Multilayer guide for zygomatic implants of different structures

Abstract

The invention is based on a base guide with a sinus surgery guide, which enables the use of surgical drilling cutters of different diameters and enables the entire drilling process to be performed on a single guide, which can be adapted to zygomatic implants of different sizes / structures and can be used without manufacturing a separate guide set, which is designed to fit the patient's cheekbone in accordance with the patient's mouth, jaw and cheekbone anatomy, with an opening in the middle and can be used as a reference and support in the process of lifting the sinus wall through the aforementioned opening, a multilayer guide for zygomatic implants of different structures comprising at least two drilling guides (3.3), which are inserted sequentially in a attach-detach manner on said base guide and which serve as a guide for gradual drilling (grooving) of the cheekbones using a single guide, and an implant guide (3.3), which is inserted sequentially in a attach-detach manner on said base guide and which serves as a guide for inserting the zygomatic implant (I) into the groove made in the cheekbones, which can be used for zygomatic implants of different structures.

Description

[0001] MULTILAYER GUIDE FOR ZYGOMATIC IMPLANTS OF DIFFERENT STRUCTURES

[0002] Technical Field:

[0003] The invention is characterized in that it is a multilayer guide that enables the use of surgical drilling cutters of different diameters and enables the entire drilling process to be performed on a single guide; it can be adapted to zygomatic implants of various sizes / structures and can be used for zygomatic implants of different structures that can be used without the manufacture of a guide set;

[0004] State of the Art:

[0005] The screws inserted in implant treatment are more difficult to insert into the upper jaw than the lower jaw. This is especially true for the implants to be placed in the back. It is almost impossible to place regular implants in individuals who do not have enough bone in the upper jaw. In the past, individuals facing this situation could not be implanted without resorting to different options, such as bone grafting and sinus lift procedures. However, with the zygomatic implant application used in the known state of the art, individuals facing these problems can regain their lost teeth.

[0006] A Zygomatic (Zygoma) implant is a type of implant that is applied only to the upper jaw; in other words, it is applied only with support from the zygoma (cheekbone) bones. This type of implant is called a zygomatic implant, depending on the name of the bone supported. Zygomatic implant operations take a little longer than normal implant operations and are applied crosswise to the upper jaw with a more complex operation than regular implants.

[0007] The zygomatic implant, which is one of the applications used for patients with tooth loss, is surgically placed in the zygoma (cheekbone) bone, unlike traditional root-form implant applications. The length of zygomatic implants can reach 30-55 millimeters and are longer than other types of dental implants. Zygomatic implant application is a dental treatment method that can be applied in patients whose upper jaw bone does not have sufficient strength, whose upper jaw bone is severely damaged or melting in this bone, in cases where no fracture is detected after the control of the zygomatic bones and provides a solution to the patient's toothlessness problem. Zygomatic implant application can be used in the treatment of individuals who use removable prostheses for many years, who have a lot of melting in the upper jawbone, whose jawbone and gum tissue are damaged due to gum disease, who experience tooth loss at an early age, whose jawbone is severely damaged due to infection, trauma or many different factors, whose jawbone is not sufficient for standard implant treatment, and whose jawbone is melted and bone graft cannot be applied.

[0008] Zygomatic implant application requires a very sensitive and careful surgical application because it has a complicated surgery, and there is a possibility of damage to the eye and adjacent tissues; anatomical structures such as the facial nerve, infraorbital nerve, and sinus wall must be removed in some operations. Since the implants are long, slight deviations in the mouth can cause large angle and location deviations at the root end of the implant. In this case, ensuring that the zygomatic implants are guided precisely and accurately increases the operation's success significantly.

[0009] Zygoma (cheekbone) bones are dense bones. For this reason, to place zygomatic implants in the zygoma (cheekbone) bones, drilling (grooving) is performed in the zygoma (cheekbone) bones from thin to thick, using a number of drilling cutters varying according to the protocol of the implant brand. In all zygomatic implant applications performed in the known state of the art, several drilling (grooving) are performed from thin to thick in this way; in other words, several interventions for the same purpose. In addition, there may be deviations in the angle and location of the implant when the implant is placed in the bone after drilling, which reduces the operation's overall success.

[0010] For zygomatic implants used in the known state of the art, the drilling (grooving) is performed with a single guide. This leads to guidance problems, increases the duration and difficulty of the surgical procedure, and decreases the probability of success. The zygomatic implants used in the known state of the art are either performed by the physician using only surgical skills and surgical equipment without the use of any equipment or with the help of guides / guides that allow each company to apply only their own brand of zygomatic implants. For this reason, during the application of zygomatic implants, uniform applications are required for the guidance of these implants and the cost of the operation increases.

[0011] In zygomatic implant applications in the known state of the art, there is no guide that is compatible with zygomatic implants of different brands. All of the drilling (grooving) operations, which vary according to the implant brand from thin to thick, are performed on a single guide.

[0012] Purpose of the Invention:

[0013] The invention aims to enable the use of surgical drilling cutters of different diameters so that the entire drilling process can be performed on a single guide and to provide a multilayer guide that can be used for zygomatic implants of different structures and can also be used as a sinus lift window.

[0014] Furthermore, the invention's zygomatic magnetic layered structure allows the placement of a temporary prosthesis after implant placement.

[0015] Description of Figures:

[0016] Figures of the multilayer guide that can be used for zygomatic implants of different structures are shown below.

[0017] Figure 1. Perspective view of the disassembled parts of the multilayer guide

[0018] Figure 2. Perspective view of the right and left base guide of the multilayer guide applied to the upper jaw with drilling guides

[0019] Figure 3. Perspective view of the right and left base guide of the multilayer guide applied to the upper jaw without drilling guides

[0020] Figure 4. Perspective view of the right base guide of the multilayer guide applied to the upper jaw with drilling guide

[0021] Figure 5. Perspective view of the left base guide of the multilayer guide applied to the upper jaw without the drilling guide Figure 6. View of implants placed in the maxilla with the help of the left base guide of the multilayer guide

[0022] Figure 7. View of implants passing through the right base guide of the multilayer guide

[0023] Figure 8. View of the use of the support button on the right and left base guide of the multilayer guide

[0024] Figure 9.1. Detailed view of the base guides of the multilayer guide applied to the upper jaw- 1

[0025] Figure 9.2. Detailed view of the base guides of the multilayer guide applied to the upper jaw-2

[0026] Figure 9.3. Detailed view of the base guides of the multilayer guide applied to the upper jaw-3

[0027] Figure 10.1. Perspective view of the first drilling guide of the multilayer guide

[0028] Figure 10.2. Perspective view of the second drilling guide of the multilayer guide

[0029] Figure 10.3. Perspective view of the implant guide of the multilayer guide

[0030] Description of References in Figures:

[0031] The reference numbers shown in the figures are given below.

[0032] 1.1. Right base guide

[0033] 1.2. Left base guide

[0034] 1.3. Anti rotation slot

[0035] 1.4. Fixing slot

[0036] 1.5. Magnetic holder slot

[0037] 2. Fixing screw

[0038] 3.1. First drilling guide

[0039] 3.2. Second drilling guide

[0040] 3.3. Implant orientation guide

[0041] 3.4. Support button

[0042] 3.5. Guide to apical drilling

[0043] 3.6. Anti-rotation element

[0044] 3.7. Coronal drilling guide 3.8. Magnetic holder

[0045] 3.9. Body

[0046] I. Implant

[0047] Description of the invention:

[0048] The zygomatic bones are very dense. For this reason, to place zygomatic implants (I) in the zygomatic bones, several drilling (grooving) is performed in the zygomatic bones from thin to thick, depending on the brand of the implant (I). The most critical issue in this process is to provide clear guidance / guidance so that the patient is not harmed. At this point, the invention provides a structure that can be used for zygomatic implants (I) of different structures by enabling the use of surgical drills of different diameters so that the entire drilling process can be performed on a single guide. Thus, a straightforward guiding / guiding process can be performed without harming the patient.

[0049] Invention in its most base form,

[0050] A base guide with a sinus surgery guide designed to fit the patient's cheekbone in accordance with the patient's mouth, jaw, and cheekbone anatomy, with an opening in the middle and a sinus surgery guide that allows it to be used as a reference and support in the process of lifting the sinus wall through the aforementioned opening,

[0051] It has at least two drilling guides, which are placed on the said base guide in an attach-detach sequence and serve as a guide for gradual drilling (grooving) of the cheekbones through a single guide, wherein said drilling guides are compatible with drilling in sizes that enable gradual drilling (grooving) from thin to thick,

[0052] It has an implant guide (3.3), which is placed on this base guide in an attach- detach manner and serves as a guide for placing the zygomatic implant (I) in the canal opened in the cheekbones.

[0053] The invention is designed according to the anatomical structure of the side (right or left) on which it will be applied in accordance with the oral structure of each patient. In this context, the invention has two base guides, the right base guide (1.1) and the left base guide (1.2), which are fixed to the cheekbones of the patient through the mouth. The right base guide (1.1) and the left base guide (1.2) are fixed to the cheekbones with the help of the fixing screw (2) through the fixing slot (1.4) on them.

[0054] The right base guide (1.1) and the left base guide (1.2) are used for accurate and healthy guidance during the placement of zygomatic implants (I) in the zygomatic bone, and the drilling guides and the implant guide (3.3) are placed on them in an attach-detach sequence. In its most base form, the invention comprises at least a first drilling guide (3.1), a second drilling guide (3.2) and an implant guide (3.3), which are inserted in an attach-detach sequence on the right base guide (1.1) and the left base guide (1.2), and which provide guidance for stepwise drilling (grooving) of the zygomatic bones using a single guide. Here, the second drilling guide (3.2) is used to guide the drilling (grooving) of a larger diameter than the first drilling guide (3.1). The implant orientation guide (3.3) is used to guide the placement of the zygomatic implant (I) in the zygomatic bones. Thus, the invention provides guidance for both grooving and placement of zygomatic implants (I) in the cheekbones.

[0055] The first drilling guide (3.1), the second drilling guide (3.2) and the implant orientation guide (3.3) are provided with anti-rotation elements (3.6). The anti-rotation elements (3.6) allow the said drilling guides (3.1, 3.2) and the implant guide (3.3) to fit into the anti-rotation slot (1.3) on the right base guide (1.1) and the left base guide (1.2) and to fix the guide together with the magnetic fasteners. Said magnetic fasteners are the magnetic holder slot (1.5) and the magnetic holder (3.8). In a preferred embodiment of the invention, said anti-rotation elements (3.6) are positioned to the right and left of the first drilling guide (3.1), the second drilling guide (3.2) and the implant orientation guide (3.3).

[0056] Furthermore, a magnetic holder (3.8) is provided on the first drilling guide (3.1), the second drilling guide (3.2) and the implant orientation guide (3.3). The magnetic holder (3.8) fits into the magnetic holder slot (1.5) on the right-hand base guide (1.1) and the left-hand base guide (1.2), thereby securing the respective drilling guides (3.1, 3.2) and the implant guide (3.3). Therefore, the first drilling guide (3.1), the second drilling guide (3.2) and the implant orientation guide (3.3) pass through three different points, namely the two anti -rotation elements (3.6) and the magnetic holder (3.8), by sitting on the right base guide (1.1) and the left base guide (1.2).

[0057] In a preferred embodiment of the invention, the first drilling guide (3.1), the second drilling guide (3.2) and the implant guide (3.3) are provided with a support button

[0058] (3.4). During the operation, the operator places his / her finger on the support button

[0059] (3.4) to help support the drilling guides (3.1, 3.2) and the implant guide (3.3) and prevent them from slipping.

[0060] The first drilling guide (3.1), the second drilling guide (3.2) and the implant orientation guide (3.3) are provided with an apical drilling guide (3.5). In a preferred embodiment of the invention, two apical drilling guides (3.5) are provided on said drilling guides (3.1, 3.2). By means of said apical drilling guides (3.5), drilling (grooving) of the zygomatic bones can be carried out accurately and without shaking.

[0061] In a preferred embodiment of the invention, the anti-rotation element (3.6) is positioned on the apical drilling guide (3.5). Thus, one apical drilling guide (3.5) has one anti-rotation element (3.6) and preferably two apical drilling guides (3.5) and two anti-rotation elements (3.6) are located on each of said drilling guides (3.1, 3.2) and implant orientation guide (3.3).

[0062] The dimensions of the apical drilling guides (3.5) on the first drilling guide (3.1), the second drilling guide (3.2) and the implant orientation guide (3.3) are different from each other in order to enable progressive drilling (grooving). The difference here refers to gradually increasing or gradually decreasing dimensions. It is important to follow the recommended drilling sequence to achieve successful results.

[0063] In a preferred embodiment of the invention, the first drilling guide (3.1) is compatible with 2.9 mm drilling, the second drilling guide (3.2) is compatible with 3.5 mm drilling and the implant guide (3.3) is compatible with a 4 mm zygomatic implant (I). However, these dimensions vary according to the individual patient to suit each implant brand. In another preferred embodiment of the invention, the dimensions of the said drilling guides (3.1, 3.2) and the implant guide (3.3) can be designed in the same way by gradually increasing the dimensions.

[0064] The dimensions of the said drilling guides (3.1, 3.2) and implant guide (3.3) of the invention can be designed according to the dimensions requested by the user / company wishing to use the invention. The important point here is that the said drilling guides (3.1, 3.2) and the implant guide (3.3) of the invention enable the gradual drilling (grooving) of the zygoma bones through a single guide. The first drilling guide (3.1) and the second drilling guide (3.2) have a coronal drilling guide (3.7), while the implant guide (3.3) does not have a coronal layered guide (not visible on the figures) depending on the design of the preferred implant brand. This coronal layered guide also serves as a guide.

[0065] The first drilling guide (3.1) and the second drilling guide (3.2) have a body (3.9) with a support button (3.4), apical drilling guide (3.5) and anti-rotation element (3.6) at one end and a coronal drilling guide (3.7) and magnetic holder (3.8) at the other end. In contrast, the implant orientation guide (3.3) has a body (3.9) with a support button (3.4), apical drilling guide (3.5) and anti-rotation element (3.6) at one end and only the magnetic holder (3.8) at the other end. On the body (3.9), where the drilling guides (3.1 , 3.2) and the implant guide (3.3) are located, there is a field with information about the dimensions of the drilling guides (3.1, 3.2) and the implant guide (3.3).

[0066] The technical elements that the invention uses to achieve its purpose are the same. However, the invention is personalized at two points. The first of these is the anatomy of the patient's mouth, jaw, cheekbone and sinus, in other words, the dimensions / structure; and the other is the dimensions / structure of the implant (I) to be used. This is because the anatomy of each patient and the implant (I) measurements / structures of each company are different. The second most important feature of the invention emerges right here. The invention aims to provide a multilayered guidance and sinus lift guide that can be used for zygomatic implants (I) of different structures.

[0067] The development of the invention and its application to the patient is as follows: - Designing the dimensions / structure of the right base guide (1.1) and the left base guide (1.2) in accordance with the patient's mouth, jaw and cheekbone anatomy. Since the anatomy of each person is different, these guides are designed to fit the patient's upper jaw in accordance with the patient's oral anatomy.

[0068] - Determining the number and dimensions of the drilling guide and the dimensions of the implant guide (3.3) in accordance with the size / structure of the zygomatic implant (I) to be applied to the patient, since the zygomatic bones are dense, drilling (grooving) in these bones is performed gradually from thin to thick (varying number depending on the implant brand). Here, the size to be followed from thin to thick is determined according to the size / structure of the zygomatic implant (I) to be applied to the patient. Depending on the size / structure of the zygomatic implant (I) to be applied to the patient, more than two drilling guides can be used. In the preferred embodiment of the invention, a total of two drilling guides are used, a first drilling guide (3.1) and a second drilling guide (3.2).

[0069] - Fixing the right base guide (1.1) and / or left base guide (1.2) designed according to the patient to the patient's cheekbones with the help of fixing screw (2) through the fixing slot (1.4) on them,

[0070] After the two steps described above, drilling (grooving) is performed on the patient's cheekbones gradually from thin to thick (depending on the implant brand).

[0071] In the preferred embodiment of the invention, firstly, the first drilling guide

[0072] (3.1) is placed on the right base guide (1.1) and / or the left base guide (1.2) fixed on the cheekbone of the patient and the first stage drilling (grooving) is performed, during the process, the operator places his / her finger on the support button (3.4) on the first drilling guide (3.1) to help support and prevent the said drilling guide from slipping. After this procedure, a 2.9 mm wide channel (this size is given as an example) will be formed on the patient's cheekbone.

[0073] In the preferred embodiment of the invention, secondly, the second drilling guide (3.2) is placed on the right base guide (1.1) and / or the left base guide

[0074] (1.2) fixed on the cheekbone of the patient and the second stage drilling (grooving) is performed, during the process, the operator places his / her finger on the support button (3.4) on the second drilling guide (3.2) to help support the said drilling guide and prevent it from slipping. After this procedure, a 3.5 mm wide channel (this size is given as an example) will be formed on the patient's cheekbone.

[0075] Thirdly, the implant guide (3.3) is placed on the right base guide (1.1) and / or the left base guide (1.2) fixed to the patient's zygomatic bone and the zygomatic implant (I) is accurately placed in the 3.5 mm wide (this size is given as an example) opened channel by guiding the implant guide (3.3. During the procedure, the operator places his / her finger on the support button (3.4) on the implant guide (3.3) to help support the implant guide (3.3) and prevent it from slipping. After this procedure, a zygomatic implant (I) with a diameter of 4 mm (this size is given as an example) will be inserted into a 3.5 mm (this size is given as an example) wide canal on the cheekbone of the patient.

[0076] The preferred embodiment of the invention comprises two drilling guides (3.1, 3.2) and one implant orientation guide (3.3). The number and dimensions of these drilling guides may vary depending on the implant (I) brand. What is important here is the number and dimensions of the necessary drilling (grooving) to be applied to the patient. The number and dimensions of the drilling guides are determined according to the number and dimensions of the drilling (grooving) procedure.

[0077] The invention is characterized in that it enables the use of surgical drilling cutters of different diameters, so that the entire drilling process can be performed on a single guide, and a multi-layer guide that can be used for zygomatic implants of different sizes / structures, which can be adapted to zygomatic implants of different sizes / structures;

[0078] It has a base guide designed to fit the patient's cheekbone in accordance with the patient's mouth, jaw and cheekbone anatomy, and the base guide in question here are two guides, the right base guide (1.1) and the left base guide (1.2), applied to the patient's right and left cheekbone.

[0079] The fixing slots (1.4) on the right main guide (1.1) and the left main guide (1.2), which allow the guides to be fixed to the patient's cheekbones with the help of the fixing screw (2), It has a first drilling guide (3.1) and a second drilling guide (3.2), which are placed sequentially on the right base guide (1.1) and the left base guide (1.2) in an attach-detach manner and serve as a guide for gradual drilling (grooving) of the cheekbones using a single guide, wherein said drilling guides (3.1, 3.2) are compatible with drilling in sizes that enable gradual drilling (grooving) from thin to thick.

[0080] To the implant guide (3.3), which is placed on the right base guide (1.1) and the left base guide (1.2) in an attach-detach fashion after the aforementioned drilling guides (3.1, 3.2) and serves as a guide for the placement of the zygomatic implant (I) in the cheekbones

[0081] The anti-rotation elements (3.6) on the aforementioned drilling guides (3.1,

[0082] 3.2) and implant orientation guide (3.3), which allow the first drilling guide

[0083] (3.1), the second drilling guide (3.2) and the implant orientation guide (3.3) to fit into the anti-rotation slot (1.3) on the right-hand base guide (1.1) and the left-hand base guide (1.2) and thus to be fixed,

[0084] The magnetic holder (3.8) on the first drilling guide (3.1), the second drilling guide (3.2) and the implant orientation guide (3.3), which allows the first drilling guide (3.1), the second drilling guide (3.2) and the implant orientation guide (3.3) to fit into the magnetic holder slot (1.5) on the right-hand base guide

[0085] (1.1) and the left-hand base guide (1.2) and thereby to be fixed and secured in place on the aforementioned drilling guides (3.1, 3.2) and implant orientation guide (3.3),

[0086] The support button (3.4), which the operator supports by placing his / her finger on it during the procedure and which is located above the drilling guides (3.1,

[0087] 3.2) and the implant orientation guide (3.3),

[0088] The apical drilling guide (3.5), which is located above the drilling guides (3.1,

[0089] 3.2) and serves as a guide to ensure that the drilling (grooving) of the cheekbones can be performed without shaking and as accurately as desired,

[0090] - the apical drilling guide (3.5), located above the implant orientation guide (3.3), which serves as a guide for placing the zygomatic implant (I) in the cheekbones after drilling (grooving),

[0091] Coronal drilling guide (3.7), which guides the implant (I) and is located above the first drilling guide (3.1) and the second drilling guide (3.2), - the first drilling guide (3.1) and the second drilling guide (3.2) comprising a body (3.9) with a support button (3.4), apical drilling guide (3.5) and antirotation element (3.6) at one end and coronal drilling guide (3.7) and magnetic holder (3.8) at the other end, implant orientation guide (3.3), which has a body (3.9) with a support button (3.4), apical drilling guide (3.5) and anti -rotation element (3.6) at one end, and only the magnetic holder (3.8) at the other end,

[0092] - the body (3.9), which has an area with information on the dimensions of the drilling guides (3.1, 3.2) and the implant orientation guide (3.3).

[0093] In order to place the zygomatic implants (I), it is also necessary to lift the sinus wall (sinus lift). This surgical procedure is very delicate and lifting the sinus wall more or less than necessary makes the patient's recovery difficult and reduces the success of the operation. The guides used in the known state of the technique do not allow sinus surgery because they are inserted into the jaw once and remain in the jaw in that way. This is because these guides cover the sinus surgery area. On the other hand, the invention has a layered structure with an opening in the middle. Through the aperture in question, the invention also acts as a sinus surgery guide while no guide is attached to it, thus opening the sinus wall exactly as much as it should be. In this context, the invention has a base guide with a sinus surgery guide, which can be used as a reference and support for lifting the sinus wall.

[0094] Furthermore, all the elements of the invention are made of titanium. In this way, even if a mini piece breaks off during drilling and falls into the patient's open bone, the patient is not harmed.

[0095] Furthermore, the invention allows the placement of a temporary prosthesis in the same operation after placement of the zygomatic implant (I).

[0096] Applicability to the Industry:

[0097] The invention can be used in zygomatic implant applications and treatments.

Claims

CLAIMS1. The invention is characterized in that it is a multilayer guide that enables the use of surgical drilling cutters of different diameters and enables the entire drilling process to be performed on a single guide, can be adapted to zygomatic implants of different sizes / structures and can be used for zygomatic implants of different structures that can be used without the manufacture of a separate guide set, comprising;The base guide with a sinus surgery guide designed to fit the patient's cheekbone in accordance with the patient's mouth, jaw and cheekbone anatomy, with an opening in the center and a sinus surgery guide that allows it to be used as a reference and support in the process of lifting the sinus wall through the aforementioned opening, at least two drilling guides, which are placed on the said base guide in an attach- detach sequence and serve as a guide for gradual drilling (grooving) of the cheekbones through a single guide, wherein said drilling guides are compatible with drilling in sizes that enable gradual drilling (grooving) from thin to thick, an implant guide (3.3), which is placed on this base guide in an attach-detach manner and serves as a guide for the placement of the zygomatic implant (I) in the canal opened in the cheekbones.

2. According to claim 1, wherein said multilayer guide can be used for zygomatic implants of different structures wherein the base guide in question is the right base guide (1.1) and / or the left base guide (1.2).

3. According to claim 2, wherein said multilayer guide can be used for zygomatic implants of different structures, comprising;The right base guide (1.1) and the left base guide (1.2) have fixing slots (1.4) on the right base guide (1.1) and the left base guide (1.2), which allow the base guides (1.1, 1.2) to be fixed to the patient's cheekbones with the help of a fixing screw (2).

4. According to claim 1, wherein said multilayer guide can be used for zygomatic implants of different structures wherein,The drilling guides in question are the first drilling guide (3.1) and the second drilling guide (3.2), where the drilling guides (3.1, 3.2) are compatible with drilling in sizes that enable progressive drilling (grooving) from thin to thick.

5. According to claim 1, wherein said multilayer guide can be used for zygomatic implants of different structures, comprising;- the implant orientation guide (3.3) has anti-rotation elements (3.6) located on said implant orientation guide (3.3), which allow the implant orientation guide (3.3) to fit into the anti-rotation slot (1.3) located on the right base guide (1.1) and the left base guide (1.2) and thus to be fixed.

6. According to claim 4, wherein said multilayer guide can be used for zygomatic implants of different structures, comprising;The first drilling guide (3.1) and the second drilling guide (3.2) have antirotation elements (3.6) located on the drilling guides (3.1, 3.2), which allow the first drilling guide (3.1) and the second drilling guide (3.2) to fit into the anti-rotation slot (1.3) located on the right base guide (1.1) and the left base guide (1.2) and thus to be fixed.

7. The feature of a multilayer guide that can be used for zygomatic implants of different structures mentioned in any of the above claims, comprising;The first drilling guide (3.1), the second drilling guide (3.2) and the implant orientation guide (3.3) are provided with a magnetic holder (3.8), which allows the first drilling guide (3.1), the second drilling guide (3.2) and the implant orientation guide (3.3) to fit into the magnetic holder slot (1.5) on the righthand base guide (1.1) and the left-hand base guide (1.2) and thus to be fixed, and which is located on the said drilling guides (3.1, 3.2) and the implant orientation guide (3.3).

8. The feature of a multilayer guide that can be used for zygomatic implants of different structures mentioned in any of the above claims, comprising;It has a support button (3.4) located on the drilling guides (3.1, 3.2) and the implant guide (3.3), which the operator supports by placing his finger on it during the procedure.

9. The feature of a multilayer guide that can be used for zygomatic implants of different structures mentioned in any of the above claims, comprising;It has an apical drilling guide (3.5) located above the drilling guides (3.1, 3.2), which acts as a guide to ensure that the drilling (grooving) of the cheekbones can be performed without shaking and as accurately as desired.

10. The feature of a multilayer guide that can be used for zygomatic implants of different structures mentioned in any of the above claims, comprising;It has an apical drilling guide (3.5) located above the implant orientation guide(3.3), which serves as a guide for placing the zygomatic implant (I) in the cheekbones after drilling (grooving).

11. The feature of a multilayer guide that can be used for zygomatic implants of different structures mentioned in any of the above claims, comprising;It has a coronal drilling guide (3.7) which guides the implant (I) and is located above the first drilling guide (3.1) and the second drilling guide (3.2).

12. The feature of a multilayer guide that can be used for zygomatic implants of different structures mentioned in any of the above claims, comprising;- the first drilling guide (3.1) and the second drilling guide (3.2), which have a body (3.9) with a support button (3.4), apical drilling guide (3.5) and antirotation element (3.6) at one end and a coronal drilling guide (3.7) and magnetic holder (3.8) at the other end.

13. The feature of a multilayer guide that can be used for zygomatic implants of different structures mentioned in any of the above claims, comprising; implant orientation guide (3.3), which has a body (3.9) with a support button(3.4), an apical drilling guide (3.5) and an anti-rotation element (3.6) at one end and only a magnetic holder (3.8) at the other end.

14. The feature of a multilayer guide that can be used for zygomatic implants of different structures mentioned in any of the above claims, comprising;- the body (3.9), which has an area with information on the dimensions of the drilling guides (3.1, 3.2) and the implant orientation guide (3.3).

15. A multilayer guide that can be used for zygomatic implants of different structures mentioned in any of the preceding claims and its feature is that it is made of titanium material.

16. The method of application of the multilayer guide that can be used for zygomatic implants of different structures mentioned in any one of the preceding claims, comprising;Designing the measurements / structure of the right base guide (1.1) and left base guide (1.2) in accordance with the patient's mouth, jaw and cheekbone anatomy,Determining the number and dimensions of the drilling guide and the dimensions of the implant guide (3.3) in accordance with the size / structure of the implant (I) to be applied to the patient,Fixing the right base guide (1.1) and / or left base guide (1.2) designed according to the patient to the patient's cheekbones with the help of fixing screw (2) through the fixing slot (1.4) on them,After the two steps described above, drilling (grooving) is performed on the patient's cheekbones gradually from thin to thick (depending on the implant brand),First, the first drilling guide (3.1) is placed on the right base guide (1.1) and / or left base guide (1.2) fixed on the patient's cheekbone and the first stage drilling (grooving) is performed, during the process, the operator places his / her finger on the support button (3.4) on the first drilling guide (3.1) to help support and prevent the said drilling guide from slipping. secondly, placing the second drilling guide (3.2) on the right base guide (1.1) and / or the left base guide (1.2) fixed on the patient's cheekbone and performing the second stage drilling (grooving) operation, during theoperation, the operator places his / her finger on the support button (3.4) located on the second drilling guide (3.2) to help support and prevent the said drilling guide from slipping,Thirdly, the implant guide (3.3) is placed on the right base guide (1.1) and / or the left base guide (1.2) fixed on the patient's zygomatic bone and the zygomatic implant (I) is correctly placed in the opened canal by guiding the implant guide (3.3), during the procedure, the operator places his / her finger on the support button (3.4) on the implant guide (3.3) to help support the implant guide (3.3) and prevent it from slipping.

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