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TTPHIL: ALL TILT PROTOCOL: OVERCOMING PATIENT CHALLENGES & AVOIDING COMPLICATIONS. Biologically and Biomechanically more stable than ALL ON 4 treatment solution.. 1. Consultation Phase level:Patient centric Treatment planning. Painless ( Flapless), Single Visit Implantology ( Permanent CAD CERAMICS) Immediate Loading, Complete Function : 14 teeth for better chewing Efficiency, Affordable cost. 2. Surgical Level: Biological treatment planning. #Tissue levelSurgical Guide to avoid Manual errors, Predictable 3D Implant Placement, Longer and Tilted Implants to achieve #OSSEOFIXATION to achieve higher Primary Stability for Immediate function and apply One Abutment One time for #MUCOINTEGRATION. #Subcrestal implant placement to prevent Crestal Bone Loss ( NO PERIIMPLANTITIS), Universal 6IX FIX CONCEPT can be done in atrophic ridges and Ideal Ridges, Immediate and Delayed Implantation and Loading cases, 3. Prosthetic Level: Biomechanical treatment planning. Complete 14 teeth for maximum chewing efficiency, Better scope for the ceramic technician to give their best skills for the output, NO CANTILEVER which can lead biomechanical failures , Columbus Screw Retained Prosthetics : Less weight, less Components, Easy Digital impressions, No more tedious Physical Impressuons.. . . #TTPHIL #drvenkatnag #pterygoid #pterygoidimplants #1NETIMEABUTMENT #TTPHILALLTILTPROTOCOL (at Ttphil ALL TILT Technique) https://www.instagram.com/p/CBoyhfnp4Od/?igshid=wkcccrl90r59
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TTPHIL IMPLANTOLOGY is all about No.3. The text book is planned and divided into 3 parts.. The BEST TREATMENT IN IMPLANTOLOGY IS TO PREVENT IT. (PPP- PROBLEM PREVENTION PROTOCOLS) ABC: 1.ANATOMIC 2. BIOLOGICAL AND BIOMECHANICAL 3. CONCEPT DRIVEN( Evidence Based) IMPLANTOLOGY. Team Implantology : 1. Implant Surgeon 2. Restorative Dentist 3. Ceramic Technician. This team should know WHAT TO DO ( How to get Implant Success) ? WHAT NOT TO DO? (How to avoid Implant Complications) at different Interfaces: 1. Implant Fixture - Bone Interface 2. Implant - Abutment Interface 3. Abutment-Gingiva/ Prosthesis Interface Cook Book 1.Surgical 2. Prosthetics and 3. Laboratory Protocols for : 1. Single tooth replacements 2. Multiple teeth replacements 3. Full arch replacements More to come.. Stay tuned.. How to avoid complications and how to give Predictable Aesthetics and Function.. Its patient centric as well as doctor centric treatment planning giving IMMEDIATE FUNCTION. . #TTPHIL #DRVENKATNAG#1NEFIX #6IXFIX #TTPHILTEXTBOOK (at Ttphil ALL TILT Technique) https://www.instagram.com/p/CBlMVwTpR66/?igshid=26k4de7ljyxi
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YOUR WORST CASE...WHAT IS IT? WHAT COULD BE THE REASON? It's always better to discuss the previous complications to avoid the future problems.. TTPHIL PHILOSOPHY: PROBLEM PREVENTION PROTOCOLS (PPP) I am Dr. P. Venkat Nag, Prosthodontist. I used to work with the best oral surgeons in a charity hospital, do only the prosthetic phase.. I might have seen maximum number of surgeries and restored maximum number of Implants, some successfull many failures.. There is lot of difference between IMPLANT SUCCESS AND IMPLANT FAILURES.. The whole concept is based on preventing and how to avoid complications and failures. TTPHIL ALL TILT PROTOCOL: ABC IMPLANTOLOGY A= ANATOMICAL B= BIOMECHANICAL C= CONCEPT ( EVIDENCE BASED) DRIVEN IMPLANTOLOGY.. It's a fusion of the best techniques for the immediate functional loading, moreover this is screw retained.. Let's discuss.. Jot down your bad experiences why your implant failed.. Let's find out the solutions for it.. Implant failures can be at 1. BONE TO IMPLANT INTERFACE 2. GINGIVAL TO ABUTMENT INTERFACE 3. IMPLANT TO ABUTMENT INTERFACE 4. ABUTMENT TO PROSTHESIS INTERFACE We will discuss these in detail.. Your comments will help us do better.. . . #TTPHIL #DRVENKATNAG #TTPHILTEXTBOOK #IMPLANTFAILURE #IMPLANTSUCCESS (at Ttphil ALL TILT Technique) https://www.instagram.com/p/CBdcKzOpkqT/?igshid=14g1du9mfhosh
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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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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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WHICH ONE DO YOU PREFER? A OR B TTPHIL: Subcrestal + Platform Switched + Microgrooved + Internal- Conical Switch Stable Biolock Connection Conventional: Equicrestal + Platform Matched + Polished Surface Abutment + Internal Hex Connection PLEASE SHARE YOUR EXPERIENCE.. #crestalboneloss #crestalbonestability #mucolock #mucointegration #zerobonelossconcepts #umbrellaconceptmiselli #TTPHIL #drvenkatnag #1NEFIX (at Ttphil ALL TILT Technique) https://www.instagram.com/p/CBVpjAzJsPQ/?igshid=1bq0e8ylxl4de
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TTPHIL IS PROSTHETIC DRIVEN IMPLANTOLOGY.. TTPHIL ® Impressions for single tooth replacement with platform switched prosthetic components for SUN CRESTAL IMPLANT PLACEMENTS.. PLATFORM SWITCHED HEALING ABUTMENTS PLATFORM SWITCHED IMPRESSION COPINGS PLATFORM SWITCHED TI BASE PLATFORM SWITCHED STRAIGHT ABUTMENTS PLATFORM SWITCHED ANGULATED ABUTMENTS PLATFORM SWITCHED BIOCONNECT: STRAIGHT AND ANGULATED 0,15,25,35,45,55 PLATFORM SWITCHED MULTIUNIT ABUTMENTS 0,9,18,20,30,40,50.. . . #immediateimplant #thesingletoothimplant #periodontist #prosthodontist #aaed #dentist #periodontology #prosthodontics #dentistry #implants #implantdentistry #implantdentist #papilla #estheticdentistry #estheticdentist #immediateimplant #immediateimplants #immediateextractions #onesurgeryonetime #TTPHIL #drvenkatnag #1NEFIX https://www.instagram.com/p/CBS7o3Tp7rS/?igshid=1wc9f9bggua57
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Is ISQ meter really important for IMMEDIATE FUNCTIONAL LOADING? Will it help in TISSUE LEVEL IMPLANTS when you are doing ONE ABUTMENT ONE TIME.. Counter Clockwise Torque or Clockwise Torque ?? Which is more important for IMMEDIATE FUNCTIONAL LOADING?? Please share your comments.. . . #immediateimplant #thesingletoothimplant #periodontist #prosthodontist #aaed #dentist #periodontology #prosthodontics #dentistry #implants #implantdentistry #implantdentist #papilla #estheticdentistry #estheticdentist #immediateimplant #immediateimplants #immediateextractions #onesurgeryonetime #TTPHIL #drvenkatnag #TTPHILIMPLANTS https://www.instagram.com/p/CBQyWOYJAzi/?igshid=ksbeqzhmpks9
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6IX FIX SURGICAL CONCEPT: TTPHIL ALL TILT PROTOCOL 8 year follow up.. IMMEDIATE FUNCTIONAL LOADING.. IMMEDIATE IMPLANTATION AND IMMEDIATE LOADING OF TERMINAL DENTITION OF AN ATROPHIC RIDGE CASE.. (at Ttphil ALL TILT Technique) https://www.instagram.com/p/CBOCiqtpH0B/?igshid=79205yl4yxyy
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MUCOLOCK CONCEPT : TTPHIL PHILOSOPHY MAINTAINING CRESTAL BONE STABILITY.. ZERO BONE LOSS WITH 2 PIECE CORTICAL SYSTEM.. IMPLANT LEVEL: SUBCRESTAL + FLAPLESS+ BICORTICAL Principles and Concepts: OSSEODENSIFICATION +OSSEOFIXATION +OSSEOEXPANSION OSSEOINTEGRATION ABUTMENT LEVEL: Principles and Concepts: ONE ABUTMENT ONE TIME+ PLATFORMS WITCHED + MICROGROOVED+ FIBROUS PERI IMPLANT SOFT TISSUE INTEGRATION IMPLANT - ABUTMENT LEVEL: BIOLOCK STABLE INTERNAL CONICAL SWITCH CONNECTION.. . . #TTPHIL #DRVENKATNAG #1NEFIX #MUCOLOCK #MUCOINTEGRATION #ZEROBONELOSSCONCEPTS #UMBRELLACONCEPT #NOPERIIMPLANTITIS # PERMANENTTEETHINJUST2DAYS #MICROGROOVED #BIOLINE #BIOLINEIIMPLANTSYSTEM #IABUTMENT (at Ttphil ALL TILT Technique) https://www.instagram.com/p/CBLb5QSJIC0/?igshid=11152sozjnqqg
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DELAYED IMPLANTATION IMMEDIATE LOADING IN JUST 2 DAYS: TTPHIL ZERO BONE LOSS CROWN SIMPLIFIED TTPHIL PROTOCOL: 1.DIAGNOSTICS LEVEL 2. SURGICAL LEVEL 4. PROSTHETIC LEVEL 5. LABORATORY LEVEL 6. MAINTENANCE LEVEL MUCOLOCK CONCEPT : TTPHIL PHILOSOPHY IMPLANT LEVEL: SUBCRESTAL + FLAPLESS+ BICORTICAL Principles and Concepts: OSSEODENSIFICATION +OSSEOFIXATION +OSSEOEXPANSION OSSEOINTEGRATION ABUTMENT LEVEL: Principles and Concepts: ONE ABUTMENT ONE TIME+ PLATFORMS WITCHED + MICROGROOVED+ FIBROUS PERI IMPLANT SOFT TISSUE INTEGRATION IMPLANT - ABUTMENT LEVEL: BIOLOCK STABLE INTERNAL CONICAL SWITCH CONNECTION.. . . #TTPHIL #DRVENKATNAG #1NEFIX #MUCOLOCK #MUCOINTEGRATION #ZEROBONELOSSCONCEPTS #UMBRELLACONCEPT #NOPERIIMPLANTITIS # PERMANENTTEETHINJUST2DAYS #MICROGROOVED #BIOLINE #BIOLINEIIMPLANTSYSTEM #IABUTMENT (at Ttphil ALL TILT Technique) https://www.instagram.com/p/CBIqEr_JYUP/?igshid=1wac6tp6no3ez
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Bone loss was calculated as a distance between implant neck and first radiographically visible bone-to-implant contact. Bone remodeling was calculated as a distance between the bone crest and implant neck only for sub crestal implant group. Soft tissue is the decision maker.. Vertical and Horizontal thickness is the key.. Decision is based which iimplant to be used.. Single Visit Dental Implantology! Immediate Functional loading with TTPHIL ALL TILT PROTOCOL. For shadow programs on TTPHIL.. https://wa.me/919000021174 1. High predictable surgery with TTPHIL Guide 2. Simplified Single Drill Surgical Protocol 3. High BIC for FUNCTIONAL ANKYLOTIC ANCHORAGE 4. High Primary stability: Osseocondensation + Osseofixation+ Osseoexpansion 5. High recommended Simplified Prosthetic Protocol . . #TTPHIL #DRVENKATNAG #PTERYGOID #TILTEDIMPLANTS #1NEFIXCONCEPT #ALLTILTPROTOCOL #TTPHILIMPLANTS #TTPHILIMPLANTOLOGY #6IXFIXCONCEPT #MUCOLOCK #MUCOINTEGRATION #ZEROBONELOSSCONCEPTS #IMMEDIATELOADING #IMMEDIATEFUNCTION https://www.instagram.com/p/CBGKtxHJkKw/?igshid=vyhzfk1gdh0k
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NO CEMENT = NO PERIIMPLANTITIS SCREW RETAINED PROSTHETICS OR SCREW RETAINED CEMENTED PROSTHESIS IS BETTER THAN CEMENTVRETAINED PROSTHESIS. TTPHIL PREVENTIVE PROTOCOLS FOR IMMEDIATE FUNCTIONAL LOADING... What do we know about cement?: How it flows, the proper amount and how hydraulic forces can lead to both hard and soft tissue destruction. After cementation how do we know that we have removed the excess cement? Impossible to remove the thin layer of cement unless you polish it extra orally. This thin layer of cement prevents the attachment of the fibres onto the titanium abutment which can lead to a pocket. #TTPHIL recommends screw retained when possible.. It should be the first preference.. Furthermore, how should we mitigate the risks of using cement? We will discuss why residual cement is considered a risk factor for complications and a variety of issues will be covered including microbiology, immunology, allergic response and activation of the titanium surface. Restorative-driven peri-implant disease will be discussed as little knowledge exists in the dental industry on how cement flows and how hydraulic forces can lead to tissue destruction... Join the TTPHIL SHADOW PROGRAM.. For more details.. https://wa.me/914023372337 . . #TTPHIL #drvenkatnag #pterygoid #pterygoidimplants #1NETIMEABUTMENT #MUCOLOCK #MUCOINTEGRATION # #PINHOLESURGERY ##TILTEDIMPLANTS #ZEROBONELOSSCONCEPTS #UMBRELLACONCEPT #NOPERIIMPLANTITIS #ZEROBONELOSSCONCEPTS #IMMEDIATEFUNCTION #TTPHILTEXTBOOK (at Ttphil ALL TILT Technique) https://www.instagram.com/p/CBDMN8Up9qx/?igshid=19oquq1hgjlua
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MUCOLOCK CONCEPT : TTPHIL PHILOSOPHY IMPLANT LEVEL: SUBCRESTAL + FLAPLESS+ BICORTICAL Principles and Concepts: OSSEODENSIFICATION +OSSEOFIXATION +OSSEOEXPANSION OSSEOINTEGRATION ABUTMENT LEVEL: Principles and Concepts: ONE ABUTMENT ONE TIME+ PLATFORMS WITCHED + MICROGROOVED+ FIBROUS PERI IMPLANT SOFT TISSUE INTEGRATION IMPLANT - ABUTMENT LEVEL: BIOLOCK STABLE INTERNAL CONICAL SWITCH CONNECTION.. . . #TTPHIL #DRVENKATNAG #1NEFIX #MUCOLOCK #MUCOINTEGRATION #ZEROBONELOSSCONCEPTS #UMBRELLACONCEPT #NOPERIIMPLANTITIS # PERMANENTTEETHINJUST2DAYS #MICROGROOVED #BIOLINE #BIOLINEIIMPLANTSYSTEM #IABUTMENT https://www.instagram.com/p/CBBLjSWJhxn/?igshid=1gy45bvpzdyxy
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CRITERIA FOR IMMEDIATE LOADING @ TTPHIL ALL TILT PROTOCOL: REVERSE TORQUE TEST: >40NC anchorage of implants possible. By means of a torque wrench, the attempt is made to remove the healed implant or in Stage 1 surgery from the bone. Usually most of the cases we get reverse torque beyond 40NC. Most of the cases I get beyond 70NC torque because we take Bicortical or Multicortical Engagements in both Maxillary and Mandibular arches. One should understand what are the basal cortical bones to be engaged. TTPHIL protocol believes in Reverse torque test or Counter Clockwise torque test. TTPHIL ALL TILT PROTOCOL be it Immediate or delayed implantation cases we use 2 PIECE CORTICAL SYSTEM BY #BIOLINE exclusive system made for TTPHIL ALL TILT PROTOCOL. The same design has all the prosthetic advantages of conventional two piece system and Surgical advantages of Single piece implants. Well-healed, osseointegrated Brånemark implants require a moment of torque of over 20 Nom. This is considerably higher when the implants are longer than 13 to 15 mm. Such attempts should not be made in weak bone (Brånemark, 1996) and of course cannot be clinically inserted. As studies by Johansson and Albrektsson (1987) have shown, a torque of 11 Ncm is necessary to remove an implant three weeks after implant placement. This torque is in creased to 68 Nom three months after sur grey, and to 88 Ncm after a healing period of twelve months. Further animal studies with removal torque in the case of healed implants with different surfaces (SLA and Osseotite) showed that the removal torque values for the sandblasted and etched (SLA) implants were considerably higher than in the case of the (Osteotite®) implants, which were only lightly etched (Buser et al., 1998). Further studies were carried out with regard to the removal torque in the case of machine processed, TPS-coated implants and com pared with implants with a SLA surface, which were inserted in poor bone quality of the upper jaw of pigs. (at Ttphil ALL TILT Technique) https://www.instagram.com/p/CAvBzffJqw1/?igshid=pajmmnqc6or1
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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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CRESTAL BONE STABILITY: RADIOGRAPHICAL AND CLINICAL OBSERVATIONS: DEEP SUBCRESTAL PLACEMENTS WITH FLAPLESS BICORTICAL ENGAGEMENTS WITH 1TIME MICROGROOVED PLATFORMSWITCHED BIOLOCK CONICAL CONNECTION ABUTMENTS? Which is better? CLINICAL PICTURES and explanation tomorrow Immediate Implantation and loading. Stay tuned... CRITICAL AND SUB CRITICAL CONTOUR IN THE TOOTH MAINTAINS THE CRESTAL BONE STABILITY. . . #drvenkatnag #1NEFIX #IMMEDIATE #TTPHIL #TILTED #MUCOLOCK #1netimeabutments #crestalbone #crestalbone stability #immediateimplant #thesingletoothimplant #periodontist #prosthodontist #aaed #dentist #periodontology #prosthodontics #dentistry #implants #implantdentistry #implantdentist #papilla #estheticdentistry #estheticdentist #immediateimplant #immediateimplants #immediateextractions #onesurgeryonetime https://www.instagram.com/p/CAkrfD7p5eb/?igshid=sidr2yxm19in
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