Atrophic maxillary treatment is a very big challenge with graft solutions. The little bone and large sinus cavity due to resorption make graft solution difficult. Multiplication of surgery, long treatment, difficulty with temporary prothesis, cost… Wearing removable prothesis from a very long time, these patients can’t have a normal social life anymore. Since 20 years, Branemark zygomatic solutions offer a immediate solution without graft, with immediate loading, and a very height predictability. During one day only, the patient can find again fixed teeth, and can have life change!!