Professor Chris Butterworth

BDS(Hons), MPhil, FDSRCS(Eng), FDS (Rest Dent) RCS (Eng), FDSRCS(Edin) ad-hominem

Consultant in Maxillofacial Prosthodontics & Inventor of the ZIP Flap Technique

Professor Chris Butterworth

Honorary Professor of Maxillofacial Prosthodontics

University of Liverpool • Liverpool Head & Neck Centre

90+ Publications
50+ Intl. Talks
2017 ZIP Flap

💡 ZIP Flap Innovation

Professor Butterworth invented the Zygomatic Implant Perforated (ZIP) Flap technique in 2015, first published in 2017. This groundbreaking procedure combines microvascular reconstruction with zygomatic implants, enabling patients to receive fixed teeth on the day of surgery or within weeks – transforming maxillary cancer rehabilitation worldwide.

ZIP Flap Technique

Biography

Professor Chris Butterworth is a Consultant in Maxillofacial Prosthodontics at the Liverpool Head & Neck Centre, one of Europe's largest head and neck cancer centres. He was appointed as a specialist NHS Consultant in 2003 to lead the Regional Oral & Facial Prosthetic Rehabilitation service and is also the Lead Clinician for Dental Implants at Liverpool University Dental Hospital.

In 2019, he was appointed Honorary Professor of Maxillofacial Prosthodontics at the University of Liverpool. He also serves as Associate Postgraduate Dental Dean for Dental Specialist Training at NHS England – North West.

Professor Butterworth is recognised internationally as a pioneer in zygomatic implant rehabilitation for cancer patients. In 2017, he received the Best Oral Clinical Research Presentation at the Academy of Osseointegration meeting in Orlando (3,000+ attendees), and in 2018 won the prestigious Schottlander Prize from the British Society of Prosthodontics. His 2019 paper presents the largest cohort of zygomatic implants in cancer patients in the world literature.

In 2011, he became the youngest ever President of the British Society of Prosthodontics. He founded and organised Zygomatic2019 – the first international conference devoted to zygomatic implants – attracting 232 delegates from 25 countries to the Museum of London.

In recognition of his contributions to the specialty, he was awarded the FDSRCS (Edinburgh) ad-hominem by the Royal College of Surgeons of Edinburgh in 2024.

📄 Selected Peer-Reviewed Papers

On the use of zygomatic implants primarily in Oncology and other complex patients

2022

Zygomatic Implant Perforated (ZIP) Flap Technique: Outcomes on 35 Consecutively Treated Patients

Head & Neck; 44(2): 345-358 PubMed
📄
2021

Zygomatic Implant-Based Rehabilitation for Patients with Maxillary and Mid-Facial Oncology Defects: A Review

Oral Diseases; 27(1): 27-41 PubMed
📕
2020

Zygomatic Implants in Oncology Patients

Springer International Publishing; pp 151-196 View
2019

Primary vs Secondary Zygomatic Implant Placement in Patients with Head and Neck Cancer – A 10-Year Prospective Study

Head & Neck; 41(6): 1687-1695 — Largest world cohort PubMed
2017

The Zygomatic Implant Perforated (ZIP) Flap: A New Technique for Combined Surgical Reconstruction and Rapid Fixed Dental Rehabilitation

Int J Implant Dent; 3:37 — Original ZIP Flap paper PubMed
📄
2023

Accelerating Midfacial Prosthetic Rehabilitation Using Zygomatic Implants and Intraoperative Facial Impression: A Case Report

Int J Prosthodont Restor Dent; 12(4): 209-213 View
📄
2022

Attitudes Regarding Zygomatic Implant Surgical and Prosthodontic Techniques – A Cohort Questionnaire Study

Oral Maxillofac Surg; 26(3): 439-445 View
📄
2022

Zygomatic Implant-Supported Prosthodontic Rehabilitation of Edentulous Patients with History of Cleft Palate: A Clinical Report

J Prosthet Dent; 127(5): 684-688 PubMed
📄
2018

Immediately Loaded Zygomatic Implant Retained Maxillary Obturator Following Total Maxillectomy

Int J Head Neck Surg; 9(2): 94-100 View
📄
2017

A Novel Report on the Use of an Oncology Zygomatic Implant-Retained Maxillary Obturator in a Paediatric Patient

Int J Implant Dent; 3:9 View