A 54-year-old female patient presented with 2 implant failures as well as a bone graft failure. As a result of an apical surgery, an amalgam tattoo was evident on the buccal aspect. The compromised pink aesthetics, as well as prosthodontic discrepancies, were evident. 

A 68-year-old female patient suffered from tooth loss and removable dentures for more than 20 years.  A protocol considering four zygomatic implants was chosen to avoid lengthy and invasive bone grafting procedures.