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The Risks of Choosing an Inexperienced Surgeon for All-on-4, Zygomatic, and Pterygoid Implants

  • Writer: Dr Samintharaj Kumar
    Dr Samintharaj Kumar
  • Feb 16
  • 2 min read

When considering advanced dental implant procedures such as All-on-4, zygomatic, or pterygoid implants, selecting a highly trained and experienced clinician is not just a recommendation—it is a necessity. These procedures are complex and require extensive surgical expertise, specialised training, and a proven track record to ensure the best possible outcome.


Unfortunately, patients who fail to verify their surgeon’s experience often experience serious complications that could have been avoided. Here are some real-life examples of cases where improper treatment led to significant complications:


1. Implant Failure Due to Poor Surgical Planning


A patient who had lost all their upper teeth sought an All-on-4 procedure from a general dentist who claimed to offer full-arch rehabilitation. Within months, the implants failed due to poor bone assessment and incorrect angulation, leading to severe infections and pain. The patient later required extensive bone grafting and corrective implant surgery, doubling the cost and recovery time.


✅ Lesson: Surgeons must have advanced training in implant placement and should use 3D imaging technology to assess bone quality and positioning before surgery.


2. Severe Sinus Complications from Inadequate Zygomatic Implant Training


A patient with significant bone loss was advised to get zygomatic implants but did not check their surgeon’s experience with this procedure. The implants were placed too close to the sinus cavity, leading to persistent sinus infections and chronic headaches. The patient later needed removal of the implants, sinus repair surgery, and a lengthy recovery period.


✅ Lesson: Zygomatic implants require precision and extensive anatomical knowledge. Only surgeons who have completed structured ZAGA Centre training or equivalent should perform these procedures.


3. Nerve Damage from Poorly Placed Pterygoid Implants


A patient suffering from severe lower jaw bone loss opted for pterygoid implants to avoid bone grafting. However, due to the surgeon’s lack of experience, the implants were placed incorrectly, causing nerve compression and long-term numbness in the jaw and lower face. The implants had to be removed, leading to additional surgeries and a prolonged recovery.


✅ Lesson: Pterygoid implant placement requires exceptional surgical skill and anatomical precision. It should only be performed by surgeons with extensive experience and certification in the technique.


How to Avoid These Risks


Before undergoing All-on-4, zygomatic, or pterygoid implant surgery, ask your surgeon:

• Where did you receive training for these procedures?

• Have you been certified by recognised institutions such as ZAGA Centres or Noris Medical?

• How many cases have you successfully completed?

• Do you have patient testimonials or before-and-after images?


At ZAGA Centre Singapore, we specialise in advanced implantology and ensure that every procedure is performed by globally trained, certified surgeons with years of experience in full-arch rehabilitation.


✅ Your smile and health deserve the highest level of expertise. Don’t take risks—always choose an experienced and well-trained implant surgeon.


 
 
 

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