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Tuberopterygoid Implants

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Tuberpterygoid implants are implants which found the upper jaw zone. In the upper jaw, they let the prosthetic restoration on dental inserts. For quick stacking of the inserts, the connected strengths go to pterygomaxillar support region for permitting.

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Tubero pterygoid Implants

what are tuberopterygoid implants
What are Tuberopterygoid Implants?

Tuberopterygoid implants are implants located in 2nd molar area of upper jaw. They allow the prosthetic rehabilitation on dental implants in upper jaw. The applied forces go to the pterygomaxillary buttress area allowing immediate loading of the implants. The white arrows show tuberopterygoid implant, this avoided invasive Sinus lift Surgery and saved time period of 6-8 months post sinus lift surgery.We were in position to deliver fixed  teeeth in period of just 3 days even in such an atrophied situation.


With Tuberopterygoid Implants

No More Sinus Lift

No More Bone graft. 


If you have been told that there is less bone in your upper jaw for dental implants, do not worry. The best solution for cases with severe bone resorption in upper jaw is pterygoid implant. Tubero pterygoid implants  are the best solution for patients requiring dental implants for upper jaw.


Such patients were going for sinus lift or bone grafts as per old techniques. In a single procedure we place pterygoid implant and place the permanent crown in 3 days. As we use single piece implants the procedure is flapless and done under local anesthesia.

current definitions for pterygoid implants
Current definitions for pterygoid implants

Throughout literature, several terms are being used to describe pterygoid implants. The terms "pterygoid implants", "pterygomaxillary implants" and "tuberosity implants" are used interchangeably. "Pterygoid implants" have been defined by the Glossary of Oral and Maxillofacial Implants (GOMI) as "implant placement through the maxillary tuberosity and into the pterygoid plate".


There are significant differences between pterygoid and tuberosity implants including the following:

  • pterygoid implants originate in the tuberosity and engage in the dense bone of the pterygoid plates and palatine bone
  • tuberosity implants originate in the maxillary alveolar process and can occasionally anchor in the pyramidal process. The bone quality in this region is mainly composed of type III or IV cancellous bone
  • In the edentulous upper jaw the placement of implants can be challenging due to limited bone quantity and the presence of the maxillary sinus. Pterygoid implants have high success rates, similar bone loss levels to those of conventional implants, minimal complications and good acceptance by patients, being an alternative to treat patients with highly atrophic maxillae and avoiding the need for extensive augmentation procedures. 
  • However, at present, pterygoid implants have mainly been studied in partial edentulism as a very attractive treatment alternative to sinus lift procedures.

When the upper grinding teeth are lost and are not replaced on time, it leads to drooping of the sinus there by resulting in bone resorption making it difficult for tooth replacement, Some conventional implantologists suggest Sinus lift procedure, which is a complex traumatic surgical approach, that is totally unpredictable and takes approximately 6 to 8 months to heal.All the patients interested in getting the upper full arch replaced on implants are suitable candidates for this as pterygoid bone is present in all the patients. Pterygoid bone is present distal to the second molar region in the upper jaw and is the only option available if you want to avoid cantilevers, but it requires a very experienced hand with an in depth knowledge of Anatomy of the surrounding areas.

the option of fixed teeth on dental implants in upper jaw
The option of fixed teeth on dental implants in upper jaw
  • Cantilever bridges: It devised to avoid the expensive and aggressive bone grafting by placing just 4 or 6 implants in the front part of the jaw. Then placing a set of just 10/12 teeth. As 1st molar crowns are placed as cantilevers but there is no need to replace 2nd molars at all.
  • Occasionally, only 10 teeth are placed. The permanent ceramic bridges are fixed after 3-6 months which is another disadvantage of cantilevers.
clinical recommendations
Clinical recommendations

The pterygoid implant is placed in the region of the former first or second maxillary molars and follows a diagonal direction posteriorly towards the pyramidal process. The implant ultimately anchors in the pterygoid fossa of the sphenoid bone. The angulation of pterygoid implants ranges from 45°-50° towards the maxillary plane.


In clinical reality, whenever pterygoid implants are described those are in reality tuberosity implants with an anchorage in the pterygoid plate and thus the treatment difficulties are very limited. As with every implant surgery the preparation of the implant bed is of high importance and treatment planning should be performed with great attention to the anatomical structures and bone availability/quality.

  • Due to the presence of type III or IV cancellous bone in this region, a preferred choice of implant type is the NobelActive implant given its high primary stability in soft bone

Efficient chewing is possible as teeth upto second molars are replaced. In cantilevers and zygomatic implant cases or in single piece implants techniques 2nd molars are not replaced. If replaced then they are made as cantilevers which make the last implant weak and the bridge susceptible to fracture in the long run.

advantages of tubero pterygoid implants
Advantages of Tubero pterygoid Implants
  • Eliminates the need of sinus grafting.
  • No cantilevers from front teeth or implants.
  • Efficient chewing is possible as teeth upto second molars are replaced. In cantilevers implant cases or in all-on -4 and all – on – 6 techniques 2nd molars are not replaced. If replaced then they are made as cantilevers which make the last implant weak and the bridge susceptible to fracture in the long run.
  • Bone in pterygoid area is cortical in nature, and hence very strong and rigid allowing Immediate loading with permanent crown in 3 days.

Single piece implants are used which are strong in comparison to conventional dental implants.

  • All patients who want dental implants in upper jaw are good candidates as bone is always available in pterygoid area.
  • Flapless technique is used, as such patients have no swelling or bleeding and patients need not stop blood thinners, if they are taking any.
  • With Tuberopterygoid Implant - No More Sinus Lift No More Bone graft.
  • Strong single piece implants are being used in strong cortical bone.
  • 100% success rate.

If you want to know more details about

Tubero-pterygoid Implants,

contact us: Dr Motiwala2nd Floor, Park View Building, Road No. 1, Near KBR Park, Beside CVR Health & News Building, Jubilee Hills Navanirman Nagar Colony, Jubilee Hills Hyderabad, Telangana 500033‎.Email : info@drmotiwala.comMobile: +91 73374 49900