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1NE FIX CONCEPT : 1 TIME SURGERY + 1 TIME ZIRCOPING IMMEDIATE RESTORATIONS. Interesting? just click the link and Join me.. . This group is only for dentists. Only those who are not in the other 24 groups please join this group TILTED IMPLANTOLOGY-25 https://chat.whatsapp.com/IeunYkpJkZgCuEG6KQZ8kC . #immediateloading #progressiveloading #immediateimplants #immediaterestorations #submergenceprofile #zerobonelossconcepts #venkatnag #TTPHILTECHNIQUE #TTPHILPHILOSOPHY #MUCOLOCKCONCEPT #1NEFIXCONCEPT #ZIRCOPING #NOCEMENTPERIIMPLANTITIS #SCREWRETAINEDPROSTHETICS (at Ttphil ALL TILT Technique) https://www.instagram.com/drvenkatnagofficial/p/CXPqYthpcWs/?utm_medium=tumblr
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Bone remodeling is especially significant in oral implantology where the success and longevity of dental implants is highly dependent on the relationship between the implant components and the surrounding oral tissues. The peri-implant bone remodeling occurs when the implant is exposed to the oral environment in a second stage or one stage immediate loading procedure. This bone remodeling which is usually seen around dental implants results in Bone volume reduction. This decrease in bone volume can occur due to two reasons 1. Stress concentration at the Crestal region of dental implant and 2. Localized inflammation of the soft tissue at the implant abutment. "This Implant Abutment Interface is very important which can lead to crestal bone loss ." . . TTPHIL ##TTPHIL PINHOLE # pinholesurgery # flaplesssurgery #subcrestalimplant #DRVENKATNAG #1NEFIX #IMMEDIATELOADING #immediatefunction #immediatefunctionalloading #permanentteethin3days #NOPERIIMPLANTITIS #zerobonelossconcepts #osseointegration #OSSEODENSIFICATION #OSSEOEXPANSION #OSSEOFIXATION #bicorticalstabilization #screwretainedprosthetics #MUCOLOCK #MUCOINTEGRATION (at Ttphil ALL TILT Technique) https://www.instagram.com/p/CBa9GJ4p_39/?igshid=58jytuwmyp7w
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"LESS IS GOOD- MORE IS BETTER": TTPHIL ALL TILT ® PROTOCOL: PATIENT + DOCTOR CENTRIC TREATMENT PLANNING PATIENT: LESS PAIN- LESS VISIT- LESS TIME- LESS MONEY - LESS COMPLICATIONS DOCTOR: MORE BIC- MORE SAFE - MORE SIMPLE SURGICAL PROCEDURE - MORE PROSTHETIC SOLUTIONS - MORE PRECISION - MORE PREDICTABILITY - MORE ESTHETICS TO OUR PATIENTS- MORE SIMPLE PROCEDURES TO TREAT COMPLICATIONS . #TILTEDIMPLANTS #pterygoidimplant #pterygoidguide #zygomaticimplantmaster #zygoman #zygomaticimplants #allon4plus #ALLON4 #allon4course #alltilt6 #alltilt #TTPHILIMPLANTS #TTPHILALLTILTPROTICOL #DRVENKATNAG #IMMEDIATELOADING #IMMEDIATEFUNCTIONALLOADING #screwretainedprosthetics #NOPERIIMPLANTITIS #implantology #prosthodontics #oralrehabilitation #fullmouthimplants #fullarchimplants #fulmouthrehabilitation (at Ttphil ALL TILT Technique) https://www.instagram.com/p/CUtah4dJWP6/?utm_medium=tumblr
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TTPHIL ALL TILT : FULL MOUTH REHABILITATION SHADOW PROGRAM ON. 6 DAYS INTENSIVE WORKSHOP - 1-2-1 FOCUSSED TRAINING SESSIONS. 6 UNIQUE ADVANTAGES NO TECHNIQUE IN THE WORLD IS HAVING. IMMEDIATELOADING + FLAPLESS + GUIDED+ GRAFTLESS + SCREW RETAINED + NO CANTILEVER + 14 TEETH FIR MAXIMUM CHEWING EFFICIENCY 6 TILTED IMPLANTS IN EACH ARCH If you want to know more about TTPHIL courses..https://wa.me/message/IIZWBZHS3R2ZJ1 https://wa.me/914023372337 #pterygoidimplants #zygomaticimplants #TTPHILNERVE BYPASS #TILTEDIMPLANTS #screwretainedprosthetics #IMMEDIATELOADING (at Ttphil ALL TILT Technique) https://www.instagram.com/p/CJKg-TiJFqk/?igshid=1haiethhecytf
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QUESTION TWISTER?? WHAT ARE THE DIFFERENCES?? LET'S SEE WHO CAN GIVE THE BEST DIFFERENCE IN THE 2 PANOs IMMEDIATE IMPLANTATION + IMMEDIATE LOADING MAXILLARY ARCH ?? 1 year follow up..AWESOME CRESTAL BONE STABILITY WITH TILTED IMPLANTS.. . WHAT WOULD BE YOUR TREATMENT PLAN IN SEVERE SINUS PNEUMATIZED CASES LIKE THIS WHEN ALL 14 TEETH ARE PRESENT TILL 2ND MOLARS IN MANDIBULAR ARCH?? A. SINUS LIFTS WITH 6-8 AXIAL IMPLANTS WITH 14 TEETH B. ALL ON 4 WITH 1 CANTILEVER TILL 2ND PREMOLAR (10 TEETH) C. ALL ON 4 WITH 2 CANTILEVERS TILL 1ST MOLAR ( 12 TEETH) D. 2 AXIAL + ZYGOMATIC IMPLANTS ( 10 -12 TEETH) E. NONE OF THE ABOVE. GO FOR DENTURE.. . . *LETS LEARN TOGETHER @ HOME*. FREE MEMBERSHIP & Updates on TTPHIL IMMEDIATE LOADING PROTOCOL. Case and group discussions, Videos, Tips,  etc; *GROUP IX* Only those who are not in the other 8 groups please join this group. https://chat.whatsapp.com/HuXYfQm3qYk5j4NZBAQm8C #ALLON4 OR #NONEON3 #TTPHIL #TTPHIL PINHOLE # pinholesurgery # flaplesssurgery  #subcrestalimplants #DRVENKATNAG #1NEFIX #IMMEDIATELOADING #immediatefunction #immediatefunctionalloading  #NOPERIIMPLANTITIS #zerobonelossconcepts   #bicorticalstabilization #screwretainedprosthetics  #institutefordentalimplantology https://www.instagram.com/p/CHF1_f5J16q/?igshid=1bzi6wep0ljmm
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What happens to the tissue during the repair OF THE PROSTHESIS DIRING LABORATORYPROCEDURE ? SOFT TISSUE COLLAPSES OR HEALING CAP DOESNT MATCH THE EMERGENCE PROFILE OF PROSTHESIS. POCKET FORMATION! Mucositis ?? PERIIMPLANTITIS?? CHEAPER BUT EXPENSIVE! HYBRID MY LAST PREFERENCE! Bar broke with acrylic. Long term provisional. How do you manage in cementable implant level prosthesis or single piece implants with CEMENTABLE PROSTHETICS. TTPHIL RECOMMENDS TISSUE LEVEL 2 SCREW SYSTEM. PINHOLE # pinholesurgery # flaplesssurgery  #subcrestalimplants #DRVENKATNAG #1NEFIX #IMMEDIATELOADING #immediatefunction #immediatefunctionalloading  #NOPERIIMPLANTITIS #zerobonelossconcepts   #bicorticalstabilization #screwretainedprosthetics  #institutefordentalimplantology #zygomaticimplants #zygoma #pterygoidimplants #pterygoidimplantmaster #zygoman #zygoma master (at Ttphil ALL TILT Technique) https://www.instagram.com/p/CFvbUKWpNZP/?igshid=lgsnd5rkvcta
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CRESTAL BONE STABILITY WITH TILTED IMPLANTS: FULL MOUTH REHABILITATION using 2 PIECE CORTICAL IMPLANTS WITH 2 SCREW PROSTHETIC SYSTEM. . Free Membership & Updates on TTPHIL Immediate loading,  Case discussions, Videos, Tips,  etc; GROUP IV. Only those who are not in the other groups please join this group. Doctors who are there in more than one group will be deleted. https://chat.whatsapp.com/FfWFB18CbTvG7ro0sRVVTb #tallimplants #deepimplant #flaplessimplant #immediateimplants #immediatefunction #nocantilever #screwretainedprosthetics (at Ttphil ALL TILT Technique) https://www.instagram.com/p/CEx7-P1plY9/?igshid=ugkns1o7oz3r
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This post is based on webinars of @algirdaspuisys @linkeviciustomas. Thank you! Trying to apply your concepts. Awesome. IMMEDIATE IMPLANTATION + IMMEDIATELOADING: MANDIBULAR 1ST MOLAR TTPHIL ALL TILT PROTOCOL: PPP PHILOSOPHY 1.PATIENT CENTRIC STRATEGIC DIGITAL  IMPLANT PLANNING & PLACEMENT. 2. PREDICTABLE SURGICAL IMPLANT PLACEMENT & CAD CAM PROSTHETIC OUTCOME 3. PROBLEM PREVENTION PROTOOCOL . Free Membership & Updates on TTPHIL Immediate loading,  Case discussions, Videos, Tips,  etc; GROUP IV. Only those who are not in the other groups please join this group. Doctors who are there in more than one group will be deleted. https://chat.whatsapp.com/FfWFB18CbTvG7ro0sRVVTb #TTPHIL # #pinholesurgery #flaplesssurgery  #subcrestalimplant  #1NEFIX #IMMEDIATELOADING #immediatefunction #immediatefunctionalloading #permanentteethin2days #NOPERIIMPLANTITIS #zerobonelossconcepts #osseointegration #OSSEODENSIFICATION #OSSEOEXPANSION #OSSEOFIXATION #bicorticalstabilization #screwretainedprosthetics #MUCOLOCK #MUCOINTEGRATION #DRVENKATNAG (at Ttphil ALL TILT Technique) https://www.instagram.com/p/CEszNvUpx9H/?igshid=1c01kxv8ypb0d
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ACCURACY VS PRECISION TILTED IMPLANTOLOGY FOR FUTURE BUDDING IMPLANTOLOGISTS:THE BEGINNERS IN TILTED IMPLANTOLOGY POINT OF ENTRY (A) AND POINT OF EXIT(B) ARE EQUALLY IMPORTANT. We can see POINT A AND NOT POINT B. So CAN WE BE ACCURATE AND PRECISE in TILTED FLAPLESS BICORTICAL IMPLANTOLOGY? Consider CONVENTIONAL IMPLANTOLOGY with SHORTER AXIAL IMPLANT PLACEMENTS : You don't need to be accurate or precise. You would be placing shorter implants. There is no POINT B. So it doesn't really matter. TTPHIL IMPLANTOLOGY: You are doing Flapless + Tilted + Bicortical. You have a target and you have Anatomical limitting structures and the TARGET IS NOT CONSTANT. Every patient is different and the targets are different. When you do free hand ( Brain Guided?? Finger CBCT?? ) Sometimes you may be accurate depending on surgical skill and experience but never precise. You ask him to place the implant again accurately he would not reach TARGET POINT B. When your implant placement is not consistent you may go wrong. My angulation may 15 degree to hit the target. You may angulate the same at 18 degree and some others at 20 degree.  So now in this digital world you have solutions,  so why not use it?? TTPHIL DIGITAL PLANNING AND PLACEMENT: CBCT/ CT DICOM DATA DIGITAL IMAGING 》 STL DATA EVALUATION  AND VIRTUAL OSTEOTOME PLANNING 》 3D PRINTING 》 FLAPLESS PRECISE + ACCURATE SURGICAL GUIDE 》 SINGLE DRILL MOCK SURGERY REALITY 》 KEYHOLE MINIMAL INVASIVE ONE DRILL SURGERY》 iIMPLANT DESIGN 》 iABUTMENT DESIGN 》 SCREW RETAINED PROSTHETICS When doing BASAL CORTICAL IMPLANTOLOGY You need to be accurate as well as Precise . Just skill and experience would not be sufficient because you may sometimes breach the anatomical limiting structures.  Sometimes may not be accurate it can lead to complications With TTPHIL DIGITAL IMAGING PLANNING AND EXECUTION, you can get ACCURACY AND PRECISION CONSISTENTLY. .#ALLON4 OR #NONEON3 #TTPHIL #TTPHIL PINHOLE # pinholesurgery # flaplesssurgery  #subcrestalimplants #DRVENKATNAG #1NEFIX #IMMEDIATELOADING #immediatefunction #immediatefunctionalloading  #NOPERIIMPLANTITIS #zerobonelossconcepts   #bicorticalstabilization #screwretainedprosthetics  (at Ttphil ALL TILT Technique) https://www.instagram.com/p/CEqSh4FJ5Xy/?igshid=1a5iu3r4x87yx
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"HAPPINESS to see our PATIENTS HUGGING YOU and IMPLANTS HUGGING BONE". CRESTAL BONE STABILITY WITH TILTED IMPLANTS with TTPHIL ALL TILT PROTOCOL. ZERO BONE LOSS with iIMPLANT SYSTEM + SUBCRESTAL+ MICROGROOVED PLATFORM SWITCHED ABUTMENTS. Case done for a poor patient @ SHADOW PROGRAM AT INSTITUTE FOR DENTAL IMPLANTOLOGY SEP, 2019, HYDERABAD, INDIA. Case follow up after 1 year.. . https://wa.me/message/IIZWBZHS3R2ZJ1 Free Membership & Updates on TTPHIL Immediate loading, Case discussions, Videos, Tips, etc; GROUP IV. Only those who are not in the other groups please join this group. Doctors who are there in more than one group will be deleted. https://chat.whatsapp.com/FfWFB18CbTvG7ro0sRVVTb . #ALLON4 OR #NONEON3 #TTPHIL ##TTPHIL PINHOLE # pinholesurgery # flaplesssurgery #subcrestalimplants #DRVENKATNAG #1NEFIX #IMMEDIATELOADING #immediatefunction #immediatefunctionalloading #permanentteethin3days #NOPERIIMPLANTITIS #zerobonelossconcepts #osseointegration #OSSEODENSIFICATION #OSSEOEXPANSION #OSSEOFIXATION #bicorticalstabilization #screwretainedprosthetics #MUCOLOCK #MUCOINTEGRATION #institutefordentalimplantology (at Ttphil ALL TILT Technique) https://www.instagram.com/p/CEF_1FwpTD_/?igshid=14ho59c02zqyj
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SIMPLIFYING THE MOST DIFFICULT STEP IN FULL ARCH REHABILITATION.. Complete TTPHIL ® Digital Prosthetics: Clinical & Laboratory Protocol.. Fast tracking. Deliver the prosthesis in just 2 days.. . . Free Membership & Updates on TTPHIL Immediate loading, Case discussions, Videos, Tips, etc; GROUP IV. Only those who are not in the other groups please join this group. Doctors who are there in more than one group will be deleted. https://chat.whatsapp.com/FfWFB18CbTvG7ro0sRVVTb If you want to know more about TTPHIL courses.. https://wa.me/message/IIZWBZHS3R2ZJ1 #ALLON4 OR #NONEON3 #TTPHIL ##TTPHIL PINHOLE # pinholesurgery # flaplesssurgery #subcrestalimplants #DRVENKATNAG #1NEFIX #IMMEDIATELOADING #immediatefunction #immediatefunctionalloading #permanentteethin3days #NOPERIIMPLANTITIS #zerobonelossconcepts #osseointegration #OSSEODENSIFICATION #OSSEOEXPANSION #OSSEOFIXATION #bicorticalstabilization #screwretainedprosthetics #MUCOLOCK #MUCOINTEGRATION #institutefordentalimplantology (at Institute for Dental Implantology,Hyderabad.) https://www.instagram.com/p/CDEQ4qLpqKH/?igshid=9q5naamey34i
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BIOLOGIC EMERGENCE + BIOLOGIC HEIGHT+ BIOLOGIC WIDTH= TTPHIL ® PHILOSOPHY Delayed Implantation + Immediate Loading . . #TTPHIL ##TTPHIL PINHOLE # pinholesurgery # flaplesssurgery #subcrestalimplant #DRVENKATNAG #1NEFIX #IMMEDIATELOADING #immediatefunction #immediatefunctionalloading #permanentteethin3days #NOPERIIMPLANTITIS #zerobonelossconcepts #osseointegration #OSSEODENSIFICATION #OSSEOEXPANSION #OSSEOFIXATION #bicorticalstabilization #screwretainedprosthetics #MUCOLOCK #MUCOINTEGRATION (at Ttphil ALL TILT Technique) https://www.instagram.com/p/CBYNXJapseq/?igshid=4cqhe2b167qr
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TTPHIL ALL TILT PROTOCOL: 6IX FIX SURGICAL CONCEPT. Surgical level: 6 Tilted Flapless Graftless Subcrestal Immediate Functional loading with complete set of 14 teeth + Screw Retained Prosthetic Solutions following Preventive bone loss concepts.. . . #ALLON4 OR #NONEON3 #TTPHIL ##TTPHIL PINHOLE # pinholesurgery # flaplesssurgery #subcrestalimplant #DRVENKATNAG #1NEFIX #IMMEDIATELOADING #immediatefunction #immediatefunctionalloading #permanentteethin3days #NOPERIIMPLANTITIS #zerobonelossconcepts #osseointegration #OSSEODENSIFICATION #OSSEOEXPANSION #OSSEOFIXATION #bicorticalstabilization #screwretainedprosthetics #MUCOLOCK #MUCOINTEGRATION (at Ttphil ALL TILT Technique) https://www.instagram.com/p/CAnVFNYpb8D/?igshid=j79cgy6ck4i4
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What is TTPHIL ALL TILT: 1NE FIX TTPHIL ALL TILT PROTOCOL is a unique and universal Preventive - Solution based procedure evolved from various ideologies in immediate loading implantology giving all the solutions for Complications and failures in #implantology. TTPHIL ALL TILT PROTOCOL® is the Umbrella under which 1NE FIX is a surgical concept to replace Single tooth missing cases be it anterior or posterior, I. Success and failure depends on the TEAM WORK: 1. Implant Surgeon 2. Restorative Dentist 3. Laboratory technician & 4. Patient himself. If any one in the 4 fails to do a good job the whole procedure is a failure. TTPHIL PROTOCOL focus on avoiding failures at each INTERFACE. 1.BONE - IMPLANT 2. IMPLANT - ABUTMENT 3. ABUTMENT - GINGIVA . 4. GINGIVA - PROSTHESIS "CHOOSING THE RIGHT IMPLANT SYSTEM IS VERY IMPORTANT FOR SUCCESS" . #TTPHIL ##TTPHIL PINHOLE # pinholesurgery # flaplesssurgery #subcrestalimplant #DRVENKATNAG #1NEFIX #IMMEDIATELOADING #immediatefunction #immediatefunctionalloading #permanentteethin3days #NOPERIIMPLANTITIS #zerobonelossconcepts #osseointegration #OSSEODENSIFICATION #OSSEOEXPANSION #OSSEOFIXATION #bicorticalstabilization #screwretainedprosthetics #MUCOLOCK #MUCOINTEGRATION (at Ttphil ALL TILT Technique) https://www.instagram.com/p/CAfm96Jpx7H/?igshid=w4w6z4pcpig8
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SIMPLIFIED PTERYGOID AND DOUBLE PTERYGOID PROTOCOLS: The tall tilted pin hole immediate loading (TTPHIL) concept has evolved from various ideologies in implantology: basal, pterygoid, zygomatic and angulated/tilted implants under principles of immediate loading. In the conventional implant techniques, the distribution of prosthetic loads to the bone–implant interface, poor bone density, and added restorations may pose an important risk factor for the long-term survival. To maximize the success of rehabilitation, the TTPHIL technique utilizes the use of long tilted bicortical implants with Pterygoids and double pterygoids. I prefer TISP Tooth Implant Supported when there are no other options. First preference Implant to Implant connection. When Option A is not there, Option B #TISP instead of #SINUSLIFTS. In the posterior maxilla, pterygoid implants are placed. Pterygoid implants were introduced by Tulasne which were intended to pass through maxillary tuberosity. Highlighting key features of TTPHIL-ALL TILT technique #Mucointegration—#Onetimeabutment concept #Singledrill under preparation Self-drilling active threaded implant for #bicorticalbasal bone engagement #Tallimplants to engage cortical plates depending on case to case 8mm to 25mm #Tiltedimplants (9–65°) to have more bone implant contact Rigid splinting with #screwretainedprosthetics solution for retrievability Platform switching abutment with no micromovement at implant abutment junction Flapless subcrestal placement (Pin hole procedure) Immediate prosthesis within 3 days to a week time (at Ttphil ALL TILT Technique) https://www.instagram.com/p/CAcy3jlJBFO/?igshid=1shvlo0ectap0
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Discussion: Immediate implantation by newer technique called Tall and Tilted Pin Hole Immediately Loaded implants (TTPHIL) is explained in this article. In immediate implant procedure, implants are placed in sockets just after the extraction of the tooth. The main reason to go for immediate implantation is to preserve the contour of the tissue and dimension. Delivering the tooth within a day after the implantation procedure is considered a boon in implant dentistry as the gingival tissue grows according to the contoured crown which is considered advantageous unlike where the gingival tissue grows prior to the placement of the crown. Digital dentistry is an emerging field which incorporates digital or computer aided components. Keywords: CAD/CAM, TTPHIL, immediate implant 1. Introduction #TTPHIL concept is the newer technique which not only overcome limitations of axial implants but also disadvantages of All-on-4 concept and All-on-6 concept. Tall (16mm-25mm), #Tilted (TT) implants are placed. Tall implants help for good osseointergation as it provide more surface area and also engaged to the cortical bone i.e bicortical anchorage. The implants are placed in Pinhole (PH) manner i.e #flapless. . #TTPHIL PINHOLE # pinholesurgery # flaplesssurgery #subcrestalimplant #DRVENKATNAG #1NEFIX #IMMEDIATELOADING #immediatefunction #immediatefunctionalloading #permanentteethin3days #NOPERIIMPLANTITIS #zerobonelossconcepts #osseointegration #OSSEODENSIFICATION #OSSEOEXPANSION #OSSEOFIXATION #bicorticalstabilization #screwretainedprosthetics #MUCOLOCK #MUCOINTEGRATION https://www.instagram.com/p/B_kwCUGJbTB/?igshid=ls9zou9y09gg
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