ReviewClinical oral investigations2026
Z-classification: an anatomy-based ridge-sinus-zygoma classification and decision funnel for zygomatic implantology.
Review in Clinical oral investigations, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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5 authors.
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Abstract
objectivesThe rising demand for zygomatic implants (ZIs) in contemporary dental implantology underscores the need for an anatomy-based categorization system and a surgical decision-making panel that takes into account anatomical, biomechanical, and prosthetic factors to determine the final surgical strategy. This article proposes a new Z-Classification, the anatomical division of the maxillo-zygomatic complex. MATERIALS AND
methodsThe classification was developed from the authors' clinical experience of 882 ZIs placed in 234 patients across two centres over a ten-year period. According to anatomical presentations, 6 classes were described.
resultsThe classification is intended as a practical framework for preoperative assessment and treatment planning in ZI rehabilitation. It has not yet been validated against clinical outcomes. Additionally, a decision funnel for surgical strategy development and the structured checklists consisting of crucial clinical parameters for long-term success in ZI therapy were proposed.
conclusionThe presented tools will potentially optimize a complex decision-making algorithm in zygomatic implantology. CLINICAL RELEVANCE: The proposed Z-Classification and the decision funnel carry the potential to reduce the risk of complications associated with zygomatic surgery.
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