Implants which placed from maxillary tuberosity to pterygoid bone.
Other names: Pterygoid implants/ Tubero Pterygoid Implants/ Pterygo-maxillary Implants

1. Posterior maxilla Quality and Quantity:
QUALITY: D4 Poor Trabecular Soft Bone
QUANITY: Available bone is less. Crestal  Alveolar Bone Resorption from bottom + Sinus Pneumatization from the top

What are the different treatment options in these situations?
Sinus Lifts: Direct/ Indirect
Bone grafting/ Bone Augmentation

3. PTERYGO MAXILLARY BUTTRESS: Butress is anatomically designed to take up the forces. 6-7mm thick cortical bone attached to active muscles. 3rd cortical and 2nd cortical bones have minimum remodelling capacity. 2 to 2.5% compared to 25% of cancellous bone/ year. 
Macro mechanical anchorage
BONE QUALITY : Alveolar Bone Density
BONE QUANITY Alveolar Bone Volume
Minumum inventory: Drills Handpiece Equipment

Complicated: Pterygoid anatomy
– Part of Spenoid bone
– 2 perpendicular plates:
Lateral Pterygoid: attachment to masticatory muscles
Medial pterygoids:
– Pterygoid fossa
– Pterygoid hamulus: Medio Inferio extent of Pterygoid. Sharp point. So we need to place the implant lateral and superior to the Pterygoid hamulus.
– pyramidal process of palatine bone
Ptergo Palatine Fossa or Pterygo Maxillary Fossa
Target : pterygo maxillary fissure: Vital structures??


  • Less time consuming – 72 hours loading possible
  • Less painful – no bone graft or augmentation required
  • Less surgical procedures – minimally invasive with less drilling
  • Less expensive
  • Less number of visits

To book an Appointment

1. Email:

2. Call / Whatsapp : +91 9000021174 / +91 9959448800 / 040 23350991 / 040 23372337

Smoking and Dental Implants: TTPHIL IMPLANTOLOGY?

We often get questions from patients about their smoking habits and how it impacts their teeth. Also, some are concerned if smoking affects their ability to get dental implants.

Question: I am a smoker for the past 25 years. Can I get Immediate Implants done with TTPHIL technique?

Most of my patients who are smokers ask me about the success rates of Dental Implants in Smokers when compared with others. The clear answer is that there is no problem with Smoking. There is no direct relation between Smoking and Dental Implants. Smoking indirectly affects the gums if not taken care of properly leading to peri-implantitis. Whatever you smoke and how often you smoke you can definitely have an immediate load implant – one of the reasons of course is that you don’t have a bone limitation, you don’t need a bone transplant – all these procedures which are contraindicated for smokers are not necessary and therefore you have the same chance as any other patient.

You can just live your normal life and we give you the immediate load implants. Smoking doesn’t impact dental implant as it is a complete flapless technique and there is no chance of Infection. Basal 2 Piece Cortical Implantology is based on the concept of bicortical anchorage which will allow immediate stabilization of the implant and loading of the implant.

Cigarette smoking has long been known to be associated with a variety of oral conditions including periodontal diseases which are inflammatory diseases affecting the tissues that surround and support the teeth, bone loss, tissue loss, tooth loss and dental implant failure. Nicotine in tobacco has been shown to reduce the blood flow in the mouth, pipe-smoking can be worse than cigarettes due to the higher temperatures generated in the upper jaw and excessive tooth wear as the teeth clench the pipe. Not only is smoking detrimental to implants it’s also bad for conventional bridgework. Smokers also experience a slower healing time when following implant replacements. If you’re a smoker and considering dental implants be sure to talk to your doctor about any increased health risks. So do not neglect your gums. This can lead to implant failure. #Smoking and Dental Implants
For more details, Appointment
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or Book Online Appointment Now. We will call you back according to your convenient time. You need to fill up the complete detailed case sheet in the link to explain you the different treatment options and give a ballpark quote.