Zygomatic implants are traditionally viewed as a final recourse for severe maxillary atrophy in geriatric populations. However, when applied to young adults with viable bone grafting potential, these fixtures often constitute a clinically over-engineered solution that carries significant long-term morbidity.

This live surgery session documents the clinical failure and surgical management of a zygomatic implant in a 32-year-old patient. The presentation will provide a step-by-step demonstration of the retrieval process, addressing the challenges of removing osseointegrated zygomatic hardware while managing associated chronic infection and sinus complications. Following the explantation, the faculty will lead a comprehensive replanning session, shifting the focus toward conservative reconstructive techniques.