Which Type of Implant Is Right for Me β€” Conventional, Zygomatic, Pterygoid, or Basal?

Here is a guide to help you understand which option may be best for your situation.

The right implant type depends on your specific bone anatomy, health, and goals. Here is a decision guide.

  • Conventional (regular) implants are best when:
  • You have adequate bone density and volume
  • You have one or a few missing teeth
  • You are willing to wait 3–6 months for healing
  • You want the most studied, time-tested option
  • You do not mind bone grafting if needed
  • Zygomatic implants are best when:
  • You have severe bone loss in the upper jaw (especially the back)
  • You want to avoid bone grafting
  • You need a full arch of teeth
  • Your cheekbones are healthy and strong
  • You want a faster timeline than grafting + regular implants
  • Pterygoid implants are best when:
  • You have bone loss in the upper back jaw (molar area only)
  • You want to avoid a sinus lift
  • You are having full arch rehabilitation
  • You have enough mouth opening for access
  • Basal implants are best when:
  • You have severe bone loss throughout the jaw
  • You have had previous implant failures
  • You want immediate teeth (same-day loading)
  • You want to avoid bone grafting at all costs
  • You have active gum disease (basal implants resist infection better)

Decision Tree

  1. Do you have adequate bone? β†’ Yes β†’ Conventional implants
  2. Do you have bone loss in the upper back jaw? β†’ Yes β†’ Consider pterygoid or sinus lift
  3. Do you have severe upper jaw bone loss? β†’ Yes β†’ Consider zygomatic implants
  4. Do you want immediate teeth and avoid grafting? β†’ Yes β†’ Consider basal implants
    1. The Most Important Factor

      The experience of your surgeon matters more than the type of implant. A surgeon who specializes in multiple implant techniques can recommend the best option for your specific anatomy. Many patients benefit from a combination approach (e.g., zygomatic in the back + regular in the front).

      Clinical Guidance