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Why I Refuse to Perform Zygomatic & Pterygoid Implants Unless Absolutely Necessary

Writer's picture: Dr Samintharaj KumarDr Samintharaj Kumar

As a Zygomatic and Pterygoid Implant Surgeon trained by ZAGA Centre Singapore and MALO Clinic, I take a highly selective approach when recommending these advanced procedures. While zygomatic and pterygoid implants can be life-changing for patients with severe bone loss, they are not a routine solution—and should never be performed unless absolutely necessary.


Why I Take a Cautious Approach


🔹 Potential Complications Exist Even in the Best Cases

Even in ideal surgical conditions, complications can still occur—from sinus infections to nerve trauma and even implant failure. When working near critical anatomical structures like the orbit, maxillary sinus, and vascular networks, precision and deep experience are required, but even then, risks remain.


🔹 A Permanent Decision with No Reversal

Once a zygomatic or pterygoid implant is placed, it permanently alters the maxillary structure. If complications arise, patients may face lifelong consequences requiring extensive corrective surgeries. This is why I meticulously assess every patient’s case before even considering these procedures.


🔹 Exploring All Possible Alternatives First

Before recommending zygomatic or pterygoid implants, I conduct a thorough assessment to determine if:

✔ Bone grafting or sinus lifts could allow for standard implant placement

✔ Conventional full-arch implant techniques could provide a long-term solution

✔ Other prosthetic or restorative solutions could meet the patient’s needs without invasive intervention


Only when all alternative treatments are ruled out do I consider zygomatic or pterygoid implants.


What Patients Must Understand Before Committing


🚨 This is NOT a quick-fix solution – Complex full-arch implant cases require extensive planning, long-term maintenance, and commitment to post-operative care.


🚨 Experience & training matter – A general implant surgeon with no formal training in zygomatic or pterygoid implants should not be offering these procedures.


🚨 Not every patient is a candidate – If a clinician is offering zygomatic or pterygoid implants without thoroughly discussing alternative treatments, patients should question their approach.


At ZAGA Centre Singapore, my priority is patient safety, ethical treatment planning, and long-term success. I refuse to place zygomatic or pterygoid implants unless they are truly needed—because your health should always come first.


⚠ Always seek treatment from an experienced, well-trained clinician who prioritises your well-being over selling a procedure. Zygomatic and pterygoid implants should be your last option, not your first.


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CLINIC LOCATIONS

WHEELOCK PLACE - ORCHARD ROAD 

Nuffield Dental Jewel

05-01, Wheelock Place, 501 Orchard Rd, 238880

ONE RAFFLES PLACE

Nuffield Dental Raffles Place

1 Raffles Place, #05-19, Singapore 048616

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