The innovative method of zygomatic implantation is a rational method of dental rehabilitation for extreme resorption of the alveolar ridge. However, like any method, it is associated with certain disadvantages. These include: difficult surgical access requiring significant experience, risk of orbital injury, prolonged speech dysfunction, postoperative sinusitis, oroantral fistula, periorbital and conjunctival hematoma. The aim of the study was to evaluate the long–term results of maxillofacial and dental rehabilitation using zygomatic implantation. A comparative analysis of the obtained data revealed a significantly lower frequency of early postoperative complications with the use of zygomatic implantation 3 (2,6 % p = 0,112) compared with classical implantation 8 (11,5 % p < 0,002). There were no cases of zygomatic implants rejection, unlike traditional implantation, 8 (11,5 % p < 0,002). Conclusion. Rehabilitation of patients with extreme alveolar process resorption using zygomatic implants has shown high efficiency, with a significantly lower frequency of local complications and fewer lost implants compared with traditional implantation.