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  Graftless Solution for Posterior Atrophy

ROOTT P 
Pterygoid Solution


Are you struggling in the "Atrophy Trap"? When residual bone height is <5 mm, traditional sinus lifts become a liability. Why risk a 15% membrane perforation rate or a 12-month healing delay? In Type D3-D4 bone, conventional grafting often stalls your workflow and compromises predictability.

Is your All-on-4 facing a "Cantilever Crisis"? Relying on distal cantilevers is a biomechanical gamble. Shifting 70% of the load anteriorly often leads to screw loosening, crestal bone loss, and survival rates as low as 72%.

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The ROOTT P 

The ROOTT Pterygoid Implant System eliminates these compromises by anchoring into the reliable D1-D2 dense cortical bone of the pterygoid plate — a zone inherently unaffected by severe sinus pneumatization — to provide a predictable graftless solution that restores balance and ensures long-term survival (97% ) and superior biomechanics.



Concepto ZBL

Preservación del hueso crestal y armonía de los tejidos blandos. El sistema está optimizado para respetar el ancho biológico mediante la utilización de un diseño de cabezal multiunidad integrado con un manguito de 3 mm.

Conexión cónica

El diseño de cabezal multiunidad integrado crea la interfaz del pilar. Cuenta con un tornillo protésico MU reforzado de Ø 1,8 mm para una resistencia superior a la fatiga y un control de la angulación integrado.

Diseño híbrido

Estabilidad excepcional en huesos comprometidos. El diseño está optimizado para el acoplamiento cortical en hueso cortical denso D2-D3, proporcionando un anclaje seguro incluso en hueso atrófico.

Superficie biocompatible

El implante presenta una superficie tratada hidrofílica y logra una osteointegración predecible a través del compromiso cortical, lo que contribuye a una alta tasa de éxito (97 % de supervivencia).


Concepto de pérdida ósea cero

Crestal bone preservation and soft tissue harmony. The system is optimized to respect the biological width by utilizing an Integrated Multi-Unit Head Design with a 3 mm cuff , which helps maintain the hard and soft tissue stability crucial for lasting aesthetics. 

Conexión cónica

The Integrated Multi Unit Head Design creates the abutment interface. It features a reinforced Ø 1.8 mm prosthetic screw for superior fatigue resistance and built-in angulation management (30° slope per side, total 60° divergence tolerance), enabling secure, screw-retained prostheses without additional angulated components.

Diseño híbrido

Exceptional Stability in Compromised Bone. The design is optimized for cortical engagement in D2-D3 dense cortical bone, providing secure anchorage even in atrophic bone. Features include aggressive thread geometry for cortical anchorageapical cutting flutes for insertion efficiency, and condensing/compressive V-shaped threads to maximize bone compaction in low-density Tuberosity area.

Superficie biocompatible

The implant features a hydrophilic treated surface and achieves predictable osseointegration via cortical engagement, which contributes to a high success rate (97% survival).

VALOR INMEJORABLE

Excelencia sin injertos y superioridad biomecánica



Elimina el injerto

No grafting needed. This graftless approach eliminates the 6–9 month surgical delays, additional surgical site morbidity, and provides faster functional loading.  


Biomecánica superior

Provides posterior support that eliminates the distal cantilever need, resulting in 64% lower cortical bone stress versus All-on-Four protocols and superior stability.  


Previsibilidad clínica

Achieves a high survival rate of 97%, with minimal surgical complications (0.98%) and marginal bone loss comparable to conventional configuration. 


Función restaurada

Replaces missing molars functionally, restoring the natural 60–70% posterior load distribution. This unloads the anterior teeth and preserves long-term anterior integrity. 

Diseño de implante& Dimensiones

ROOTT P implants are available in Ø3.5 mm and Ø4.5 mm diameters, with lengths from 16 mm to 26 mm. The Integrated Multi Unit Head Design has a 3 mm cuff.


Anclaje anatómico

Leverages the pterygoid bone (tuberosity, palatine pyramidal process, and pterygoid plates), which is characterized by D1-D2 dense cortical bone quality and is unaffected by severe sinus pneumatization. This area offers 8–10 mm of bone height even in severe atrophy.


Angulación quirúrgica

Optimal placement parameters are defined: Anteroposterior convergence of 40−50° and            Buccolingual medial inclination of 70−75°, confirmed via CBCT planning. 


Protocolo de carga

Supports Immediate temporary prosthesis; final restoration timeline is 3–4 months

¿Por qué elegir ROOTT P?

The Pterygoid Advantage


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Solución sin injerto

Eliminates 6–9 month surgical delays and the need for sinus augmentation, working optimally in <5 mm residual bone height


Superioridad biomecánica

Achieves stress reduction versus All-on-Four, replacing cantilevers with functional posterior molar support. 


Resultados predecibles

Demonstrated 97% survival rate and a low surgical complication rate of 0.98%.


Función acelerada

Delivers final restorative results in 6–8 months, offering faster functional loading and optimal patient experience. 

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