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%.
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).
Zero bone loss 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 3 mm 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 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 16 mm to 26 mm. The Integrated Multi Unit Head Design has a 3 mm 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 <5 mm 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.