Zygoma
Its main function is to retract soft tissue and provide optimal visibility of the surgical field, particularly in the area of the zygomatic bone. In the ZAGA concept developed by Dr. Carlos Aparicio, a mucoperiosteal flap is elevated, covering the lateral sinus wall and the upper border of the zygomatic bone. The zygoma retractor is guided along the posterior sinus wall up to the upper zygomatic ridge to retract the soft tissue and facilitate access to the surgical site.Also available in the Zygoma Set 10100-85.
A maxilla dissector is an instrument used for gentle tissue separation in the upper jaw region. It is used in surgical procedures such as zygomatic implant placement.Zygomatic implantation is a technique for rehabilitating severely atrophied upper jaws where conventional implants cannot be used due to insufficient bone structure. Instead, longer implants are used, which are anchored in the zygomatic bone to create a stable base for fixed dentures.The proven ZAGA concept (Zygomatic Anatomy Guided Approach according to Dr. Carlos Aparicio) enables patient-specific implant positioning with high stability and without complex bone grafting. In combination with pterygoid and standard implants, a fixed immediate restoration can be realised even in extremely atrophied maxillae.Also available in the Zygoma Set 10100-85.
A maxilla dissector is an instrument specifically designed for the atraumatic preparation and separation of tissue in the upper jaw (maxilla). It is primarily used in procedures such as zygomatic implant placement or other interventions that require careful tissue dissection in the maxillary region.In cases of advanced maxillary atrophy where conventional dental implants are contraindicated, zygomatic implants offer a viable alternative. These longer implants are anchored in the zygomatic bone, bypassing areas of insufficient bone and ensuring a stable base for fixed prostheses.The ZAGA concept (according to Dr. Aparicio) promotes individualized implant trajectories aligned with the patient’s anatomy, offering predictable outcomes without the need for bone augmentation. When used in conjunction with pterygoid and standard implants, immediate loading is achievable even in the most compromised maxillary situations.Also available in the Zygoma Set 10100-85.
The ZAGA concept (according to Dr. Carlos Aparicio) is a patient-specific approach for the rehabilitation of the atrophic maxilla using zygomatic implants. It takes into account the individual anatomy of the patient to optimize implant placement and minimize complications. The posterior dissector plays a key role in this process: Preparation of the posterior maxilla: The dissector enables gentle detachment of the mucoperiosteum in the posterior region of the maxilla, particularly along the posterior sinus wall and the upper zygomatic ridge. Visualization of the surgical site: Careful soft tissue preparation ensures improved visibility of the surgical area, facilitating precise implant placement.Also available in the Zygoma Set 10100-85.
In the zygoma technique, extra-long implants are inserted through the maxillary bone into the zygomatic bone to provide fixed prosthetic support for patients with severely atrophic maxillae. During this procedure, there is a risk of injuring adjacent anatomical structures, particularly the nasal cavity and its delicate mucosa. A nasal protector is used to safeguard these structures during surgical preparation and implant insertion. It is positioned to act as a physical barrier between the surgical instruments and the nasal cavity, thereby minimizing the risk of perforations or other injuries.Also available in the Zygoma Set 10100-85.
The ZAGA technique (Zygoma Anatomy-Guided Approach acc. to Dr. Carlos Aparicio) is a surgical method for inserting zygomatic implants that takes the patient’s individual anatomy into account. The depth gauge plays a central role in this approach:Measuring drilling depth: The depth gauge is used to check the depth of the prepared implant site. This is especially important when working in the zygomatic region, as this bone area is anatomically variable and difficult to assess in terms of depth. Accurate measurement helps prevent perforation of the cortical bone or injury to adjacent structures such as the nasal cavity.Selecting implant length: Based on the measured depth, the surgeon can choose the correct length of the zygomatic implant. A scale from 30 mm to 60 mm is clearly engraved on the handle of the instrument.Control: The integrated measuring scale, marked in 2.5 mm increments (e.g., 30, 32.5, 35 mm, etc.), enables standardized and quick assessment during surgery.Also available in the Zygoma Set 10100-85.
The set consists of the following components:ZYG 1010 H - Zygoma Dissector | ZAGA #1ZYG 1020 - Zygoma Retractor | ZAGA #2ZYG 1030 H - Maxilla Dissector | ZAGA #3 ZYG 1040 H - Posterior Dissector | ZAGA #4ZYG 1050 H - Posterior Dissector | ZAGA #5ZYG 1060 - Zygoma Depth Gauge | ZYGO #6Zygomatic implantation is a treatment method for patients with severely atrophic maxillae, where conventional implant placement is not possible due to insufficient bone volume. Instead of standard implants, elongated implants are used and anchored in the zygoma (zygomatic bone), providing a stable foundation for fixed prosthetic restorations.The ZAGA concept (Zygomatic Anatomy Guided Approach) allows for anatomically guided, patient-specific placement of implants. This method ensures stable anchorage without the need for extensive bone grafting. In combination with pterygoid and conventional implants, even patients with advanced bone atrophy can receive immediate fixed restorations.
