*Corresponding Author: Sarah Fatima, MDS, Assistant Professor, Department of Oral and Maxillofacial Surgery, Panineeya Mahavidyalaya Institute of Dental Sciences and Research Centre, Hyderabad, India.

Received: September 07, 2026; Published: September 25, 2026

Rehabilitation of the severely atrophic maxilla secondary to chronic periodontal destruction remains one of the most demanding procedures in oral and maxillofacial surgery. Conventional reconstructive options such as sinus floor augmentation or block grafting are associated with extended treatment timelines, significant morbidity, and unpredictable resorption. Zygomatic implant protocols offer a graft less alternative by engaging the dense cortical bone of the zygoma, thereby bypassing the limitations of compromised maxillary bone. This report describes the management of a 64yearold female with Stage IV, Grade C generalised periodontitis and a terminal anterior maxillary dentition (#11, #12, #13). Following extraction and thorough debridement, immediate reconstruction was performed using four anterior conventional implants combined with two posterior zygomatic implants placed via an extrasinus approach. A screwretained temporary prosthesis was delivered on the day of surgery, ensuring immediate functional and aesthetic rehabilitation. At the sixmonth review, all implants demonstrated complete osseointegration with stable periimplant soft tissues. The patient was subsequently transitioned to a definitive CAD/CAMmilled permanent bridge, providing durable function and aesthetics.

Keywords: Zygomatic Implants; Maxillary Rehabilitation; Terminal Periodontitis; Immediate Loading; Graft-less Protocol; Oral and Maxillofacial Surgery

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Citation

Citation: Sarah Fatima. et al. “Immediate Full-Arch Maxillary Rehabilitation via a 6-Implant Hybrid Protocol (Four Conventional + Two Zygomatic) in a Patient with Terminal Periodontitis: A Case Report". Acta Scientific Dental Sciences 10.10 (2026): 43-51.

Copyright

Copyright: © 2026 Sarah Fatima. et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.