The objective of the present chapter is to present a time-line of the zygomatic implant technique. A literature review was performed to find relevant studies and to put them in chronological order to obtain a general perspective of the advances and evolution of the technique. The two major changes occurred from the development of the technique by professor P.I. Branemark in 1989 and its introduction to dental profession in 1998 were the surgical technique, itself, and the use of immediate loading protocols. In regard the surgical technique, a paradigm shift was developed changing the zigomatic implant insertion from an intrasinus to an extrasinus path, allowing an easier and less morbid procedure. The introduction of immediate loading entails a dramatic shortening of treatment time for the patiens in their seek of a functional prosthesis, getting the same or better results than the original two-step procedure.
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