structure, but they generally proceed as follows:
- A detailed bone analysis is carried out using panoramic X-rays and tomography.
- The angles and placement points of the implants are determined through digital planning.
- The All-on-4 or zygomatic implants are placed during the surgical procedure.
- In suitable cases, fixed temporary teeth are fitted on the same day.
Since conditions such as uncontrolled diabetes may affect the success of the treatment, the assessment must always be carried out by specialist surgeons.
Dentram for Advanced Implant Surgery
When All-on-4 and zygomatic implant treatments are combined with suture-free surgical techniques, they offer patients comfortable, fast and lasting results. Even when the bone structure is insufficient, it is possible to obtain fixed teeth thanks to Dentram’s advanced surgical solutions and the expertise of Prof. Dr. Serhat Yalçın, Oral and Maxillofacial Surgery Specialist and one of Dentram’s founders.
You can contact the Dentram specialists to create a personalised assessment and treatment plan.