Rehabilitation of patients with atrophic maxilla is a challenge in dentistry. However, zygomatic bone is not affected by alveolar bone resorption and could be used to fix implants, but surgical intervention for placing zygomatic implants, with devices currently available on the market, is a challenging and arduous task. The aim of this paper is present a new design device to zygomatic anchorage. The following clinical case an oral rehabilitation of a patient with three-dimensional bone deficiency of the posterior region of maxilla through Facco technique, which uses a new system for zygomatic anchorage, from placement of conventional implant associated with Pilar Z. The new system anchorage facilitated the zygomatic implant installation. Facco surgical technique is a viable alternative to rehabilitation of atrophic maxilla through zygomatic implant.