The Atrophic Maxilla Revisited: Two Decades Of Experience With Zygomatic And Pterygoid Implants (London, 4 November 2026)

Andrew will look back on two decades of experience using zygomatic and pterygoid implants for the rehabilitation of the severely atrophic maxilla. Through a series of clinical cases, the presentation will explore how treatment philosophies have evolved alongside improvements in imaging, digital planning, implant design and restorative protocols.

The lecture examines patient selection, surgical planning, anatomical considerations, prosthetic principles and the management of complications. The presentation also considers where pterygoid implants complement or replace zygomatic implants, enabling many patients to avoid sinus grafting while reducing treatment time and morbidity. Throughout, the emphasis is on practical decision-making, recognising limitations, and selecting the simplest predictable solution for each patient. The role of immediate loading, the integration of digital planning, guided surgery and and 3D printing technologies will be discussed.

By the end of this lecture delegates should be able to:

- Assess when zygomatic implants, pterygoid implants or conventional implant treatments are the most appropriate option for rehabilitation of the atrophic maxilla.
- Understand the key anatomical and prosthetic principles that underpin successful zygomatic and pterygoid implant treatment.
- Recognise how digital planning, CBCT imaging and modern surgical workflows have improved accuracy, predictability and patient outcomes.
- Identify common complications and appreciate how treatment planning and surgical technique can minimise their occurrence.

London combines world-class dentistry and professional networking with an exceptional cultural experience. Between conference sessions, visitors can explore iconic landmarks such as Westminster, Tower Bridge and the British Museum, enjoy diverse international cuisine, or unwind in one of the city’s many historic pubs and vibrant neighbourhoods.