Background: In the dental implant scenario, the graft to treat severely reabsorbed jaws is currently the gold standard procedure, but there are flaws in this procedure from 10.0 to 30.0 % are reported in the literature. Zygomatic implants have shown, in many cases, improved clinical outcomes compared to bone graft and represent an essential alternative for compromised maxillary bone. Objective: Therefore, the present study analyzed the main literary findings on the use of the zygomatic implant as a necessary alternative for a dental implant. Methods: Experimental and clinical studies were included (case reports, retrospective, prospective, randomized trials and systematic review and meta-analysis) with qualitative and/or quantitative analysis, following the rules of systematic review- PRISMA. Significant findings and Conclusion: The zygomatic implant is revolutionizing the procedure of implants in the posterior atrophic maxilla, eliminating the complications of bone augmentation and elevation of the sinus, with delayed cicatrization. Zygomatic implants have in many cases shown better clinical results compared to bone graft and represent a possible gold standard for a dental implant.

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