People with missing teeth may be disturb all disable in chewing,speech problems, facial expression and self confidence in social situation. This is not new in the field of Dentistry. The goal of modern Dentistry is to return Patients to oral health in predictable fashion. The partial and complete edentulous patients may be unable to recover normal function, esthetic, comfort or speech with a traditional removable prosthesis. Implant prosthesis offen offer a more predictable treatment course than tradition restoration, Thus this profession and the public are becoming increasingly aware this dental discipline. Implant are ultimately accepted aby fixed teeth. Reconstruction of extremely atrophic maxilla continuous to be a challenge for a Surgeon, So here a success full alternative to these staged procedure involves the Zygomatic implants placement.