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 III-IV 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%.
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..
ZBL Concept
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 3mm cuff.
Conical Connection
The Integrated Multi Unit Head Design creates the abutment interface. It features a reinforced Ø 1.8 mm MU prosthetic screw for superior fatigue resistance and built-in angulation management.
Hybrid Design
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.
Biocompatible Surface
The implant features a hydrophilic treated surface and achieves predictable osseointegration via cortical engagement , which contributes to a high success rate (97% survival).
ZBL Concept
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 3mm cuff.
Conical Connection
The Integrated Multi Unit Head Design creates the abutment interface. It features a reinforced Ø 1.8 mm MU prosthetic screw for superior fatigue resistance and built-in angulation management.
Hybrid Design
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.
Biocompatible Surface
The implant features a hydrophilic treated surface and achieves predictable osseointegration via cortical engagement , which contributes to a high success rate (97% survival).
ZBL Concept
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 3mm cuff , which helps maintain the hard and soft tissue stability crucial for lasting aesthetics.
Conical Connection
The Integrated Multi Unit Head Design creates the abutment interface. It features a reinforced Ø 1.8 mm MU 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.
Hybrid Design
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 anchorage , apical cutting flutes for insertion efficiency , and condensing/compressive V-shaped threads to maximize bone compaction in low-density Tuberosity area.
Biocompatible Surface
The implant features a hydrophilic treated surface and achieves predictable osseointegration via cortical engagement , which contributes to a high success rate (97% survival).
Graftless Excellence and Biomechanical Superiority
Eliminates Grafting
No grafting needed. This graftless approach eliminates the 6–9 month surgical delays , additional surgical site morbidity , and provides faster functional loading.
Superior Biomechanics
Provides posterior support that eliminates the distal cantilever need , resulting in 64% lower cortical bone stress versus All-on-Four protocols and superior stability.
Clinical Predictability
Achieves a high survival rate of 97% , with minimal surgical complications (0.98%) and marginal bone loss comparable to conventional configuration .
Restored Function
Replaces missing molars functionally , restoring the natural 60–70% posterior load distribution. This unloads the anterior teeth and preserves long-term anterior integrity.
Implant Design & Dimensions
ROOTT P implants are available in Ø3.5 mm and Ø4.5 mm diameters, with lengths from 15 mm to 26 mm. The Integrated Multi Unit Head Design has a 3mm cuff.
Anatomical Anchorage
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.
Surgical Angulation
Optimal placement parameters are defined: Anteroposterior convergence of 40−50∘ and Buccolingual medial inclination of 70−75∘ , confirmed via CBCT planning.
Loading Protocol
Supports Immediate temporary prosthesis ; final restoration timeline is 3–4 months.
Graftless Solution
Eliminates 6–9 month surgical delays and the need for sinus augmentation , working optimally in <5mm residual bone height.
Biomechanical Superiority
Achieves stress reduction versus All-on-Four , replacing cantilevers with functional posterior molar support.
Predictable Outcomes
Demonstrated 97% survival rate and a low surgical complication rate of 0.98%.
Accelerated Function
Delivers final restorative results in 6–8 months , offering faster functional loading and optimal patient experience.