Master the Graftless Protocol of Ptergoid Implants
A complete pathway to mastering advanced posterior maxilla rehabilitation.
The Grafting Dilemma:
High Morbidity, Extended Liability
The posterior maxilla presents a dual challenge of anatomical limitation due to sinus pneumatization and poor bone quality. Traditional solutions require complex, costly augmentation procedures that patients increasingly refuse, creating a treatment impasse.
Extended Treatment Time
Sinus Lifts require 9-13 months total. Block grafting takes 12-18 months.
Biomechanics Compromised
Studies show cantilevers >15mm increase anterior implant stress by 280% and prosthetic issues by 340%. Posterior support is non-negotiable.
High Complication Rate
Grafting complication rates are 10-25% (membrane failure, infection, resorption).
Patient Refusal & Morbidity
High cost ($2k-$4k+), pain, swelling, and surgical risk often lead to treatment refusal.
Extended Treatment Time
Sinus Lifts require 9-13 months total. Block grafting takes 12-18 months.
Biomechanics Compromised
Studies show cantilevers >15mm increase anterior implant stress by 280% and prosthetic issues by 340%. Posterior support is non-negotiable.
High Complication Rate
Grafting complication rates are 10-25% (membrane failure, infection, resorption).
Patient Refusal & Morbidity
High cost ($2k-$4k+), pain, swelling, and surgical risk often lead to treatment refusal.
SOLUTION
The Anatomical Sanctuary: ROOTT Pterygoid Connection
The pterygomaxillary buttress remains stable regardless of maxillary atrophy. ROOTT leverages this constant, dense cortical bone (Pyramidal Process, Pterygoid Plates) for 8-12mmof guaranteed anchorage, eliminating the need for grafts entirely.
Key Evidence Points:
- Anchor Point: The pterygoid plate provides 8-12mm of dense cortical bone anchorage, even in severe (Bedrossian Class III-IV) atrophy.
- Stability: Achieves average insertion torque of 50.4 Ncm, far exceeding the threshold for immediate loading.
- Proof: Large-scale analysis of 1,058 pterygoid implants confirms a 98.02% Survival Rate.
Why Choose ROOTT Pterygoid?
Total Time Reduction
Eliminate the 9-18 Month Wait: Immediate loading protocols simplify treatment to a single surgical stage..
Proven High Success
Offers a validated 98.02% survival rate—comparable to conventional implants, but without the graft morbidity or complications.
Efficiency & Cost Control
Removes the $2,000 - $4,000 per-sinus grafting expense and its associated complication costs.
Biomechanical Guarantee
Eliminates anterior overload and high cantilever stress, ensuring a stable "quad pod" restoration. Finite element analysis confirms optimal force dissipation.
Dr Henri Diederich is a well known dental surgeon and implantologist based in Luxembourg, recognized especially for his work in immediate loading and cortically fixed implant concepts.
He has long experience in implantology, with clinical practice in crestal implantology since the late 1990s and cortical implantology since the early 2000s, including treatment of atrophic jaws and cranio mandibular dysfunctions.
Join Key Opinion Leader Dr. Henry Diederich to learn the systematic ROOTT protocol, from digital planning (mandatory CBCT) to surgical execution (60-75° trajectory) and immediate loading techniques.
Day 1: Foundation – Anatomy, Concepts, and Prosthetics
Master the foundational knowledge required for safe and effective graftless implantology:
- Deep Anatomy & Safety: Detailed 3D anatomy of the pterygoid region (plates, fossa, vascular risks) and the nasal cavity/floor critical for remote anchorage success. Learn ideal entry points, angulations, and safety distances for Pterygoid and Transnasal implants.
- The Graftless Solution: Understand the Remote Anchorage Concept (Pterygoid, Transnasal, Zygomatic/Skull Base) as a primary alternative to grafting.
- Clinical Evidence: Review successful Case Reports and the Bone Truss Bridge (BTB) philosophy—a full-arch, stable framework utilizing multiple remote anchorage implants.
- Prosthetic Workflow: Learn specific prosthetic design principles for BTB cases, focusing on force distributionand avoiding distal cantilevers. Master both Conventional (Open Tray) and Digital (Intraoral Scanning, CBCT/STL Merging) impression protocols for full-arch immediate loading.
Days 2 & 3: Application – Live Surgery, Planning, and Hands-On
Transition from theory to practical application with live procedures and focused workshops:
- Systematic CBCT Planning: Learn step-by-step analysis of the sinus, nasal floor, and pterygoid region to define precise implant lengths and trajectories and ensure immediate loading success.
- Live Surgery & Coaching: Observe and learn through Live Surgeries of Pterygoid and Transnasal implant placements, with real-time explanation of anatomical landmarks and safety margins. Participants with their own patients receive chairside coaching.
- Immediate Prosthetic Execution: Hands-on training in immediate impressions and temporization (analog and digital) directly after surgery. Master the principles of splinting remote anchorage implants for full-arch vs. segmental provisional prostheses.
- Long-Term Success: Conclude with detailed discussions on complication management, troubleshooting, and long-term maintenance for remote anchorage cases. Includes setting up a post-course mentorship pathway for safe implementation in your practice.
Choose Your Path to Pterygoid Excellence
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Masterclass Package
The Ultimate Value.
Register for Masterclass & Package- Register for your Masterclass in India, including Live Surgery on patient.
- Receive the Exclusive Package of 40 ROOTT Implants. 30 Accessories and Instrument Kit.
- Stay and flights (Optional).
Free Online Consultation
Build Confidence.
Book FREE Consultation- Get a FREE 1-on-1 Consultation with our clinical team
- Plan your first complex pterygoid case
- Discuss eligibility for assisted surgery support
Pterygoid and Transnasal implants
Free Online Webinar.
- One-piece tissue-level ROOTT implants
- Discover their unmatched stability in compromised bone.
- Explore Transnasal implants—their key indications and how they supercharge your options