Zygomatic implants have been used since the late 1980s to restore atrophic maxillae with great success. It has proved to be a conservative alternative to extensive autogenous bone grafting, distraction osteogenesis and LeFort 1 osteotomy. A 23-year-old female patient reported with a severe maxillary defect extending from the second premolar region up to the central incisor on the opposite side. Two zygomatic implants (Branemark System ZygomaTiUnite Implants; Nobel Biocare AB) were placed in the right zygomatic bone and a root form dental implant (Ankylos, Dentsply Implants, Germany) was placed following extraction of the left maxillary lateral incisor. After 6 months of undisturbed healing a hybrid screw retained bar along with individual cement retained crowns was fabricated. Although the treatment planning was complex the final prosthetic outcome was successful.
