- The armamentarium for zygomatic implants includes zygoma retractors, specific drills, and burrs, depth gauge, inserting hand tools, prosthetic tools, and multiple angulated abutments from 0 to 60.
- When a guided system is used, the armamentarium also includes surgical guides, guiding drilling sleeves, and fixing pins and screws.
- The surgical approach is dictated by the maxillary bone volume availability and the prosthetic demands upon which the implant layout is chosen.
- The extra maxillary approach is prosthetically derived. The emergence profile is located at the alveolar crest and the prosthetic work is easy and intuitive.