Dr. Maninder Singh, DDS
Implant Dentist
University of the Pacific graduate. Also serves as a general dentist for the U.S. military, providing emergency dental care for soldiers prior to deployment.
UOP GraduateMilitary serviceImplant dentist
★ Advanced ProcedureFor Severe Bone Loss
If you've been told you can't get implants ,
you probably can.
Zygomatic implants are designed for patients with severe upper-jaw bone loss who've been turned away from traditional implant procedures elsewhere. We're one of the few clinics in the Sacramento area that performs them.
- ✓No bone grafting required
- ✓Same-day fixed teeth in most cases
- ✓Full general anesthesia, done while you sleep
- ✓A path forward when other clinics say "no"
⭐5.0 Google Reviews
20,000+ Implants Placed
😴General Anesthesia
🦷No Bone Graft Required
⚕Advanced Implant Care
What zygomatic implants are
Implants anchored in the cheekbone, not the upper jaw.
A traditional dental implant is a small titanium fixture placed into your upper or lower jaw bone. It works because there's enough healthy bone to anchor the implant.
For some patients, that bone is gone. Years of missing teeth, severe gum disease, sinus expansion, trauma, or congenital conditions can erode the upper jaw to the point where a traditional implant has nothing to grip. Most clinics tell these patients they need bone grafting first, a 6 to 12 month process that's expensive, painful, and not always successful,
Zygomatic implants take a different approach. Instead of placing implants in the upper jaw, they anchor much longer titanium fixtures into the zygomatic bone, the cheekbone. The zygomatic bone is dense, doesn't shrink with tooth loss, and is virtually always available, even in patients with severe upper-jaw atrophy.
This means: no bone graft required, no 12-month wait, and same-day fixed teeth in most cases.
Why so few clinics offer this
Zygomatic implant placement requires advanced surgical training beyond general dental implantology. Most general dentists never learn it. Many implant-focused clinics don't offer it because of the learning curve and the equipment requirements, full general anesthesia capability is essentially required. As a dedicated implant-focused practice with general anesthesia and Dr. Badyal's surgical leadership, we're equipped for the cases other clinics turn away,
Is zygomatic right for you?
This procedure is for a specific kind of patient.
Zygomatic isn't a first-line procedure, it's the right answer for a specific situation.
✓ You're likely a candidate if…
- ✓
You've been told you don't have enough bone
And you're frustrated by the prospect of bone grafting + 12 months of waiting.
- ✓
You've worn upper dentures for years
Long-term denture use accelerates upper-jaw bone loss, zygomatic is often the cleanest path back to fixed teeth.
- ✓
Failed traditional implants
Sometimes traditional implants don't integrate. Zygomatic is a viable second-attempt strategy.
- ✓
Severe gum disease history
Advanced periodontal disease often destroys upper-jaw bone. Zygomatic bypasses the problem entirely.
When we'd suggest a different path
- !
Adequate upper-jaw bone
If your bone density supports traditional implants, we'll do that, it's less complex and proven for decades.
- !
Lower arch only
The lower jaw rarely loses bone severely enough to need zygomatic. Traditional or All-on-4 is the right approach.
- !
Active sinus infection
The zygomatic implant path passes near the sinus, we need to clear any active infection first.
- !
Heavy smokers
The procedure is more demanding on healing, we require quitting at least 2 weeks before, 8 weeks after.
The procedure, step by step
Single surgery. Same day teeth. 4 to 6 months to final.
01
30 to 45 min · Free
Free 3D scan + consultation
CBCT scan + medical history. We map your zygomatic bone to confirm candidacy and develop a custom surgical plan.
02
5 to 7 days · Behind the scenes
Surgical planning
Dr. Sunny Badyal reviews your case with the surgical team. Implant trajectories are mapped in 3D software around your sinus and infraorbital nerve.
03
3 to 5 hours · Surgery day
Surgery while you sleep
Full general anesthesia. 2-4 zygomatic implants placed (sometimes combined with 0-2 traditional implants for hybrid cases).
04
Same day
Walk out with fixed teeth
In most cases, your same-day temporary prosthesis is attached before you wake. You'll have functional, fixed teeth on the same day.
05
4 to 6 months · Healing
Osseointegration
The zygomatic implants integrate with the cheekbone over 4 to 6 months. You wear your same-day prosthesis throughout.
06
1 final visit
Final permanent prosthesis
Once integration is confirmed, your final zirconia or premium acrylic prosthesis is delivered.
Technology
Zygomatic placement requires equipment most clinics don't have.
This isn't a procedure you can do with a panoramic X-ray and oral sedation.
3D
CBCT 3D Imaging
Required to plan zygomatic implant trajectories around the sinus and infraorbital nerve. We use it for every case.
⚕
Surgical Guides
Custom-printed guides ensure implants follow the exact trajectory planned in 3D software. Critical for zygomatic placement.
😴
Full General Anesthesia
Standard at hospitals, rare at dental clinics. Required for zygomatic, the procedure is too long and complex for sedation alone.
🦷
Same-Day Lab Coordination
Your temporary prosthesis is fabricated and ready before you leave the operating room.
📐
Surgical Microscope
Magnification used for precision in tight surgical fields. Improves outcomes on complex cases.
🏥
Advanced Procedure Room
Hospital-grade procedure environment, sterile, monitored, with full anesthesia equipment. Not a converted operatory.
Your providers
Meet the dentists placing your implants
Both Dr. Maninder and Dr. Tanvir Singh are University of the Pacific graduates with deep training in implant dentistry. They place implants daily at Apex.
Dr. Tanvir Singh, DDS
Implant Dentist
Active member of the American Academy of Implant Dentistry (AAID), working toward Diplomate status. UOP Arthur A. Dugoni School of Dentistry graduate. Internationally trained, licensed to practice in the U.S., Canada, and India.
AAID MemberUOP DugoniTri-licensed
Common questions
What patients ask us most
I was told elsewhere I don't have enough bone for implants. Can I still get zygomatic?+
Almost certainly yes. The zygomatic bone (cheekbone) is dense and rarely lost, even in patients with severe upper-jaw atrophy, decades of denture wear, or failed prior implants. The 3D CT scan at your free consultation will tell us definitively.
How does zygomatic compare to bone graft + traditional implants?+
For most severe-bone-loss cases: zygomatic is faster (1 surgery vs 2), cheaper (one procedure vs graft + implants), more predictable (95%+ success rate vs 70 to 85% for grafting), and gets you to fixed teeth sooner (same day vs 12+ months).
Will it hurt?+
No. Zygomatic surgery at Apex is performed exclusively under full general anesthesia by a board-certified anesthesiologist. You're completely asleep, not sedated. You won't feel or remember the procedure.
How much does zygomatic cost at Apex?+
Custom-quoted at consultation because case complexity varies significantly. At your free consultation we provide the exact total, including financing options. We work with CareCredit, Sunbit, and Cherry, and we run all three at that same visit. Most patients get a decision in under 60 seconds. We don't quote monthly payment amounts in advance: approval, rate, and term are set by the lender based on your credit, so you get exact figures from them at the consultation rather than an estimate from us.
How long do zygomatic implants last?+
Long-term clinical data shows zygomatic implants have success rates above 95% at 10+ years, comparable to or better than traditional implants. The fixtures are designed to last for life.
What's the recovery like?+
More involved than traditional implants but easier than most patients expect. Days 1 to 7: liquid then soft food, mild swelling, prescription pain management for 3 to 4 days. By month 2 you're eating normally.
Are zygomatic implants covered by insurance?+
Partially in most cases. Insurance typically covers the extractions and a portion of the implants. We run your benefits at the consultation.
How many zygomatic cases has Apex done?+
Zygomatic is a smaller portion of our 700+ All-on-X case volume, these are specifically severe-bone-loss patients. Every case is reviewed under the clinical leadership of Dr. Sunny Badyal as part of our surgical planning protocol.
Why zygomatic is the answer when traditional implants aren't
Zygomatic implants exist because conventional implants run out of bone, but the patient still has options.
Conventional dental implants are placed into the upper or lower jaw bone (the maxilla or mandible). When that bone has resorbed too far, typically from years of upper denture wear, advanced periodontal disease, or trauma, there's not enough bone volume to support a standard implant fixture, even with grafting. Most clinics at this point tell the patient that implants are not an option, recommend continued denture use, or suggest sinus lift and bone graft procedures that take 6-12 months of additional healing before any implant placement can begin. For patients who have already lived with the consequences of severe upper-jaw bone loss for years, that's not an acceptable timeline.
Zygomatic implants are an advanced procedure that anchors into the zygoma (cheekbone) instead of the maxilla. The cheekbone is dense, rarely resorbs, and provides excellent anchorage for an implant fixture even when the upper jaw bone has effectively disappeared. The procedure was developed by Brånemark in the late 1990s specifically for the severe-bone-loss patient population, and 20+ years of follow-up data shows survival rates above 95% at 10 years, comparable to conventional implants in patients with adequate bone. The clinical advantage is significant: no bone grafting required, no 6-month wait for graft integration, and immediate same-day temporary teeth at the surgical visit.
Zygomatic is not a procedure that every implant clinic can offer. The surgical anatomy involves working close to the maxillary sinus and orbital structures, requiring CBCT-based planning and a surgeon experienced specifically with zygomatic placement. Apex offers zygomatic implants as part of our advanced surgical scope. Most of our zygomatic patients are referred to us by clinics that don't perform the procedure, or arrive after being told elsewhere that implants weren't possible for their case.
Free consultation
If other clinics said no, let's review your case.
30 minutes. CBCT scan ($350 value, free). Honest treatment plan with exact pricing. Zero pressure to commit.
- ✓Same-week appointments available
- ✓No referral needed
- ✓Bring prior X-rays or CT scans if you have them
Or call directly: 📞 (916) 886-1806
Schedule my zygomatic consultation
We'll text you a confirmation within 15 minutes during business hours.
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