Zygomatic implant in Dr. Fernando Giovanella Clinic
About the clinic
Zygomatic dental implants at Dr. Fernando Giovanella Clinic in Blumenau, Brazil, provide a fixed tooth solution for patients with severe upper jaw bone loss. This method uses the dense cheekbone for anchorage instead of traditional bone grafts. The clinic holds ISO 9001 and TEMOS certifications, reflecting a commitment to international medical standards.
Advanced Zygomatic Implant Technique
Dr. Fernando Giovanella uses a graftless approach to restore the upper arch. These implants are longer than standard ones and anchor directly into the zygoma or cheekbone. This bone is naturally dense and does not shrink like the jawbone. Patients who were told they lack enough bone for implants often qualify for this procedure. It avoids the need for painful bone transplants from the hip or chin.
Digital Planning and Accuracy
The clinic follows a digital-first protocol to make surgery more precise. Dr. Fernando Giovanella uses CT scans to create 3D simulations of the patient's skull. A 3D-printed replica of the bone is produced before the operation starts. This allows the surgeon to practice the placement in advance. The team uses SkinGuide custom resin guides to help place the implants with sub-millimeter accuracy.
The FaceFirst Approach
Treatment follows the FaceFirst method, which was published in the Journal of Prosthetic Dentistry. This approach focuses on how the new teeth support the lips and face. The goal is to create facial harmony while making sure the prosthesis is easy to clean. Dr. Fernando Giovanella designed this protocol to help patients look natural and maintain oral health over time.
Recovery and Results
The procedure usually takes place in the clinic's specialized surgical suite. An anesthesiologist provides IV sedation to keep the patient comfortable. For very complex cases, surgery may occur at the ISO-certified Hospital Unimed Blumenau. Unlike traditional methods that take months, this process allows for immediate loading. Patients receive their fixed teeth within 3 to 7 days after the single surgery. These temporary teeth stay in place while the implants fuse with the bone.
Specialist Expertise
Dr. Fernando Giovanella is an Oral and Maxillofacial Surgeon with a Master in Implant Dentistry. He is the author of Zygoma 2.0 and a professor who teaches advanced full-arch techniques. His work focuses on providing solutions for the most difficult dental cases. You can request a consultation or learn more about the procedure by leaving a request on Bookimed.
Highlights
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Special offers
Treatments prices in the clinic
| treatment | Price | |
|---|---|---|
| Zygomatic implant | $16000 - $18300 | |
| All-on-4 Dental Implants | Price on request | |
| Zirconia All-on-4 dental implants | Price on request | |
| Same day All-on-4 dental implants | Price on request | |
| Zygomatic All-on-4 implants | Price on request | |
| Immediate All-on-4 Dental Implants | Price on request |
Clinic Doctors
Before & after photos (1)
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Licences
Dr. Fernando Giovanella Clinic: more details about the clinic
What the clinic treats
Full-arch rehabilitation of the upper and lower jaw for patients who were told they do not have enough bone for implants, or whose bone grafts or implants failed. Depending on the CT scan, the implants are anchored in the front of the jaw (All-on-4 or All-on-6), in the cheekbone (zygomatic implants) or in the pterygoid region, in many cases without bone grafting. Dr. Giovanella chooses the technique after reviewing the patient's CT scan.
The surgeon
Dr. Fernando Giovanella is an oral and maxillofacial surgeon and implant dentist registered with the Santa Catarina Regional Dental Council (CRO-SC 8237). He holds a master's degree in Dentistry (Implantology) from UNISAGRADO, Bauru (2011), and has over 20 years of practice. He assesses, plans and operates every case himself.
- Author of the book ZIGOMA 2.0 (Editora Napoleão – Quintessence, 2023), ISBN 978-85-48001-64-2
- Author of a clinical report on graftless complete-arch rehabilitation using a facial approach, The Journal of Prosthetic Dentistry (2025), DOI 10.1016/j.prosdent.2025.03.046
- Lead author of a technical note on a modified subcrestal buccal flap for All-on-4, Cureus (2024), DOI 10.7759/cureus.58453
- Creator of the SkinGuide® surgical guide method and inventor of a cannulated drill, Brazilian patent BR 20 2022 007476 9
- Coordinator and professor of the Implant Dentistry specialization program at IOA Blumenau; instructor of a hands-on zygomatic implant course at UFF (Niterói)
- ORCID 0000-0002-1887-1061 · Lattes CV 5996599894025716
How a case is planned
Planning starts with the patient's CT scan (DICOM). The surgery is planned in 3D and transferred to the mouth with a custom surgical guide (SkinGuide®). Zygomatic cases are first rehearsed on a 3D-printed replica of the patient's bone. The patient receives the treatment plan and the price in writing before booking flights.
Anesthesia and where surgery takes place
Most surgeries are performed at the clinic under intravenous sedation given by a physician anesthesiologist, after a pre-anesthetic assessment. Selected cases are performed under general anesthesia at Hospital Unimed Blumenau, a JCI-accredited hospital.
Prosthesis options
Resin (included in the base price): a definitive fixed bridge of 12 teeth is placed 3–5 days after surgery, in one trip, with a check-up and reline at 3–4 months. Zirconia (optional upgrade): a 3D-printed fixed provisional bridge is placed within 3–5 days, and the zirconia bridge is fitted on a second one-week trip after 3 months.
Registration and languages
The clinic is registered with the Santa Catarina Regional Dental Council (EPAO 1586). Care is provided in English and Portuguese.
Additional services
What procedures do patients have most often?
- Zygomatic implant
Patient reviews
Eliton Santos
Flávio Amaya
Kamyla Vitória
Luciano Ap.D.S.Fernandes
Kézia Karoliny
Gustavo Goebel Pereira
Daniel Tonioti
Erika Santos
Ehomar Silva Schlischting
Felipe De moraes de souza
Centro Clínico Santa Catarina - Rua Armando Odebrecht, 70, Blumenau - SC, 89020-403, Brazil
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