Beyond All-on-4: The "Paulo Malo" Hybrid Denture & Solutions for No-Bone Patients (2026 Guide)
"Told you have 'no bone' for implants? Discover the Paulo Malo Framework and Hybrid Dentures. We explain how Zygomatic & Pterygoid implants provide fixed teeth for complex cases in Hyderabad—without bone grafting."
HYBRID DENTURES
Dr. Dhirender J
1/28/20262 min read


The "Ferrari" of Teeth: Understanding Hybrid Dentures & The Paulo Malo Framework
If you have been researching full mouth dental implants, you have likely heard of "Hybrid Dentures." But not all hybrids are created equal.
At Olīva Dental, we don't just give you teeth; we give you engineering marvels. Specifically, we specialize in the Paulo Malo Framework (Malo Bridge)—the gold standard in implant prosthetics.
This guide explains why the framework inside your new teeth matters more than you think, and how even patients with "Zero Bone" can get fixed teeth using advanced Zygomatic and Pterygoid implants.
1. What is the Palo Malo Framework?
Imagine building a house. You can build it on a wooden frame (cheap, might rot) or a steel beam frame (indestructible).
The Paulo Malo Framework is the "steel beam" of dentistry. It is a precision-milled Titanium Bar that sits inside your hybrid denture.
CAD/CAM Precision: Unlike old-school cast metal which can have microscopic errors, this is milled from a solid block of medical-grade titanium using digital scans.
The "Malo" Strength: Developed by the pioneer of the All-on-4® technique, this framework is designed to withstand the immense crushing force of your jaw (up to 200 lbs of pressure!) without warping or breaking.
Lightweight Comfort: Despite its strength, it is incredibly light, preventing that "heavy" feeling in your mouth.
Why Choose This Over Standard Dentures? Standard acrylic dentures rely on suction and often slip. A Hybrid Denture with a Palo Malo framework is screw-retained. It is locked onto your implants. You can bite into an apple, chew steak, and laugh without it moving a millimeter.
2. "I Was Told I Have No Bone"—The Pterygoid & Zygomatic Solution
The most heartbreaking thing we hear is, "My previous dentist said I can't have implants because my jawbone has melted away."
In 2026, "Insufficient Bone" is no longer a reason to wear loose dentures.
At Olīva Dental, Dr. Dhirender J utilizes specialized implants that bypass the jawbone entirely and anchor into the skeletal bones of the face.
A. Zygomatic Implants (The Cheekbone Anchor)
What they are: Extra-long implants (30mm–50mm) that anchor into the Zygoma (cheekbone).
Why use them: The cheekbone is extremely dense and never dissolves, even if you lost your teeth decades ago.
The Benefit: No need for hip bone grafts. You get immediate fixed teeth in just 1–3 days.
B. Pterygoid Implants (The Posterior Anchor)
What they are: Implants placed in the Pterygoid Plate, a hard bone deep behind the upper wisdom tooth area.
Why use them: They eliminate the need for Sinus Lifts. They provide rock-solid support for the back teeth (molars), allowing you to chew efficiently.
Dr. Dhirender’s Note: These are advanced surgical procedures. Only a certified specialist with deep knowledge of maxillofacial anatomy should perform Zygomatic or Pterygoid implant surgery.
3. Cost of Advanced Implant Solutions in Hyderabad (2026)
Note: These procedures save you money in the long run by eliminating 6–12 months of bone grafting surgeries.
4. Summary: Which Solution is Right for You?
Ready to Throw Away Your Denture Cup?
Whether you need the precision of a Palo Malo framework or the "medical miracle" of Zygomatic implants, we have the technology to restore your smile.






