Implant placement most of the times is a challenge faced by implantologists. These challenges can be very poor bone support due to extractions, gum disease, poor finances and/or extreme expectations from patients.
Our implantologists at The Dental Specialists have faced these issues right from the beginning. Conventional implants needed huge finances, bone augmentation or sinus lifts. It’s not an easy task, both for the implantologist and the patient.
Serving thousands of patients since 15 years, whenever conventional system was tried, there was a huge financial burden on the patients, not to mention the physical trauma and strain of sinus lifts, bone grafts, membranes, that increase the costs and make them even more painful, and very technique sensitive procedures requiring great skills and experience from the implantologist concerned.

Moreover, the waiting periods are very long, frustrating both patient and doctors alike. Our team felt there is an immediate need for an implant procedure that is necessary for our dear patients.

  1. Less time taking
  2. Less painful
  3. Less surgical procedures and
  4. Less costly
  5. Less number of visits

The good news is that all these traits are available in TTPHIL Implantology. Its a combination of Surgical principles of Basal Implants for high primary stability and Immediate Loading and Prosthetic principles of conventional screw retained technology which is very important for retrievability and high esthetic considerations
TTPHIL implants are also known as Bicortical or 2 Piece Cortical Implants. Our team utilizes the best of implant companies manufactured from Germany and Israel which have been approved by FDA , CDESCO. Orthopaedic specialists l, Father of Implantology Dr. Branemark is also an orthopedcian introduced basal Bicortical Implantology that spread to dentistry. The invention of osseointegration by Dr. Branemark in the rabbit is also Bicortical Basal Implantology.  TTPHIL IMPLANTOLOGY ( TALL- TILTED- PINHOLE – IMMEDIATE LOADING PROTOCOL) can be done for every case: Ideal Good Bone cases,  Atrophied No Bone cases, Single tooth, Multiple teeth , Full arch , Full mouth Rehabilitation,  both in Maxilla Upper Jaw as well as Mandible in the lower Jaw. Maxillary and mandibular posteriors in resorbed ridge cases pose a great challenge because of the anatomical limiting structures like Maxillary Sinus and Inferior Alveolar Nerve will not allow us to place the implants straight axial conventional way, which requires major bone grafting, sinus grafting and augmentation procedures. TTPHIL IMPLANTOLOGY makes it possible by placing the implants in the tilted way bypassing the major anatomical limiting structures and engaging the basal cortical bone , thereby achieving predictable primary stability which allows us to IMMEDIATE LOAD THE IMPLANTS. Immediate loading or delayed loading depends on the primary stability achieved. The decision will be taken by your implantologist. Bicortical Stabilization doesnt mean we can always load Immediately because many other factors need to be considered. Its not the implant system which is forcing us to load the implants, it depends on the knowledge experience of the implantologist, which is allowing us to take a decission for your benefit.

Why TTPHIL implants?
Basal bone is the highly dense bone in the jaws. It’s less prone to infections. This is the bone area that provides the best support to the implants. Basal bone is very much strong and highly mineralized compared to crestal alveolar bone. Crestal alveolar bone has less strength and less load bearing capacity. The conventional implants are always placed in the less strong crestal bone. But the basal bicortical TTPHIL implants are always placed in the much stronger basal bone.



  1. 72 hour loading possible in some cases we deliver the next day utilizing the digital CAD CAM SOLUTIONS
  2. No bone graft or augmentation required unlike the conventional, where almost always bone graft would be necessary, increasing cost, time and trauma
  3. Minimally invasive and minimal drilling procedure

1.INDICATIONS:Basal implants are used generally in poor bone quantity and quality bone engaging basal cortical bone.
Conventional cannot be used in poor bone quantity and quality.
TTPHIL Implants can be used for both poor and adequate ideal bone quantity and quality bones because we engage both basal  cirtucal as well as alveolar bone.

2.MECHANISM:Basal implants stabilize by Osseofixation.
Conventional implants stabilize by osseointegration
TTPHIL Implants stabilize by both Osseofixation and Osseointegration. We have added advantages of osseoexpansion,  densification and Osseocondensation because we use minimal invasive single drill concept. Hence Immediate loading is possible.

3.IMPLANT PROCEDURE: Basal implants are forced to be loaded in 72 hours because the bone develops or starts osteoclastic activity which is a natural process in any healthy human being. Basal implants are supposed to be loaded immediately if not loaded in 3 days may fail because they are just osseofixated to basal cirtical bone and no osseodensification. Because basal implants are single piece implants the implantologists do not have a choice to load late. It is the implant system which is forcing to load and not your doctor. So your doctor has to force you to get the teeth immediately. Because of the extractions and surgical procedures the gum shrinks over a period of time which creates space between the teeth and the gingiva which creates space for food lodgement leading to halitosis and infections. Sometimes there are chances the teeth break etc because of the laboratory errors, since the teeth and the dentures are fixed with cement your doctor is also helpless. So you are helpless! Now few companies have come with screw retained basal implants which is somewhat better option than cement retained singke piece basal implants.
Conventional implants take 3 to 4 months to take loads. They believe in bone building concepts. Here quantity of bone is built not quality of bone. Here we need to wait for 3 months to 12 months to build the new bone.
TTPHIL implants can be loaded between 2 days to 14 days depending on case to case. You are not forced to load the implants. The doctor is the decision maker and not the implant system. In case your doctor feels there is no stability of the implant , to avoid risk you can wait to avoid failures.

4.ARMAMENTARIUM: TTPHIL and Basal implants have a very simple kit. In both these techniques flapless procedures are done.
Conventional implants have complex kits consisting of surgical kit, sinus lift kit, ridge split kit, planning kit etc

Basal implants are cheaper compared to conventional implants because the abutment comes with the implant. Milling of the implants takes less time with any kind of basic milling machines. Basal Implants have abutments and implants connected. It’s easy to fabricate and machine these implants. These implants are not approved by FDA. Conventional and TTPHIL 2 PIECE CORTICAL implants are affordable. Maybe a little expensive than basal but safer than basal implants. Safer means your implant doctor takes the decision whether to load or not to load not the imolant system which is forcing to load. 2 piece implants have screw retained prosthetic solutions. Basal implants have only cement retained solutions ( Some companies have come with retrievability solutions because of the retrievability problems. These screw retained basal implants are somewhat better than cement retained basal. Anything can happen any time in medical field. Laboratory error,  surgical errors, esthetic errors  bite errors, patient compliance many more,  so safe to go for retrievable solutions) which need to be cut when a problem or complication occurs. Basal on a long term is very expensive. No doctor tries to touch your case. You need to go back to the same doctor again to get it repaired.
Basal implants are cheaper. But 10 to 12 implants have to be placed to restore 6 teeth in each quadrant only till 1st molar. Is it worth spending so much. Basal implanys are thin having very less Bone Implant Contact , so more implants are suggested to you. Now you calculate which is cheaper???
On the other hand Conventional or TTPHIL IMPLANTS use 6 implants to restore all the teeth till 2nd molars giving maximum chewing efficiency to you. The decision is taken by your implantologist based on your xrays and clinical findings. Immediate loading or delayed loading will be taken by your dentist after placement of the implants only based on the stability achieved.

Basal Single piece implants.

6.PROSTHETIC PROCEDURE: In basal system, prosthesis has to be delivered in 72 hours so it’s an advantage and disadvantage simultaneously. Offering accurate and perfect prosthesis with perfect bite snd esthetics and function in such a short time is a challenge. There will be lot of gaps between prosthesis and your gums over a period of time when the gums shrink. It makes it difficult to clean, speak and esthetics are compromised.
In TTPHIL and conventional system, prosthetics can be digitalized reducing the number of appointments. We use retruevable solutions. No trauma of cutting the metal bridges

7.SURFACE OF IMPLANTS: Basal implants have smooth and conventional implants have rough surface. Rough surfaces have increased risk of infections. Hence recently conventional implants are coming with antibiotic coated rough surfaces that fight infections. TTPHIL implants have both advantages of Basal and Conventional Implants. TTPHIL Implants are rough to improve BIC (Bone Implant Contact) and are placed way below the bone ( SUBCRESTALLY) to prevent chance of infections. TTPHIL IMPLANTOLOGY uses longer antibacterial gold anodized abutments which prevent risk of infections. TTPHIL have advantages of both Conventional and basal!
8.MAINTENANCE: TTPHIL, Basal and Conventional implants need maintenance visits, and prostheses too need regular evaluation.
9.PATIENT SELECTION: Smokers and periodontitis patients can get the basal and TTPHIL and conventional implants done. But they cannot get conventional implants done if bone grafting has to be done. It takes more healing time. TTPHIL implants takes the osseofixation, densification and osseointegration as advantage.
10.ADDITIONAL SURGERY: TTPHIL and Basal implants don’t need any additional surgery or augmentation. Conventional implants almost always need additional painful traumatic surgeries.
Basal implants have lot of prosthetic disadvantages and Conventional implants have lot of surgical disadvantages. TTPHIL IMPLANTOLOGY takes the advantages of both Basal and conventional implantology and overcomes the disadvantages of both Basal and Conventional implants.
When all the above comparisons indicate that TTPHIL basal cortical implants are much better compared to the conventional implants and basal implants then why get conventional implants? Why don’t we simply use TTPHIL implants in all cases?
The answer is not simple. The physiology and biochemistry of the jaws differ from person to person. Depending on a lot of factors, your implantologist will decide which one would be best for you. Usually conventional implants can be done by many general dentists too. But TTPHIL implants need specially skilled and experienced experts in the field. That is what exactly our implantologists do at The Dental Specialists. 15 years of laborious research has given birth to an innovation called TTPHIL that’s creating a revolution in Implantology. In this technique designed by Dr Venkat Ratna Nag, the implants gather all the basic necessities like osseointegration, Osseofixation and osseocondensation for the best stability. Tall Tilted, Pin hole Immediate loading is the technique that’s bringing wonderful results with excellent prosthetic work and beautiful aesthetics. Utilizing two piece implant system is bringing out amazing results as the technique uses the surgical advantage of single piece system and prosthetic advantage of two piece system. Screw retained prostheses would enable the dentist to evaluate effectively periodically. Cement retained system is not retrievable. Screw retained system is retrievable and very comfortable to manipulate and follow up. These implants are longer implants which have better surface area over the conventional implants which are very short. That’s the reason why these conventional implants cannot be loaded immediately.



Is It Safe To Go To Dentist Now During Covid?

Contrary to expectations, dental offices were found to be very safe, and compared to other healthcare services, dentists have shown maximum prevention of covid 19. The efficiency of dental offices to contain the spread of the virus could be attributed to the care and strict maintenance of standards set by health authorities of the state.

Dentists have taken extraordinary measures to keep the virus spread in check, and make sure patient safety is of paramount importance than anything else.

Hence, it is absolutely safe to visit a dentist and get treatments too, during the pandemic. The facts are self-evident, and research proves beyond doubt that dentists are considered safest and to be at the top in combating the viral spread, despite the risks, despite the apprehensions, despite doubts, despite the vulnerable working environment, despite dealing with aerosols from open mouths.

How do dentists make their offices safe for their patients?

The following describes steps taken by dental offices, simply by adhering to rules laid down by authorities and also continuing to provide perfect sterilization protocols that have been in use for decades, even before covid started.

The latest survey by American Dental Association stares that less than 1% of all the dentists tested positive for the virus and this is attributable to the safety policies and disinfection practices at all the dental offices.

Even during a pandemic, it’s still safe to go to the dentist. That’s what the American Dental Association is telling the public.

Be assured that we have taken all the measures for your safety and do visit us for your dental needs.

In this pandemic, while we have planned to open our clinics and provide expert dental treatments, one major thing to consider is to provide a safe environment to our patients and staff.

Before you visit us, please have a look on the safety measures taken by us for you which are according to the norms provided by the Dental Council of India (DCI).

COVID Precautions at the Reception Area

  1. Disposable shoe covers for patients before entering the clinic.
  2. Screening of body temperature and oxygen saturation levels of all patients and staff.
  3. Providing hand sanitizer containing Isopropyl alcohol.
  4. A detailed patient consent and declaration regarding COVID 19 and general diseases with recent travel history
  5. Maintaining physical distancing in the waiting area with well planned staggered appointments.
  6. Increased sanitization with regular disinfecting of floors, door knobs and handles with 1% Sodium Hypochlorite.

COVID Precautions at the Treatment Area

  1. Treatment rooms divided into 3 parts according to the type of treatment done.
    Only checkups, Non-aerosol producing, and aerosol producing procedures to prevent cross-contamination.
  2. Maintaining air circulation with natural air through the frequent opening of windows.
  3. Regular disinfection of treatment rooms including dental chairs after each treatment.
  4. Dentists to use PPE including mouthmasks, head caps, face shields, gloves, and full-body gowns while doing treatments. PPE is changed or sterilized after treating each patient to minimize the risk of cross-contamination.
  5. Use of sanitized and autoclaved instruments packaged in sterile disposable covers.
  6. Patients provided with headcaps and protective eyewear during aerosol producing treatments.
  7. Use of mouth rinse containing 0.5% povidone-iodine solution for 30 sec before the start of treatments.

Your safety is ensured, guaranteed, and responsibly taken care of. Visit your dentist, without doubt, and maintain oral hygiene by following your dentist’s suggestions. However, we need to strictly adhere to the rules and guidelines laid down by authorities and dental offices


Prosthodontics – The Art and Science of Designing Smiles

The ADA defines it as “ the dental specialty pertaining to the diagnosis, treatment planning, rehabilitation and maintenance of oral function, comfort, appearance and health of patients with clinical conditions associated with missing or deficient teeth or oral and maxillofacial tissues using biocompatible substitutes”.

As a rapidly expanding science and art, prosthodontics serves to bring back the smiles and functional efficiency of teeth, and is still evolving.

As a mark of honour to all the industrious prosthodontists of the world, January 22nd is celebrated as “Prosthodontists’ Day” every year across the world.

Pierre Fauchard, an 18th century French surgeon has been considered the “Father of Prosthodontics” for his pioneering work.

There are four branches in Prosthodontics.

Fixed Prosthodontics

Removable Prosthodontics

Implant Prosthodontics

Implant Prosthodontics is the most advanced technology in dentistry and is serving millions of patients with edentulousness, and this is the best form of treatment for missing teeth, much better than the conventional removable and fixed partial dentures.  There has been extensive research in this field and implants and crowns can be placed in just two working days,  provided conditions are favorable. The latest TTPHIL technique involves no bleeding, no sinus lifts, no grafting, and a very fast healing time. This is indeed a boon to those waiting to have lengthy painful procedures. Even cardiac patients, diabetics, and other medical conditions found implants to be as successful as 98%.

Gone are the days when conventional implant placement was done and patients had to wait for even an year for teeth. It’s speed, accuracy and digitalization now. Techniques such as digital impressions, stereolithographic models and prints, surgical guides for precision placement of implants, complete modernization of laboratories with international standards help prosthodontists and implantologists to deliver implants in just 2 working days! However, certain limiting factors like infections, bone density might delay the permanent crowns a little, but the screw-retained two-piece systems are being considered the best in Implantology.

Maxillofacial prosthodontics

Maxillofacial prosthodontics involves the replacement of anatomical structures of the face like eyes, ears nose etc.

Implant and maxillofacial Prosthodontics is a superspecialization in dentistry that can be performed only by a skilled, trained, experienced prosthodontist.

This article is dedicated to all prosthodontists and implantologists, working relentlessly to bring smiles to edentulous patients!

Why choose a Prosthodontist?

If you need artificial teeth, choose a prosthodontist because of their advanced education and training, efficiency,  and expertise with advanced technology. Prosthodontists are extensively trained in state of the art techniques and procedures for treating complex DENTAL conditions and restoring optimum function and aesthetics.

For centuries, there has been substantial research for selecting the ideal restorative material for missing teeth,  and ivory was one of them.

DR Rafiuddin Ahmed is considered the Father of Indian dentistry.

From the simplest of tools to the latest digital technology,  prosthodontics traveled ages in history to become one of the most important and respected specialties in dentistry.

Treatments include

  1. Crown
  2. Centric relation
  3. Bridge
  4. Veneers
  5. Surgery (preprosthetic)
  6. Complete and partial removable dentures
  7. Inlays and onlays
  8. Maxillofacial prosthetics
  9. Implants
  10. Full mouth rehabilitation
  11. Most recently, lumineers, emax crowns etc

This article is supposed to bring to light how prosthodontics improved over the decades and how patients are getting more and more conscious of their DENTAL health and most importantly we need to address the issues according to the problem, further necessitating the services of prosthodontists in rehabilitating the oral health.

Prosthodontists and implantologists from a very important team in considering treatments for edentulousness, or protecting root canal treated teeth, or treating conditions affecting bite and also help us in rehabilitating missing facial structures.

We always need to remember that when we need to “replace”, it’s always the prosthodontists and implantologists who we need to approach, though there are nine specialties and not all SPECIALISTS are well equipped with prosthetics and implants.

Why Dentists Are Reporting Low Rate of Covid-19?

The apprehension of visiting a dentist during Covid-19 pandemic is widespread and quite understandable.

There is a requirement for immediate reassurance from the dental fraternity, to educate the general public about the facts and care taken during this crisis.

Primarily we need to understand the importance of maintaining oral hygiene and dental health.

Why is dental health important?

  1. Infections in teeth and gums can be carried to other parts of the body like the heart or other organs.
  2. Long-standing deposits or calculus destroys the gums.
  3. Loss of teeth associated with pain and swelling
  4. Food lodgement
  5. Halitosis
  6. Difficulties in chewing

…and many more associated disorders.

This would lead to a compromised situation that becomes complex to treat, taking a lot of effort, time, and expenditure.

Prevention is always better than cure. Visiting a dentist is a must.

How could we visit dentists during a pandemic?

This is to enlighten everyone about the care taken by dentists and staff, not only during Covid-19, but since many decades ago.

We need to understand that viral infections like HIV, Hepatitis B, etc have been some of the greatest challenges dentists ever faced. As more and more strains of viruses unleashed, it became paramount to safeguard the health of dental staff and their patients. Hepatitis B and HIV are more dangerous than Covid-19, and any dentist could be mist unfortunate to get infected,  because, infection, would mean a sure collapse of body’s immune response.

It was since then that almost all dental offices stringently started following strict sterilization protocols. Safety for patients and safety for the staff was the primary requirement.

Sterilization with chemical disinfectants like povidone-iodine, surgical spirit, phenols, and many latest products available in the market ensures primary safety. Viruses die in these media.

Autoclaving, radiation with UV light, ethylene oxide, and fumigation assures 100% safety against any microorganism.

Mouth masks, mouthwashes, Betadine rinses, headgear, face shields, gloves, respirators, PPE kits, suction kits, and everything else have been brought into full use by dentists. And these safety precautions greatly reduced the chance of any infections.

This fact has been proven beyond doubt even before Covid-19 started.

Following the same sterilization protocols with Covid-19, and some additional measures like

  1. Telephonic consultations
  2. Avoiding crowding by offering spaced appointments, with half an hour gaps
  3. Repeat sterilization after every patient is checked
  4. Effective disposal management with great care
  5. Maximum utilization of disposables
  6. Taking proper history according to government rules
  7. Strictly adhering to health department directives
  8. Regular Covid checks
  9. Minimalistic aerosol producing procedures
  10. Proper follow-up to ensure the patient is safe and uninfected.

– resulted in less than 1% of dentists reporting Covid-19.

This is indeed a spectacular control and management of Covid-19 virus in the dental setups. Research proved there has been substantially low Covid cases with dentists compared to other health departments.

Dentists also advocated certain lifestyle changes like diet modifications, regular exercise, maintenance of oral hygiene, use of Betadine rinses, and other adjuncts that could help their patients stay protected from the virus.

This is absolutely great news for all those who fear going to the dentist in these times.

Dentists reassure you.

Fear not, for well-established facts speak for themselves the safety at a dental office. Select an office that follows rules to the word and comply with the instructions,  and we are sure we would be safe.

Dental treatments can unquestionably and undoubtedly performed, even for senior citizens, under a controlled environment.

Dentists suggest not to delay any treatments, as it might complicate things.

Visit your dentist today, but follow their instructions and advice, we bet Covid-19 will not reach you.



Most of the patients who come to our clinic get disheartened after their dentist say that they are not fit to undergo dental implants because of less bone or no bone mass or volume in the back region of the upper jaw. Recent Tilted Implants like ALL ON 4 technique have huge success and shows lot of survival rates more than 90 percent. But the main problem with all on 4 is that only 10 to 12 teeth can be given. its only helpful for aesthetic purpose and not for chewing. Its a good solution whose age is beyond 80 years. We used to do lot of All on 4 cases but we had bio mechanical failures because there is cantileverage, In dentistry Implants came to existence to avoid CANTILEVERS, and in ALL ON 4 we are again giving Cantilevers that too 10 teeth. We cannot give loads on the cantilevered tooth. Hence a compromised dental implant solution.

Recent modern implantology and advanced techniques have made it possible to utilize native bone volume through various procedures that are minimal invasive giving Single Visit Implantology Solutions.

The Dental Specialists can proudly say that we are one of the first to start Pterygoid Implants in India in 2007. We specialize in pterygoid implants (also called tubero-pterygoid implants/ Pterygomaxillary Implants) which are highly successful and practiced all over the world ( Started in 1989 by Tulasne) . These are various articles written by Dr. Venkat Ratna Nag , Director for The Dental Specialists, Institute for Dental Implantology. He is also the inventor of TTPHIL – ALL TILT PROTOCOL.;year=2019;volume=9;issue=1;spage=4;epage=11;aulast=Ratna;year=2019;volume=9;issue=1;spage=4;epage=11;aulast=Ratna;type=2 Many more can be searched with Pterygoid Implants Dr. Venkat Nag in google.

The implants are exactly planned to the pterygo maxillary buttress to allow dentists to immediately load the dental implants. If the implant surgeon follow proper procedure, the patient will no longer have to undergo sinus lifts and bone grafts, saving them 1year months spent on treatments. These pterygoid implants will allow the patients to have a full set of teeth on the very same day.

This Is How It’s Done: The Procedure

Your dentist will take a CT scan to determine bone density and bone volume. This TTPHIL Protocol is a Single Visit Implantology but sometimes the entire process can take 3 moths for the bone to heal depends on the patient’s state of health. The scan allows us to give an option whether to place or not to place implants. Only after clinical assessment we will be able to understand whether we can or we cannot load the implants. But still this graftless tilted pterygoid implant solution is predictable rather than choosing sinus lift or all on 4 procedure or single piece basal implants, We do not do single piece basal implants any more because of various factors.

We follow the minimal 5 minute pterygoid implant protocol which is safer than any other protocol in the world.

The process is painless and its done completely flapless with surgical guide to avoid manual errors. You should contact experienced dental surgeons to evaluate your condition before starting such a procedure. Basal Single piece implantologists do the same procedure with 10 to 12 implants may be cheaper but are done only manually, not possible with guides. The only advantage is that they are very cheap. No surface coatings and single piece which have more disadvantages than advantages. We are forced to load the implants if we are not happy with the stability. These factors are explained clearly. Click the link..

Sinus lift in contrast, requires complicated surgical intervention that can take as long as a full year before dentists judge it appropriate to place the final prosthetic implants.

Advantages of Pterygoid Implants:


  • There is no need for sinus grafting
  • Patients no longer require placement of cantilevers from implants
  • It allows patients to enjoy food in much the same way as they did before their teeth started falling out. This isn’t possible with zygomatic implants because of the presence of cantilevers
  • The pterygoid bone structure is incredibly strong, allowing dentists to immediately load implants
  • Pterygoid implants require a single piece implant. This avoids the risk of screws losing tension after passage of time
  • Because the procedure is minimally invasive, there is no fear of swelling or bleeding. This means that patients no longer need the use of blood thinners to stop bleeding
  • We give lifetime warranty on pterygoid cases
  • The procedure is highly efficient with a success rate of almost 100%
  • Patients receive a full set of teeth

Given the above advantages, tubero-pterygoid implants provide patients with a great alternative to zygomatic implants which are costly and time consuming.

Pterygoid Implants Cost: Ranges between 25000 to 45000 per Implant. To get a ball park figure Please whatsapp your xrays +91 9000021174 or email us at dentalspecialistsindia

TTPHIL Digital Virtual Planning






5. Multiunits with various heights to compensate the vertical depth.


Free Membership & Updates on TTPHIL Immediate loading, Case discussions, Videos, Tips, etc; GROUP IX. Only those who are not in the other group please join this group.

@Ttphil ALL TILT Technique

Conventional Dental Implants vs TTPHIL Implant Technique

At The Dental Specialists, India we strongly recommend TTPHIL technique for most of our patients who need a dental implant. Dr. Venkat is a pioneer of this TTPHIL technique. He has written about this technique of dental implants in several international magazines and also in various dental conferences across the world.

While the key advantage of TTPHIL is the quick turnaround (you can get a permanent set of teeth in as little as 2-9 days) and its economical nature, as a patient, we feel it is important for you to understand the treatment procedures and also understand the options available to you. Hence this article aims to provide clear differentiation between the conventional method of dental implants and the TTPHIL technique of Implants.

Conventional Dental Implants vs TTPHIL Implant Technique

Immediate loading: Permanent teeth given within 48 hours Delayed loading: Permanent teeth given after 3 -6 months
Tall (16-25mm) and tilted(30⁰-70⁰) implants  
Anchorage from basal bone Anchorage from crestal bone
Two piece cortical implant Two or three piece crestal implants
Single stage implant system Double stage implant system
Time taken minimum 48 hrs Time consuming around 4-12 months
Pin hole flapless, no sutures Sutures are needed as flap is reflected to expose bone
Various implant designs and sizes are available Limited implant designs and sizes available
No surgical sinus lifting and bone augmentation required Invasive surgical procedures like sinus lift and bone augmentation are needed in case of insufficient bone
More economical Expensive surgical add on procedures
Can be done in severe gum disease, smokers and diabetics Can be done with minimal success rate
Proven to be successful in compromised bone conditions Not a good choice in compromised conditions as the chances of failure are more
Fast and simple Complicated and time taking
Micro-movement of implant in cortical bone is minimal Micro-movement in crestal bone is high
Bone loss around the implant in future is around to zero High chances of bone loss around implant overtime
Basal bone capable of bearing heavy chewing forces Not so resistant to wear and tear
Chances of Peri implantitis is very low High

Which Dental Implants are best for me? What are the different types?

different types of dental implantsThere are different types of Dental Implants in the market all over the world. There are more than 10000 companies in the market all over the world. Which is the best is the question?  BRAND or the DESIGN/ FEATURES of the Implant and its Prosthetic components? Is BRAND ruling over EVIDENCE BASED CONCEPTS?  Which is more important? Restoring Simple Single tooth missing cases??

For example .When we or our children get simple fever or common cold or cough, What do we do?
We would like to visit our Family physician or a Corporate Hospital. ( Major Criteria for Selection: Know the doctor for long time, Reputed doctor with good experience- Online and offline, cross check with referrals of our family and friends, Patient video testimonials, facebook recommendaations and find out why he visited and message him in prior about their experiences, Neat and Clean premises to prevent cross Infections. In this digital world we can easily find out the doctor how he is – Best or Bad or THE BRAND OF MEDICINES HE IS USING IN HIS PHARMACY)

The Family physician diagnoses a particular disease and prescribes medicines to us, be it an Antibiotic or a Painkiller. We believe in him. We trust him.. because he’s our family physician and go ahead…Are we asking or questioning him? Which brand of Medicine or Drug Is he giving to us? There are so many new brands in the world, thousands of pharmaceutical companies – manufacturing the same molecule or composition. Every pharmaceutical company before selling have to undergo Strict FDA guidelines to enter the country and the market.

Now coming to Dentistry: Dental Implants usage are  based on different techniques which are practiced- Transosteal or Sub periosteal or Endosteal or Zygomatic or Pterygoid or TTPHIL Implants? All over the world Most widely used dental implants are the endosteal two piece implants. The endosteal implants can be categorized as Single piece implants, Two-piece implants and Two-Piece Cortical implants The two-piece cortical implants Are having all the advantages of single piece inclines. And two-piece implants They are called the Hybrid implants These hybrid implants take all the advantages from Single piece in plants And Prosthetic advantages of 2-piece implants. As you know that Single piece basal implants have wide variety of disadvantages. We at The Dental Specialists stopped doing them because of their disadvantages.

All the Single piece advantages are with the 2 piece cortical systems. Immediate loading, Flap less Procedures,  No cuts or Incisions , No grafts , No waiting Periods are all with the 2 piece cortical Implants. Single piece basal Implants engage the basal bone because of which they are able to load the implants and give immediate teeth. Single piece basal Implants have more disadvantages than advantages as shown in the above link clearly explaing the disadvantages of Single piece basal Implants at each level. Any technique will have Diagnostic, Surgical, Prosthetic, Laboratory and Maintenance problems. Single Piece basal Implants have the disadvantages at each level.

Dental Implants are produced by lots of different manufacturers around the world. Most of them are based around the same theme in that they are  screw shaped, varying sizes and lengths. They are made of Titanium because  Titanium is biocompatible with the bone. The bone will actually grow on it. They’ll screw shaped so that they can be inserted into the bone and will be stable when they placed the surface of the implant is treated in such a way that it is, cells from the bone and not only encourages early healing but will also maintain the bone over a long period of time.  So there are lots of different connection designs and the importance of these connection designs is that they must be stable over a long period of time as they will be subjected to repeated loading. So an implant is effectively a way of attaching a mechanical joint in a biological. The environment and as long as the materials used are of a high quality and the execution of the treatments is of a high standard implants. We know what works we know which design features work, what materials work what connection designs work. We have now been doing implants in this practice for about 13 years and we kind of know what works of short-term and long-term.     

To Simplify: Two Piece Implants will be done by Graft believers. Two Piece cortical System is done by the graftless  TTPHIL Protocol. These implants are similar to Two piece Implants, the only diffrence is that they are longer engaging the basal cortical plates which give high primary stability for immediate loading which is he primary criteria. Treatment Options when all the teeth are missing?       

1.Graft options  2. Graft less options TTPHIL PROTOCOL

TTPHIL Ⓡ Believers: These Dentists believe in the theory of utilizing Basal Cortical which is highly resistant to resorption and infections and giving complete function

Advantages: Minimal Invasive: Flapless Key Hole Surgery  with 6 implants, No Cuts and Incision,  Less Traumatic and Painful, No Morbidity, No Bone Grafts – No Sinus Lifts, Single Visit, Less Expensive, Full set of 14 Screw retained CAD CAM Ceramic teeth (Retrievable), No Cantilevers

Disadvantage: None


The Convenience of Single Visit Dental Implants

If the dental implants are inserted at the same time immediately after the tooth is removed, it is called as Immediate Implants Placement or Immediate Implantation. Previously we used to wait for 3 months after the tooth is removed. Immediate Implantation has lot more advantages than the conventional implant procedure as it avoids the bone and gum changes surrounding the tooth which is going to get removed. It is simple, pain free, convenient for the patients as it allows the surgical treatment to be completed in single visit. But in few cases where there is a pus discharge cyst or abscess or sinus completely pneumatic or severely atrophied cases especially in relation to a badly infected tooth, it is better to first remove the infected tooth and allow it to heal before the dental implants are placed.

If the dental implants are inserted at the same time immediately after the tooth is removed, it is called Immediate Implants Placement or Immediate Implantation. Previously we had to wait for 3 months after the tooth is removed and before the implant could be placed. Immediate Implantation has a lot more advantages than the conventional implant procedure as it avoids the bone and gum changes surrounding the tooth which is going to get removed. It is simple, pain-free, convenient for the patients as it allows the surgical treatment to be completed in a single visit. But in few cases, if there is a pus discharge, cyst or abscess or sinus completely pneumatic or severely atrophied cases especially in relation to a badly infected tooth, it is better to first remove the infected tooth and allow it to heal before the dental implants are placed.

Immediate Functional Loading of Dental Implants

A conventional Dental Implant procedure involves multiple visits for treatment over a period of from 3 months to 1 year: In traditional implantology after the tooth is removed, we wait for 3 months for implant placement. Later these implants are buried inside for 3 to 6 months depending on the quality of the bone of the patient, waiting for the new bone to form. After waiting for 6 months these implants are reopened with the second surgical procedure and they are uncovered and exposed to the oral cavity (mouth). Now repeated visits of the healing cap followed by impressions, jig trials, temporary teeth followed by permanent crowns would again take 3 to 6  months. this repeated connections and disconnections of the prosthetic components can lead to pocket formation which can accumulate the bacteria leading to periimplantitis and other implant infections. So with the delayed loading technique which involves multiple visits, the implant patients would have to wait for a very long time, approximately 1year from the start to the end of treatment. Until then the patient had to wear a temporary removable denture until the implants fuse with the new bone as the new bone gets formed.

At The Dental Specialists, we follow the unique Implant placement procedure called Immediate Implantation by TTPHIL ® – Tall and Tilted Pin Hole Immediate Loading Protocol (ABC-DE IMPLANT PROTOCOL:  ANATOMIC GUIDED, BIOLOGIC, BIOMECHANICAL AND CONCEPT DRIVEN EVIDENCE-BASED IMPLANTOLOGY). With today’s digital technology and highly improved quality and design of the implants and the unique TTPHIL® Protocol, which is followed exclusively at THE DENTAL SPECIALISTS, we are able to restore the implants immediately with permanent teeth in just 2 days.

In some cases, the patients may require additional procedures like Root Canal Treatments, Gum Flap surgeries, Curettages, Fillings, for adaptation of the new teeth in the mouth can take some more time which can delay the treatments. So if you are an International patient, always be prepared and plan your visit for a week or a couple of weeks. If it’s just a single or few teeth which are missing and are devoid of infections, we are confident, we can fix your teeth in just 2 days. We recommend you to see all our testimonials across Google and Facebook to understand more about our patient experience.

3 Things to Consider While Going for Single Tooth Implant

  • This is a once in a lifetime investment – don’t settle for cheap replacement but focus on quality. Go for high-quality FDA recognized and CDESCO cleared Dental Implants
  • Choose your dental clinic wisely. This is a specialist’s job. Find out every detail about the doctor, the team, the facility and infrastructure and more
  • Look for reviews for your preferred clinic – Google and Facebook are good places to start.

Why The Dental Specialists

For Appointment:
Whatsapp/ Call our International Patient Coordinator: +919000021174 / +919177671117
Mail us:
Click the link to enquire for a free quote. We need the information to provide a ballpark quote.

Teething Problems in Babies and Solutions

teething problems in babies

What is teething

Teething is a normal physiological process involves tooth movements inside the jaw(bone) until the time they come into the oral cavity(mouth) by piercing the gum.

The first set of teeth that erupts into the oral cavity are called milk teeth or primary teeth. Teething starts from 6 months of age, while a variation of plus or minus 6 months is considered normal.

Teething begins with the lower-front tooth (central incisors) at the age of 6 months. Occasionally a lower-front tooth may even be present at birth called as natal tooth and if tooth erupts into mouth within the first month they are called as the neonatal tooth.

The first set of teeth completes their eruption by 3 years of age with a total of 20 primary teeth. The second set of teeth or permanent teeth starts erupting into the mouth from 6 years of age and continues until 12 to 13 years of age. Wisdom tooth however typically erupts during late teens to adolescence.

Teething Problems in Babies

For few babies teething can be distressful, considering pressure from erupting teeth leave the child to uncomfortable gum irritation and in some babies, teething can even be pain full; excessive saliva lead to drooling, disturbed sleep, stomach upset (vomiting, diarrhoea), loss of appetite(hunger) etc are frequently related tooth eruption.

Babies between 6-12 months are more susceptible to the above-mentioned symptoms.

The Teething window is typically an eight-day duration; four days before the eruption of tooth followed by three days after tooth eruption or tooth emergence. In the first four days, the teething associated pain is constant, dull in nature with growing intensity until the emergence of the tooth followed by a fast decrease in pain unless associated with inflammation. In the case of inflammation, it might require a little longer time to resolve.

Teething Problems and Solutions

Non Pharmacological Pharmacological
  • Chilled Teething Rings
  • Frozen fruits & Vegetables
  • Rubbing gum with chilled spoon / clean finger
  • Gum soothing gels
  • Pain killer syrups
  • Anti Inflamatory Syrups

Excess saliva production and drooling are associated with teething and cause wetting of lower lip & chin, which might further lead to the formation of rash around the lips. This should be cleaned or wiped away as and when required.

Piece of ice wrapped in a towel placed on gum over the erupting teeth for 1-2 min of time.

Teething rings: Teething rings can provide relief for some time, rings are best when they are chilled to freezing temperature. Teething rings are attached to the child’s clothes.fluid filled teething rings for infants

Solid silicone rings are preferred over fluid-filled rings as they may leak.

Massaging the child’s gum: Parents asked to massage with their clean fingertips or very soft finger toothbrushes for 1-2 min.

Frozen fruits and vegetables or even chilled spoon can also be used to relieve pain.

Topically applied gum soothing gels can be used. Around peanut-sized amount of gel should be taken over a clean finger or cotton bud and applied by gently massaging on painful gum region for about 15 – 20 min, 4-5 times a day.

Sugar-free plain paracetamol syrup is another choice for teething infants. The dose can be repeated every six-hourly intervals with a maximum of four doses a day.

Things to remember about Teething of Babies

  • Sugar-free medication should only be used, the presence of sugar might cause tooth decay.
  • Only inert teething objects are recommended.
  • Medicines should not be added to feeding bottles because it is difficult to monitor the dose.