{"id":1330,"date":"2026-07-16T23:56:29","date_gmt":"2026-07-16T21:56:29","guid":{"rendered":"http:\/\/ortoimplant.hr\/dental-implants-without-bone\/"},"modified":"2026-07-16T23:56:29","modified_gmt":"2026-07-16T21:56:29","slug":"dental-implants-without-bone","status":"publish","type":"page","link":"https:\/\/ortoimplant.hr\/en\/dental-implants-without-bone\/","title":{"rendered":"Implants without bone"},"content":{"rendered":"<main class=\"page-svc\">\r\n<div class=\"wrap crumb\">\r\n  <a href=\"https:\/\/ortoimplant.hr\/en\/\">Home<\/a> <span class=\"sl\">\/<\/span> <a href=\"https:\/\/ortoimplant.hr\/en\/#bezkosti\">Services<\/a> <span class=\"sl\">\/<\/span> Implants without bone<\/div>\r\n\r\n<section class=\"shero\">\r\n  <div class=\"wrap shero-grid\">\r\n    <div class=\"reveal\">\r\n      <span class=\"eyebrow\">Service \u00b7 Advanced implantology<\/span>\r\n      <h1>Implants without bone.<\/h1>      <p class=\"sub\">When there is not enough bone for a conventional implant, there are still solutions that lead to fixed teeth. We perform rare techniques that few practices carry out.<\/p>\r\n      <div class=\"cta\">\r\n        <a class=\"btn btn-gold\" href=\"https:\/\/ortoimplant.hr\/en\/contact\/\">Book a free consultation<\/a>\r\n        <a class=\"btn btn-ghost\" href=\"#tehnike\">See our techniques<\/a>\r\n      <\/div>\r\n      <div class=\"byline\"><span class=\"dot\"><\/span><span>Written by <b>dr. Martin Trampu\u0161<\/b><\/span><span class=\"bsep\">&middot;<\/span><span>Medically reviewed by <b>dr. Zdenko Trampu\u0161, DDS<\/b><\/span><span class=\"bsep\">&middot;<\/span><span>Updated: 16 July 2026<\/span><\/div>\r\n    <\/div>\r\n    <div class=\"shero-art reveal\">\r\n      <img decoding=\"async\" src=\"https:\/\/ortoimplant.hr\/wp-content\/uploads\/2026\/07\/ortoimplant-zahvat-implantati-bez-kosti-838x1024.jpg\" alt=\"Zahvat u operacijskoj sali klinike Ortoimplant DENTAL SPA\" style=\"position:absolute;inset:0;width:100%;height:100%;object-fit:cover\">\r\n            <div class=\"glow\"><\/div>\r\n      <div class=\"chip\"><div class=\"k\">When others say no<\/div><div class=\"v\">With us it is usually yes<\/div><\/div>\r\n          <\/div>\r\n  <\/div>\r\n<\/section>\r\n\r\n<div class=\"tbar\"><div class=\"wrap\"><div class=\"row\">\r\n    <div class=\"it\"><span class=\"n\">35+ years<\/span><span class=\"l\">of experience in implantology<\/span><\/div>\r\n    <div class=\"it\"><span class=\"n\">4 techniques<\/span><span class=\"l\">for patients without bone<\/span><\/div>\r\n    <div class=\"it\"><span class=\"n\">CBCT<\/span><span class=\"l\">3D planning of every case<\/span><\/div>\r\n    <div class=\"it\"><span class=\"n\">Free<\/span><span class=\"l\">first examination and assessment<\/span><\/div>\r\n  <\/div><\/div><\/div>\r\n\r\n<section>\r\n  <div class=\"wrap\">\r\n    <div class=\"sec-head reveal\" style=\"max-width:64ch\">\r\n      <span class=\"eyebrow\">Who it is for<\/span>\r\n      <h2>Bone loss does not have to mean the end of the story.<\/h2>\r\n      <p class=\"lead-p\" style=\"margin-top:14px\">After a tooth is extracted, or after years without teeth, the jaw bone recedes. Many practices then turn treatment down or call for lengthy bone grafting. We first look at the CBCT scan and search for anchorage where bone is still present, often without extensive augmentation.<\/p>\r\n    <\/div>\r\n    <div class=\"cands\">\r\n            <div class=\"cand reveal\"><span class=\"ic\"><\/span><p><b>You have been told you do not have enough bone<\/b> for a conventional implant.<\/p><\/div>\r\n            <div class=\"cand reveal\"><span class=\"ic\"><\/span><p><b>Years without teeth<\/b> or pronounced atrophy of the upper jaw.<\/p><\/div>\r\n            <div class=\"cand reveal\"><span class=\"ic\"><\/span><p><b>You do not want lengthy bone grafting<\/b> and months of waiting.<\/p><\/div>\r\n            <div class=\"cand reveal\"><span class=\"ic\"><\/span><p><b>A removable denture does not suit you<\/b> and you want a fixed solution.<\/p><\/div>\r\n          <\/div>\r\n  <\/div>\r\n<\/section>\r\n\r\n<section class=\"techs\" id=\"tehnike\">\r\n  <div class=\"wrap\">\r\n    <div class=\"sec-head reveal\">\r\n      <span class=\"eyebrow\">Our techniques<\/span>\r\n      <h2>Four routes to fixed teeth without bone grafting.<\/h2>\r\n      <p class=\"lede\">Which method is right is decided only after an examination and a 3D analysis. Each has its place and its limits, and we are honest about both.<\/p>\r\n    <\/div>\r\n    <div class=\"tgrid\">\r\n            <div class=\"tbox reveal\"><div class=\"no\">01<\/div><h3>Zygoma implants<\/h3><p>Longer implants anchored in the cheekbone instead of the jaw bone, for severe bone loss in the upper jaw.<\/p><div class=\"for\">For pronounced atrophy of the maxilla<\/div><a class=\"tlink\" href=\"https:\/\/ortoimplant.hr\/en\/zygoma-implants\/\">Find out more about zygoma implants &rarr;<\/a><\/div>\r\n            <div class=\"tbox reveal\"><div class=\"no\">02<\/div><h3>Pterygoid implants<\/h3><p>Anchorage in the back of the jaw, often as an alternative to a sinus lift and grafting.<\/p><div class=\"for\">For the back of the jaw without bone<\/div><a class=\"tlink\" href=\"https:\/\/ortoimplant.hr\/en\/pterygoid-implants-the-alternative-to-sinus-lift-and-bone-grafting\/\">Find out more about pterygoid implants &rarr;<\/a><\/div>\r\n            <div class=\"tbox reveal\"><div class=\"no\">03<\/div><h3>Subperiosteal implants<\/h3><p>An individually made frame that rests on the bone, when placement inside the bone is not possible.<\/p><div class=\"for\">For the most difficult cases<\/div><a class=\"tlink\" href=\"https:\/\/ortoimplant.hr\/en\/subperiosteal-implants-when-nothing-else-works\/\">Find out more about subperiosteal implants &rarr;<\/a><\/div>\r\n            <div class=\"tbox reveal\"><div class=\"no\">04<\/div><h3>All-on-4 \/ All-on-6<\/h3><p>A whole arch on four to six tilted implants that make use of the bone you still have, fixed teeth as a rule within 24 hours.<\/p><div class=\"for\">For a toothless jaw<\/div><a class=\"tlink\" href=\"https:\/\/ortoimplant.hr\/en\/all-on-4\/\">Find out more about the All-on-4 method &rarr;<\/a><\/div>\r\n          <\/div>\r\n  <\/div>\r\n<\/section>\r\n\r\n<section>\r\n  <div class=\"wrap\">\r\n    <div class=\"sec-head reveal\"><span class=\"eyebrow\">What it looks like<\/span><h2>From scan to fixed teeth.<\/h2><\/div>\r\n    <div class=\"steps\">\r\n            <div class=\"step reveal\"><div class=\"sn\">01<\/div><h3>CBCT and assessment<\/h3><p>A 3D scan shows how much bone you have and where. We tell you honestly whether a technique is possible, and which one.<\/p><\/div>\r\n            <div class=\"step reveal\"><div class=\"sn\">02<\/div><h3>Guided planning<\/h3><p>We plan the position of the implants digitally, for the precision and safety of the procedure.<\/p><\/div>\r\n            <div class=\"step reveal\"><div class=\"sn\">03<\/div><h3>The procedure under sedation<\/h3><p>If you wish, you can sleep through the procedure. In suitable cases, a temporary fixed bridge the same day.<\/p><\/div>\r\n            <div class=\"step reveal\"><div class=\"sn\">04<\/div><h3>Recovery and check-ups<\/h3><p>DENTAL SPA protocols speed up healing. We make the final restoration once healing is complete.<\/p><\/div>\r\n          <\/div>\r\n  <\/div>\r\n<\/section>\r\n\r\n<section class=\"evi\">\r\n  <div class=\"wrap\">\r\n    <div class=\"sec-head reveal\"><span class=\"eyebrow\">What the data says<\/span><h2>Figures from peer reviewed literature, not promises.<\/h2><\/div>\r\n    <div class=\"card reveal\">\r\n      <ul>\r\n                <li><span class=\"stat\"><span class=\"num\">96.2%<\/span><span class=\"lab\">Zygoma<\/span><\/span><span>A systematic review and meta-analysis of zygomatic implants reported a mean implant survival of <b>96.2%<\/b> at an average of about six years of follow-up.<sup><a href=\"#s1\">1<\/a><\/sup><\/span><\/li>\r\n        <li><span class=\"stat\"><span class=\"num\">99%+<\/span><span class=\"lab\">All-on-4<\/span><\/span><span>For the All-on-4 concept, a systematic review reports implant survival <b>above 99%<\/b> after more than 24 months of follow-up.<sup><a href=\"#s2\">2<\/a><\/sup><\/span><\/li>\r\n        <li><span class=\"stat\"><span class=\"num\">95.2%<\/span><span class=\"lab\">Long term<\/span><\/span><span>For zygomatic implants, a <b>twelve-year cumulative survival of 95.2%<\/b> has also been described, with most failures occurring in the first six months.<sup><a href=\"#s3\">3<\/a><\/sup><\/span><\/li>\r\n      <\/ul>\r\n      <div class=\"src\">\r\n                <div id=\"s1\">1. Brennand Roper M, Vissink A, Dudding T, et al. Long-term treatment outcomes with zygomatic implants: a systematic review and meta-analysis. Int J Implant Dent. 2023;9(1):21. <a href=\"https:\/\/journalimplantdent.springeropen.com\/articles\/10.1186\/s40729-023-00479-x\">link<\/a><\/div>\r\n        <div id=\"s2\" style=\"margin-top:8px\">2. Soto-Penaloza D, et al. The all-on-four treatment concept: Systematic review. J Clin Exp Dent. 2017;9(3):e474-e488. <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC5347302\/\">link<\/a><\/div>\r\n        <div id=\"s3\" style=\"margin-top:8px\">3. Chrcanovic BR, et al. Survival and complications of zygomatic implants: an updated systematic review. J Oral Maxillofac Surg. 2016;74(10):1949-1964. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/27422530\/\">link<\/a><\/div>\r\n      <\/div>\r\n      <div class=\"disc\">The percentages given are averages from studies and are not a guarantee of the outcome for an individual patient. Success depends on the assessment, hygiene and regular check-ups.<\/div>\r\n    <\/div>\r\n    <div class=\"amini reveal\" style=\"margin-top:26px\">\r\n            <div class=\"ava\" style=\"background-image:url('https:\/\/ortoimplant.hr\/wp-content\/uploads\/2026\/09\/dr-zdenko-trampus-ortoimplant-dental-spa.jpg');background-size:cover;background-position:center\" aria-hidden=\"true\"><\/div>\r\n      <div>\r\n        <div class=\"nm\">dr. Zdenko Trampu\u0161<\/div>\r\n        <div class=\"rl\">Pioneer of implantology &middot; founder<\/div>\r\n        <p>Dr. Trampu\u0161 was the first to introduce and place zygomatic implants in everyday clinical practice in Croatia and the region, and he has the longest continuous clinical experience with this technique. Techniques without bone belong to demanding implantology and call for a team experienced in exactly such cases, so every plan starts with an honest assessment, not a promise.<\/p>\r\n      <\/div>\r\n    <\/div>\r\n  <\/div>\r\n<\/section>\r\n\r\n\r\n<section>\r\n  <div class=\"narrow\">\r\n    <div class=\"sec-head reveal\" style=\"text-align:center;margin-bottom:8px;margin-left:auto;margin-right:auto\"><span class=\"eyebrow\">Common questions<\/span><h2>What patients ask most often.<\/h2><\/div>\r\n    <div class=\"faq\">\r\n            <div class=\"qa reveal\"><h3>Can I have fixed teeth if I have been told I have no bone?<\/h3><p>In a great many cases, yes. Zygoma, pterygoid and subperiosteal implants are anchored outside the worn part of the jaw. Whether that is possible for you in particular is something we establish with an examination and a CBCT scan.<\/p><\/div>\r\n            <div class=\"qa reveal\"><h3>Is the procedure painful?<\/h3><p>The procedure is done under local anaesthetic, and under sedation if you wish, so you can sleep through it. DENTAL SPA protocols make the post-operative course easier.<\/p><\/div>\r\n            <div class=\"qa reveal\"><h3>When do I get my teeth?<\/h3><p>In suitable patients we fit a temporary fixed bridge as a rule within 24 hours. We make the final structure once healing is complete.<\/p><\/div>\r\n            <div class=\"qa reveal\"><h3>How much does it cost?<\/h3><p>The price depends on the technique, the number of implants and the extent of the work, so we set it only after an examination. The first examination and assessment are free.<\/p><\/div>\r\n          <\/div>\r\n  <\/div>\r\n<\/section>\r\n\r\n<section>\r\n  <div class=\"wrap\">\r\n        <div class=\"abox reveal\">\r\n      <div class=\"ava\" style=\"background-image:url('https:\/\/ortoimplant.hr\/wp-content\/uploads\/2026\/09\/dr-zdenko-trampus-ortoimplant-dental-spa.jpg');background-size:cover;background-position:center\" aria-hidden=\"true\"><\/div>\r\n      <div><div class=\"nm\">Medically reviewed by: <b>dr. Zdenko Trampu\u0161, DDS<\/b><\/div><div class=\"rl\">Ortoimplant DENTAL SPA clinic<\/div><p>Content undergoes professional review before publication. This text is general information and does not replace a clinical examination. <a href=\"https:\/\/ortoimplant.hr\/en\/contact\/\">Book a free consultation<\/a><\/p><\/div>\r\n    <\/div>\r\n  <\/div>\r\n<\/section>\r\n\r\n<section class=\"cta-band\">\r\n  <div class=\"wrap reveal\">\r\n    <h2>Send us your scan or come for a free consultation.<\/h2>\r\n    <p>We look at your case and tell you honestly what your options are. No pressure, no obligation.<\/p>\r\n    <div class=\"cta\"><a class=\"btn btn-light\" href=\"https:\/\/ortoimplant.hr\/en\/contact\/\">Book a free consultation<\/a><a class=\"btn btn-outline-l\" href=\"https:\/\/ortoimplant.hr\/en\/contact\/\">Send your scan for assessment<\/a><\/div>\r\n  <\/div>\r\n<\/section>\r\n<\/main>\r\n\n<script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@type\":\"FAQPage\",\"mainEntity\":[{\"@type\":\"Question\",\"name\":\"Can I have fixed teeth if I have been told I have no bone?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"In a great many cases, yes. Zygoma, pterygoid and subperiosteal implants are anchored outside the worn part of the jaw. 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