PUBLICATIONS
New Book!
ADVANCED ZYGOMATIC IMPLANTS
The ZAGA Concept
A comprehensive resource introducing the ZAGA Concept, guiding based on patient anatomy, minimizing complications, and ensuring long-term success. The publication covers soft tissue management and alternative implant techniques with global expert insights.

October 2025
Comparative finite element analysis of three zygomatic implant
approaches using real-life anatomic models
In Journal of Prosthetic Dentistry
Carlos Aparicio, MD, DDS, MSc, MSc, DLT, PhD, Adi Lorean, OMFS, DMD, and
David Pastorino, Mat.Sci.Eng., MEng, MASt, PhD
September (Coming Soon)
Incision and Flap Design in Zygomatic Implant Surgery: A ZAGA-Based Decision Tree
International Journal of Periodontics & Restorative Dentistry
Carlos Aparicio, MD, DDS, MSc, MSc, DLT, PhD,

September 2025
Implant Designs and the Edentulous Patient
In Managing Fully Edentulous Patients
Bilal Al-Nawas, Prof, Dr, Dr, Carlos Aparicio, MD, DDS, MSc, MSc, DLT, PhD

July 2025
ZAGA Protocol for Quadruple Zygoma
Implant Installation
Carlos Aparicio, MD, DDS, MSc, MSc, DLT, PhD, Antoine Chehade, BSc, MS, David Wei-Kai Hsu, DDS , Guy McLellan, DDS, MS

June 2024
Round and flat zygomatic implants: effectiveness after a 3‑year follow‑up non‑interventional study
Carlos Aparicio, Waldemar D Polido, Antoine Chehade, Marc Shenouda, Madalina Simon, Peter Simon, Bilal Al-Nawas

February 2024
ZAGA Double Pedicle Palatal Flap for Soft Tissue Management in Zygomatic Surgery
Carlos Aparicio and Arnau Aparicio

July 2023
Surgical-Anatomical And Prosthetic-Biomechanical ZAGA Criteria To Determine The Zygomatic Implant Trajectory
Carlos Aparicio, Arnau Aparicio and John Brunski

September 2023
A Modified Delphi Consensus For Rehabilitations Anchored To Zygomatic Implants
Carlos Aparicio, David Pastorino

March 2023
Zygomatic Implants. The ZAGA Concept
C. Aparicio, A. Dawood and C. Ucer

March 2023
The ZAGA Concept: A Multifaceted Approach To Zygoma Implant Rehabilitation
In Zygoma Implants. Step by Step by Arun K. Garg
Co-authors: Carlos Aparicio

March 2023
The ZAGA Concept: A Multifaceted Approach To Zygoma Implant Rehabilitation
In Zygoma Implants. Step by Step by Arun K. Garg
Co-authors: Carlos Aparicio

August 2022
Success Rates Of Zygomatic Implants For The Rehabilitation Of Severely Atrophic Maxilla: A Systematic Review
Aleix Solà Pérez, David Pastorino, Carlos Aparicio, Marta Pegueroles Neyra, Rabia Sannam Khan, Simon Wright and Cemal Ucer

April 2022
Round And Flat Zygomatic Implants: Effectiveness After A 1-Year Follow-Up Non-Interventional Study
Aparicio C, Polido WD, Chow J, Davó R, Al-Nawas B. Int J Implant Dent. 2022 Apr 1;8(1):13. doi: 10.1186/s40729-022-00412-8.

February 2022
The Zygoma Anatomy-Guided Approach (ZAGA) For Rehabilitation Of The Atrophic Maxilla
Carlos Aparicio, Antonio Olivo, Victor de Paz, Daniel Kraus, Manuel Martin Luque, Eduardo Crooke, Peter Simon, Madalina Simon, Jose Ferreira, Andre Sakima Serrano, Jan Peter Ilg, Arturo Bilbao, Alberto Fernandez, Pedro Guitián, Jay Neugarten

September 2021
Preoperative Evaluation And Treatment Planning. Zygomatic Implant Critical Zone (ZICZ) Location
Carlos Aparicio, Roberto López-Píriz, Miguel Peñarrocha

September 2021
The Zygoma Anatomy-Guided Approach For Placement Of Zygomatic Implants
Carlos Aparicio, Waldemar D. Polido, Hooman M. Zarrinkelk, Atlas of the Oral and Maxillofacial Surgery Clinics

August 2021
Identification Of The Pathway And Appropriate Use Of Four Zygomatic Implants In The Atrophic Maxilla: A Cross-Sectional Study
Carlos Aparicio, Waldemar D Polido, James Chow, Lesley David, Rubén Davo, Eduardo Jose De Moraes, Alex Fibishenko, Masami Ando, Guy Mclellan, Costa Nicolopoulos, Michael A Pikos, Hooman Zarrinkelk, Thomas J Balshi, Miguel Peñarrocha

May 2021
Prevalence Of Maxillary Sinus Alterations After Zygomatic Surgery. A Comparative Study Between Intra-Sinus And ZAGA Approaches
Carlos Aparicio, Pedro Clarós, Natalia Końska, P. Clarós-Pujol, D. Clarós-Pujol, M. Peñarrocha-Diago

April 2020
Oris Criteria Of Success For The Zygoma-Related Rehabilitation: The (Revisited) Zygoma Success Code
Carlos Aparicio, MD, DDS, MsC, MsC, DLT, PhD/Roberto López-Piriz, MD, DDS, PhD/Tomas Albrektsson, MD, PhD, RCPSG

April 2020
Zygoma Anatomy-Guided Approach "Scarf Graft" For Prevention Of Soft Tissue Dehiscence Around Zygomatic Implants: Technical Note
Carlos Aparicio, Antonio Sanz

March 2020
Bone Regeneration And Soft Tissue Enhancement Around Zygomatic Implants: Retrospective Case Series
Miguel Peñarrocha-Diago , Juan Carlos Bernabeu-Mira, Alberto Fernández-Ruíz, Carlos Aparicio and David Peñarrocha-Oltra

2020
THE ZYGOMA ANATOMY-GUIDED APPROACH (ZAGA) — A PATIENT-SPECIFIC THERAPY CONCEPT FOR THE REHABILITATION OF THE ATROPHIC MAXILLA
In: James Chow (Ed.), Zygomatic Implants: Optimization and Innovation, March 2020, pp. 63–85
Carlos Aparicio

2015
Computer-Guided Applications For Dental Implants, Bone Grafting, And Reconstructive Surgery by Marco Rinaldi, Scott Ganz, and Angelo Mottola
Featured chapter: Carlos Aparicio

October 2014
Zygomatic Implants: Indications, Techniques And Outcomes, And The Zygomatic Success Code
Carlos Aparicio, Carolina Manresa, Karen Francisco, Pedro Claros

October 2014
Zygomatic Implants Placed Using The Zygomatic Anatomy-Guided Approach Versus The Classical Technique: A Proposed System To Report Rhinosinusitis Diagnosis
Carlos Aparicio, Carolina Manresa, Karen Francisco, Arnau Aparicio, Jonas Nunes, Pedro Claros, Josep M Potau

October 2012
The Long-Term Use Of Zygomatic Implants: A 10-Year Clinical And Radiographic Report
Carlos Aparicio, Carolina Manresa, Karen Francisco, Wafaa Ouazzani, Pedro Claros, Josep M Potau, Arnau Aparicio

August 2012
Zygomatic Implants. The Anatomy-Guided Approach
Carlos Aparicio

September 2011
A Proposed Classification for Zygomatic Implant Patient based on the Zygoma Anatomy Guided Approach (ZAGA): A Cross-Sectional Survey
Carlos Aparicio

May 2010
Immediate/Early Loading Of Zygomatic Implants: Clinical Experiences After 2 To 5 Years Of Follow-Up
Carlos Aparicio, Wafaa Ouazzani, Arnau Aparicio, Vanessa Fortes, Rosa Muela, Andres Pascual, Maria Codesal, Natalia Barluenga, Monica Franch

Clin Implant Dent Relat Res 2010; 12:55–61. E-Pub 2008.
Extrasinus Zygomatic Implants: Three Year Experience From a New Surgical Approach for Patients With Pronounced Buccal Concavities in the Edentulous Maxilla
Aparicio C, Ouazzani W, Aparicio A, Fortes V, Muela R, Pascual A et al.

April 2008
The Use of Zygomatic Implants for Prosthetic Rehabilitation of The Severely Resorbed Maxilla
Carlos Aparicio, Wafaa Ouazzani, Naoki Hatano

April 2008
¿Qué indicaciones tienen y qué Resultados nos ofrecen los Implantes Cigomáticos?
Carlos Aparicio, Ramón Soto-Yarritu Quintana

October 2006
Immediate/Early Loading of Dental Implants: A Report From the Sociedad Espanola de Implantes World Congress Consensus Meeting In Barcelona, Spain, 2002
Carlos Aparicio, Bo Rangert, Lars Sennerby

September 2006
Validity and Clinical Significance of Biomechanical Testing of Implant/Bone Interface
> Carlos Aparicio, Niklaus P Lang, Bo Rangert

August 2006
A Prospective Clinical Study on Titanium Implants in the Zygomatic Arch for Prosthetic Rehabilitation of the Atrophic Edentulous Maxilla With a Follow-Up of 6 months to 5 years
Carlos Aparicio, Wafaa Ouazzani, Roberto Garcia, Xabier Arevalo, Rosa Muela, Vanessa Fortes

2006
Zygomatic implants. A new
surgical approach. J Clin Perio 2006: 33: supplement (second part) 128
Ouazzani W, Arevalo J, Sennerby L, Lundgren S, Aparicio C.

1999
El Implante Trans-Zigomático
C Aparicio

September-October 1995
A New Method For Achieving Passive Fit Of An Interim Restoration Supported By Brånemark Implants: A Technical Note
C Aparicio

February 1993
Reconstruction Of The Premaxilla With Autogenous Lliac Bone In Combination With Osseointegrated Implants
Carlos Aparicio, Per-lngvar Brånemark, Eugene E. Keller, Jordi Olivé

1992
Comparative Surface Microanalysis Of Failed Brånemark Implants
Aparicio C, Olivé J.

1990
Periotest Method As A Measure Of Osseointegrated Oral Implant Stability
Olivé J, Aparicio C.