 This systematic review found that zygomatic implants had a high survival rate of 96.2%, comparable to conventional implants. Immediate loading showed a higher survival rate than delayed loading, but this difference was not statistically significant. Prosthesis survival was similar to that of conventional implants with similar complications. Sinositis was the most frequent biological complication. Patient reported outcomes were positive, indicating improved satisfaction with zygomatic implants. This article was authored by Matthew Brennan-Roper, Arian Vis-Sink, Tom Dudding, and others.