Serving thousands of patients over 15 years, the implantologists at The Dental Specialists understood that conventional implants meant a huge financial burden, physical trauma and pain of sinus lifts, bone grafts and membranes on patients. Not only that, the technique sensitive procedures require great skills and experience. Moreover, the long waiting periods were frustrating for patients and doctors alike. After 15 years of laborious research, the implantologists at
The Dental Specialists
developed TTPHIL and created a revolution in implantology.
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TTPHIL implants (Bicortical or 2 Piece Cortical Implants) are a combination of surgical principles of basal implants for stability and immediate loading and prosthetic principles of conventional screw-retained technology, for retrievability and aesthetic considerations. Orthopaedic specialists introduced basal Bicortical Implantology that spread to dentistry.
✔Less time consuming – 72 hours loading possible
✔Less painful – no bone graft or augmentation required
✔Less surgical procedures – minimally invasive with less drilling
✔Less number of visits
Why TTPHIL implants?
Basal bone is a highly dense jaw bone, which is resistant to infections. It provides the best support to the implants as it is stronger than the crestal alveolar bone. Unlike conventional implants which are placed in the crestal bone, basal bicortical implants are always placed in the basal bone.
Comparison between basal, conventional and TTPHIL implants indications:
Unlike conventional implants, basal implants can be used for those with poor bone quantity and quality. TTPHIL implants can be used for both poor and ideal quantity and quality bones.
Basal implants stabilize by Osseofixation, conventional implants stabilize by Osseointegration and TTPHIL implants stabilize by both Osseofixation and Osseointegration, making immediate loading possible.
Unless loaded in 72 hours, Basal implants fail. Extractions and surgical procedures make the gums shrink over time, creating a space between the teeth and the gingiva, causing food lodgement leading to halitosis and infections. Conventional implants take 3-4 months to load, as it takes 3-12 months to build the new bone. TTPHIL implants can be loaded between 2-14 days depending on the case. The doctor is the decision-maker, not the implant system. If the doctor feels there is no stability of the implant, waiting may be advised to avoid failures.
TTPHIL implants have a very simple kit. In both 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. However, 12 implants have to be placed to restore 6 teeth in each quadrant only till the 1st molar, thus making it an expensive proposition. Basal implants have abutments and implants connected, which make them easy to fabricate. They are not approved by FDA. Other doctors may hesitate to work on the case in future. Conventional and TTPHIL 2 PIECE CORTICAL implants might be a little more expensive than basal implants, but safer. They use 4-6 implants to restore all the teeth till 2nd molars ensuring maximum chewing efficiency. While 2-piece implants have screw retained prosthetic solutions, basal implants have only cement-retained solutions which need to be cut when problems or complications occur.
In the Basal system, prosthesis has to be delivered in 72 hours. This is an advantage and disadvantage. Offering accurate and perfect prosthesis in such a short time is a challenge. There will be gaps between the prosthesis and gums, affecting cleaning, speech and aesthetics. In TTPHIL and conventional system, prosthetics can be digitalized reducing the number of appointments.
The surface of implants:
Basal implants are smooth and conventional implants have a rough surface increasing the risk of infections. Currently, basal implants come with antibiotic coated rough surfaces that fight infections and get stability by Osseofixation. TTPHIL implants are rough to improve BIC (Bone Implant Contact) and are placed way below the bone (subcrestally) to prevent the chance of infections. TTPHIL implantology uses longer antibacterial gold anodized abutments which prevent the risk of infections.
TTPHIL, Basal and Conventional implants need maintenance visits and regular evaluation of prostheses.
Relative contraindication for all 3 techniques. Heavy smokers and uncontrolled diabetic patients.
TTPHIL don’t need any pre implant surgeries or augmentation. Basal implants have prosthetic disadvantages and conventional implants have surgical disadvantages. TTPHIL implantology takes the advantages of both Basal and conventional implantology while overcoming the disadvantages of both. Although, all comparisons indicate that TTPHIL basal cortical implants are better when compared to conventional and basal implants, why are they not used in all cases? The answer is not simple. The physiology and biochemistry of jaws differ from person to person. The implantologist considers various factors before deciding which would be best for you.
While conventional implants can be done by general dentists, TTPHIL implants need special skilled and experienced experts in the field.
(Dr. P. Venkat Ratna Nag)
TTPHIL implants designed by
Dr Venkat Ratna Nag
gathered 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 the two-piece implant system ensures promising results, as the technique uses the surgical advantage of a single piece system and the prosthetic advantage of a two-piece system. Screw retained prostheses would enable the dentist to evaluate effectively periodically. The cement-retained system is not retrievable. The screw-retained system is retrievable and very comfortable to manipulate and follow up. These implants are longer implants that have better surface area over conventional implants which are very short. That’s the reason why these conventional implants cannot be loaded immediately in most of the cases.
For more details, contact:
Director – Institute for Dental Implantology
MDS (Prosthodontics and Implantology)
Diplomate & Fellow ICOI(USA)
Call: 90000 21174
Disclaimer: The views/suggestions/opinions expressed in the article are the sole responsibility of the experts and the hospital concerned.