ORAL SURGERY

Dental and Zygomatic Implants in Auckland

A dental implant is a titanium post placed in the jaw to replace a missing tooth. Where there is not enough upper jaw bone for a conventional implant, zygomatic implants anchored in the cheekbone can restore a fixed set of teeth without extensive bone grafting first. OMS Specialists is a private surgical practice in Newmarket, Auckland, where implant surgery is carried out by oral and maxillofacial surgeons.

Request an appointment Refer a patient
Dental and zygomatic implants, clinical close-up

QUICK ANSWER

What to expect from dental and zygomatic implants at OMS

Dental implants are titanium posts placed in the jaw to replace missing teeth. Where there is too little upper jaw bone for conventional implants, zygomatic implants anchored in the cheekbone may be considered in appropriately selected cases. The implant is placed surgically; your dentist or prosthodontist fits the final crown or prosthesis once it has integrated.

Procedure
Dental or zygomatic implant placement
Anaesthesia
Local, IV sedation, or general anaesthetic (zygomatic usually under GA)
Duration
45 to 120 minutes
Stay
Day-stay for all dental implants
Osseointegration
8 to 12 weeks before the final teeth are fitted
Cost
Detailed cost estimate provided before surgery

WHAT IT IS

What are dental and zygomatic implants?

A dental implant is a titanium screw placed into the jaw bone to replace a tooth that is missing or lost. It can support a ceramic crown or bridge to replace a single tooth or a group of teeth, or anchor a denture-like prosthesis as a more stable alternative to full dentures.

A zygomatic implant is a longer implant inserted deeper into the upper jaw and extending into the cheekbone (the zygoma). It is useful for patients who have lost bone in the upper jaw, where there is not enough bone to support a conventional implant, and can allow a fixed prosthesis without extensive bone grafting first.

At OMS Specialists, implant surgery is carried out by oral and maxillofacial surgeons who hold qualifications in both dentistry and medicine. We work alongside your own dentist or prosthodontist, who fits the final crown or prosthesis once the implant has integrated with the bone.

IS THIS FOR YOU

When implants may be the right option

Implants suit a range of situations, from a single missing tooth to a full arch. A consultation with CBCT imaging confirms whether they are right for you.

  • Replacing missing teeth

    A single tooth, a group of teeth, or all the teeth in an arch can be replaced with implants.

  • An alternative to dentures

    Where dentures are uncomfortable or unstable, implants can support a fixed alternative that functions like natural teeth.

  • Not enough upper jaw bone

    Where conventional implants are not possible due to insufficient upper jaw bone, zygomatic implants anchored in the cheekbone may be an option.

  • Bone grafting needed first

    When the site needs augmentation, the grafting and the implant placement are planned together as one surgical pathway.

  • A team approach with your dentist

    Implant treatment is planned with your dentist or prosthodontist, who fits the final crown or prosthesis once the implant has integrated.

When to involve a surgeon

Maxillofacial surgeons place implants across every case

Maxillofacial surgeons are trained to place dental implants across the full range of cases, from a simple single-tooth replacement through to complex full-arch and extra-maxillary work. We work alongside your dentist or prosthodontist, who places the final crown or prosthesis once the implant has integrated. The situations below are where that surgical training particularly adds value.

  • Not enough upper jaw bone

    Where the upper jaw has lost bone height, zygomatic implants anchor into the cheekbone and can avoid the need for extensive bone grafting before treatment.

  • Bone grafting or sinus lift required

    When the site needs augmentation, or a sinus lift in the upper jaw, the grafting and the implant placement are planned and carried out together as one surgical pathway.

  • Full-arch rehabilitation

    Replacing all the teeth in an arch on a fixed implant-supported bridge, including all-on-4 and all-on-6 approaches, is a surgical undertaking suited to a specialist setting.

  • Complex anatomy

    Where implants sit close to the inferior alveolar nerve in the lower jaw or the maxillary sinus in the upper jaw, placement is planned around those structures using CBCT 3D imaging.

  • Medically complex or anxious patients

    Cases that warrant intravenous sedation or general anaesthesia are managed in-house at our Auckland Day Surgery Centre, with the same surgical team throughout.

How a dental implant works

Illustration of a single dental implant: a titanium post set into the jawbone, supporting a crown that replaces a missing tooth.
A dental implant is a small titanium post placed into the jawbone to replace the root of a missing tooth, giving a stable foundation for a crown once the bone has healed around it.

Your treatment

Step by step at OMS Specialists, Newmarket

Implant treatment is staged over a few months. Here is what happens from your first consultation through to the final teeth.

  1. 01 Before

    Consultation and 3D planning

    You meet your surgeon, we assess the site and your medical and dental history, and we plan the implant position from CBCT 3D imaging.

    • A CBCT 3D scan maps the available bone and the position of nerves and the sinus
    • Anaesthesia chosen with your surgeon: local, IV sedation, or general anaesthetic
    • A detailed cost estimate for the surgical placement, provided before surgery
  2. 02 During

    Implant placement

    The implant is placed into the bone using the 3D plan. Where bone is limited, grafting or a zygomatic approach is carried out as part of the same procedure.

    • The gum is lifted and the implant positioned to the plan
    • Bone grafting or a sinus lift is done at the same time where it is needed
    • For zygomatic cases the implant is anchored in the cheekbone rather than the upper jaw
  3. 03 After

    Healing and the final teeth

    Dental implant placements are day-stay. The implant then integrates with the bone before the final teeth are fitted by your dentist.

    • Day-stay for all dental implants
    • The implant integrates with the bone over 8 to 12 weeks
    • Your dentist or prosthodontist fits the final crown or prosthesis once integration is confirmed

Anaesthesia

Anaesthesia options

We guide you to the right anaesthetic at consultation, based on the complexity of your case, your preference and any medical considerations. Straightforward implants are often placed under local anaesthetic or sedation at our Auckland Day Surgery Centre in Newmarket; zygomatic and complex cases are managed under general anaesthetic.

  • Local anaesthetic

    A numbing injection at the site only. You are awake and aware and can usually drive yourself home.

    Best for
    Single or straightforward implant placement
    Where
    Auckland Day Surgery Centre, Newmarket
    Cost
    Lowest tier

  • IV sedation (twilight)

    Awake but deeply relaxed, with little or no memory of the procedure. You will need someone to drive you home.

    Best for
    Multiple implants, grafting, or dental anxiety
    Where
    Auckland Day Surgery Centre, Newmarket
    Cost
    Mid-tier, plus sedation team fee

  • General anaesthetic

    Fully asleep, with the same OMS surgeon looking after you throughout. Used for zygomatic and other complex cases.

    Best for
    Zygomatic implants, full-arch rehabilitation, medically complex cases
    Where
    Auckland Day Surgery Centre, Newmarket
    Cost
    Highest tier, theatre plus GA team

Risks

Risks we discuss before consent

All surgery carries risk. These are the principal risks we talk through with you before consent. Procedure-specific rates · rates to confirm with Mr Cobb .

Common, manageable

Long-term, preventable

Infection or peri-implantitis

Infection at the implant site is managed with antibiotics and careful hygiene. Long term, peri-implantitis (gum disease around the implant) is the main risk to implant survival and is prevented by ongoing dental care.

Upper jaw only

Sinus involvement

Upper jaw implants close to the maxillary sinus may need a sinus lift graft. Zygomatic implants are designed to bypass an atrophic upper jaw by anchoring in the cheekbone instead.

Less common, discussed in consent

Most integrate

Implant failure

Most implants integrate successfully. A small number do not osseointegrate and may need to be removed and re-placed. Smoking, poorly controlled diabetes and chronic infection increase this risk.

Planned around with CBCT

Altered sensation, lower jaw

Lower jaw implants are planned around the inferior alveolar nerve using CBCT 3D imaging. The small risk of altered sensation to the lip or chin is minimised by careful planning and technique.

Recovery

Recovery and osseointegration

Most patients return to desk-based work within a few days of implant placement. The implant then integrates with the bone over 8 to 12 weeks before the final teeth are fitted.

  1. First 48 hours

    Day-stay

    Day-stay for all dental implants. Rest with the head elevated, soft diet, ice to the cheek and prescribed pain relief.

  2. Week 1 to 2

    Back to desk work

    Soft diet continues. Most patients return to desk-based work within a few days of implant placement.

  3. Weeks 8 to 12

    Osseointegration

    The implant integrates with the bone over this period. A follow-up confirms it has integrated before the final teeth are fitted.

  4. After integration

    Final teeth

    Your dentist or prosthodontist places the final crown or prosthesis once the implant is firmly integrated.

Do

  • Eat soft foods and chew away from the implant site for the first week
  • Keep the area clean with any prescribed rinses and gentle oral hygiene
  • Take prescribed pain relief and finish any antibiotic course in full
  • Call us if anything feels off, we would rather hear from you

Don't

  • Smoke or vape, it impairs healing and implant integration
  • Disturb the surgical site with your tongue, fingers or utensils
  • Resume strenuous activity until your surgeon advises it is safe

Cost

What dental and zygomatic implants cost in Auckland

The surgical fee depends on the complexity of your case, the number of implants, and whether bone grafting or zygomatic implants are involved. A detailed, itemised cost estimate is provided before surgery, at your consultation. The final crown or prosthesis is costed separately by your dentist or prosthodontist.

What affects your cost
  • Whether you need one implant or several
  • Dental implants or zygomatic implants
  • Whether bone grafting or a sinus lift is required
  • Anaesthetic chosen: local, IV sedation, or general
What your surgical quote includes
  • Consultation
  • CBCT 3D imaging as needed
  • Surgical placement fee
  • Anaesthetic team where applicable
  • Post-operative review through the healing period

You receive a detailed, itemised cost estimate for the surgical placement before surgery, at your consultation, so there are no surprises on the day.

YOUR SURGEONS

Your surgeons

Implant surgery at OMS Specialists is carried out by our three surgeons, who hold qualifications in both dentistry (BDS) and medicine (MBChB or MBBS), with Fellowship from the Royal College of Surgeons (FRCS) or Australasian College of Dental Surgeons (FRACDS). We work alongside your own dentist or prosthodontist, who fits the final crown or prosthesis.

Mr Richard Cobb, Specialist Oral and Maxillofacial Surgeon

Mr Richard Cobb

Specialist Oral & Maxillofacial Surgeon

MBBS · BDS · MFDS(Eng.) · MRCS(Eng.) · DHMSA · FRCS (Maxfac.)

READ PROFILE
Mr Ryan Smit, Specialist Oral and Maxillofacial Surgeon

Mr Ryan Smit

Specialist Oral & Maxillofacial Surgeon

BDS · MBChB · MRACDS(PDS) · FRACDS(OMS)

READ PROFILE
Mr Simon Roberts, Specialist Oral and Maxillofacial Surgeon

Mr Simon Roberts

Specialist Oral & Maxillofacial Surgeon

MBBS · BDS · FRCS(OMFS)

READ PROFILE

FAQ

Questions we hear from implant patients in Auckland

What kinds of implant cases do maxillofacial surgeons place?

Maxillofacial surgeons are trained to place dental implants in all scenarios, from a simple single-tooth replacement through to complex full-arch and extra-maxillary cases. That surgical training is particularly valuable where there is insufficient bone for conventional implants (an atrophic upper jaw, or zygomatic cases), where combined bone grafting or a sinus lift is required, or where the case involves complex anatomy near the inferior alveolar nerve or the maxillary sinus. We work alongside your dentist or prosthodontist, who places the final crown or prosthesis.

What are zygomatic implants?

A zygomatic implant is a longer implant inserted deeper into the upper jaw and extending into the cheekbone (the zygoma). It is useful for patients who have lost bone in the upper jaw, where there is not enough bone to support a conventional implant. Zygomatic implants can allow a fixed set of teeth to be placed in patients who would otherwise need extensive bone grafting first.

How long does the whole implant process take?

After the implant is placed, it needs time to integrate with the bone (osseointegration), which typically takes 8 to 12 weeks before the final crown or prosthesis is fitted. Where bone grafting is needed first, this can extend the timeline. Some cases allow immediate-load protocols, where a temporary prosthesis is fitted at the time of placement.

What do dental and zygomatic implants cost?

The cost depends on how many implants you need, whether zygomatic implants or bone grafting are involved, and your anaesthetic. A detailed, itemised cost estimate for the surgical placement is provided before surgery, at your consultation; the final crown or prosthesis is costed separately by your dentist or prosthodontist.

Patient experience

Reviews from recent patients

OMS Specialists' patients share their experiences on Google, where reviews are independent and unedited. Read what recent patients say about their care, including dental implant procedures.

Read reviews on Google →

Call us urgently if…

Concerns after surgery

Phone us early rather than late. The after-hours number is on the take-home pack.

(09) 477 0058
  • Bleeding that does not stop after 10 minutes of firm pressure on a gauze pack
  • Severe escalating pain not responding to prescribed pain relief
  • Fever above 38.5°C
  • Pus discharge or a persistent bad taste three or more days after surgery
  • Numbness in your lip or chin that does not recover after a lower-jaw implant
  • Significant facial swelling spreading down toward your neck

RELATED PROCEDURES

Other oral surgery we perform

All procedures
WAYS TO GET IN TOUCH

Starting the conversation

FOR PATIENTS

Request an appointment

Tell us a little about your situation and we'll be in touch within one business day with available consult times.

Request appointment

FOR DENTISTS & GPs

Refer a patient

Electronic referral via Healthlink or our online referral form. We acknowledge every referral within 24 to 48 hours.

Refer a patient

BY PHONE

Call our rooms

Speak with our team during business hours. Best if you have any imaging or a referral letter ready.

Call (09) 477 0058