Clinica Dr. Fernando Giovanella in Blumenau, Brazil

Zygomatic Implants and Full-Arch Fixed Teeth in Blumenau, Brazil

Clinica Dr. Fernando Giovanella is a private oral and maxillofacial surgery and implant dentistry clinic in Blumenau, Santa Catarina, southern Brazil, established in 2013. It is dedicated to one kind of patient: the person who has lost most or all of their teeth and has been told there is not enough bone for implants.

For these patients, zygomatic implants, the All-on-4 concept and graftless full-arch treatment can deliver a fixed arch of teeth within days of surgery, usually without bone grafting and without the year-long wait of the traditional path.

One patient at a time. The same surgeon, Dr. Fernando Giovanella, reads your scan, plans your case, operates, delivers your prosthesis and follows every review. There is no hand-off between professionals.

Is This Clinic Right for You?

You are probably a candidate if:

• You were told you need a bone graft and a wait of 6 to 12 months before implants.
• You wear a denture and want fixed teeth that do not come out.
• You have implants that failed and need a revision or a complete rehabilitation.
• You have advanced bone loss in the upper jaw and were told your case is too complex.

What Is a Zygomatic Implant?

Without teeth, the jawbone loses stimulation and resorbs over the years, until a conventional implant has nowhere left to anchor. But one bone in the face stays dense and stable: the zygoma, or cheekbone.

A zygomatic implant is a longer implant designed to anchor in the zygomatic bone. Combined with the All-on-4 concept, it can support a full arch of fixed teeth in a single surgery, with no grafting. It is not experimental: it is an established technique, used for decades for severe bone loss in the upper jaw.

Zygomatic implants are used only in the upper jaw. In the lower jaw, the fixed full-arch prosthesis is placed on conventional implants.

Your Surgery Is Performed Three Times. Only the Last One Is on You.

The safety of a zygomatic surgery depends on knowing, precisely, where each implant goes before the surgery begins. Every case at the clinic follows the same three steps.

From virtual planning to the final X-ray, and to the smile of a patient who can chew again.

FaceFirst: Planning Starts With Your Face

A fixed full-arch prosthesis has to be cleaned underneath, so it cannot have the pink rim (the flange) of a removable denture. But the flange is what supported the lip and cheek. Removing it can leave the face without support, which is a side effect few patients hear about.

Left: a concave base, closed like a denture’s, which cannot be cleaned under a fixed prosthesis. Right: the convex base used at the clinic, which the brush and the water flosser can pass under.

The FaceFirst approach, developed by Dr. Giovanella, starts the plan from the support your lips and face need. Only then does it design a thin, convex, cleanable prosthesis, and only then are the implant positions defined. The approach was documented in a clinical case and published in a peer-reviewed journal:

FaceFirst approach with zygomatic implants: the smile and the facial support restored.

Real Patients, Real Cases

Patients who arrived with a "no" and left with fixed teeth, including patients who travelled from Canada and the United States to Blumenau.

Real patients of the clinic, published with their written consent. Each result is individual; your plan is defined on your own scan.

A patient from the United States: why she came to Blumenau

Video testimonial of a real patient (2 min 35 s).

Where Your Surgery Takes Place

The clinic is in the Centro Clínico Santa Catarina building, in the Garcia district of Blumenau. It has its own surgical suite for advanced dental surgery. Most cases are performed there under intravenous sedation given and monitored by a physician anesthesiologist dedicated to one patient, with no hospital stay.

The clinic's surgical suite, clinical room, waiting room and consultation office.

Hospital Unimed Blumenau – Unidade Centro

Longer or medically complex surgeries, patients with relevant health conditions, and patients who prefer general anesthesia are treated at Hospital Unimed Blumenau – Unidade Centro, a day-surgery unit in downtown Blumenau, with same-day discharge.

Operating room and reception, Hospital Unimed Blumenau – Unidade Centro. Photos: Hospital Unimed Blumenau.

Your Surgeon: Dr. Fernando Giovanella

• Oral and Maxillofacial Surgeon (Federal University of Pelotas, UFPel) and Master in Implant Dentistry (USC, Bauru).
• Licensed by the Regional Council of Dentistry of Santa Catarina: CRO-SC 8237. Graduated in dentistry in 2005: over 20 years of experience.
• Author of the book ZIGOMA 2.0 – The New Era of Zygomatic Implants (Editora Napoleão – Quintessence, 2023; in Portuguese).
• Creator of the SkinGuide® method and the FaceFirst approach, published in The Journal of Prosthetic Dentistry (2025).
• Coordinator of the Implant Dentistry specialization program at IOA Blumenau, and professor of zygomatic implants at Expert Dental Solutions – Universidade Federal Fluminense (UFF), Niterói, Brazil.
• Speaker at the INN Congress. Teaches advanced full-arch and zygomatic implant techniques to dentists from Brazil and abroad.
• More than 100,000 people follow his YouTube channel, where he explains the technique case by case.

The book ZIGOMA 2.0; in surgery with the SkinGuide®; teaching a hands-on course to dentists; with his surgical team.

He also teaches the surgeons who operate

Dentists from the United States who trained in zygomatic implants with Dr. Giovanella talk about the method and the results:

International dentists on Dr. Giovanella's zygomatic implant training.

Coming From Abroad: How It Works

You find out whether you are a candidate before you book a single flight.

1. Send your CBCT scan. A recent CBCT (cone-beam CT) scan of your jaws, as DICOM files, sent through PlacidWay. It is the only way to know if you are a candidate.
2. Written reading of your scan. Dr. Giovanella reads the scan himself and tells you in writing which option fits you, or that you do not need zygomatic implants. It is preliminary until he examines you in person.
3. Video consultation with the surgeon. A private video consultation with Dr. Giovanella himself, with a professional fee. He goes through your scan with you and answers your questions and your family's.
4. Your written plan and quote. What will be done, how many days you need in Blumenau, and the cost, item by item.
5. Your trip. Surgery and fixed teeth in the same stay: provisional teeth the same day, or the final ones 3 to 5 days after surgery, depending on your case. Plan about seven days in Blumenau. You come back once, three to four months later, for a planned review of at least three days.

Indicative Prices

Price ranges in US dollars, valid from October 2026. They are a starting reference, not a quote.

• What changes the final price: the number and type of implants (zygomatic or conventional), one or both arches, the prosthesis material (acrylic, porcelain or zirconia), extractions or the removal of failed implants, and where the surgery is done (sedation at the clinic or general anesthesia at the hospital).
• Your written quote, sent after the reading of your scan and the video consultation, lists each item: surgery, implants, anesthesia, provisional and definitive teeth, and reviews.
• Not included: flights, accommodation and meals.

Frequently Asked Questions

It Starts With Your Scan

Send your CBCT scan through PlacidWay. Dr. Giovanella reads it himself and replies in writing: whether you are a candidate, which option fits you, and what the next step is.

Request Your Assessment