Intoduction to pterygoid implants:

To replace teeth that are missing in the posterior maxilla has traditionally been considered a difficult task for oral surgeons who specialise in dental implants. The posterior maxilla presents a number of challenges, including limited bone quantity and quality, the presence of the maxillary sinus, and inaccessibility. Additionally, the posterior maxilla is difficult to reach. These deficiencies have been treated with a number of different surgical procedures, including sinus lift, bone augmentation, inclined implants, short implants, and zygomatic implants. Nevertheless, every one of these methods has its own set of restrictions. As a result, the pterygomaxillary region is an excellent choice for the implantation of implants and the rehabilitation of the posterior maxilla. Indications, contraindications, complications, and success rates of pterygoid implants, also known as tuberosity implants or pterygo-maxillary implants, will be covered in this article. Pterygoid implants are also known as pterygo-maxillary implants.

What exactly is meant by the term “pterygoid implants”?

Pterygoid implants, also called tuberosity implants or pterygo-maxillary implants, consist of the pterygoid plate and the tuberosity region of the posterior maxilla. Other names for these implants include pterygo-maxillary implants. These implants are placed in the retromolar region, where they function as an anchor for osseointegration after being inserted into the mouth. Traditional methods of implant placement frequently call for additional surgical procedures, such as bone augmentation or sinus lifts. These procedures are necessary in order to properly place the implants. These procedures can also be replaced with pterygoid implants as an alternative.

Pterygoid Implants May Be Linked to the Following Complications:


The risk of complications during a pterygoid implant procedure is comparable to that of any other surgical procedure. When implants are placed at the level of the pterygoid plate, there is a possibility that bleeding will occur from the pterygoid plexus or the a. maxillaris. However, this can be circumvented by inserting the implant just below the tuberosity in the desired location. Another complication that can be overcome with underpreparation drilling protocols and innovative implant design is a lack of primary implant stability. This issue can be remedied. In extremely rare cases, nerve damage can occur, which can cause tingling or numbness in the cheek, lip, or tongue. This condition is extremely rare. Infection, implant failure, and peri-implantitis are some of the other potential complications that could arise.

Conditions that call for the placement of pterygoid implants:

Pterygoid implants are indicated when there is limited bone quantity and quality in the posterior maxilla, making it more difficult to implant traditional implants. This is the case when traditional implants are indicated. In addition, pterygoid implants are a great choice for avoiding distal cantilevers in both partial and complete edentulism cases. Distal cantilevers are the result of an implant-supported partial denture that extends too far back in the mouth. This places stress on both the implant and the bone that is adjacent to it.                                                                                       

Pterygoid Implants Cannot Be Done If These Conditions Are Met:

Pterygoid implants, despite the fact that they present a number of advantages, are not an option for each and every patient. Pterygoid implants are not recommended for patients who have experienced significant bone loss or resorption in the posterior maxilla. This includes patients who have a history of maxillary sinusitis or other sinus disorders. Patients whose pterygomaxillary region is anatomically limited may also be unable to receive pterygoid implants because this condition is also a contraindication.

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Techniques Used in Surgery for Pterygoid Implants:-

In order to successfully implant the pterygoid, surgical experience and skill are required. During the operation, a specialised guide is utilised the majority of the time in order to facilitate accurate implant placement. In the beginning, the patient will go through a thorough examination that will include radiographs and CT scans. This will be done so that the bone density and quality can be evaluated, as well as the location of the maxillary sinus. In most cases, the operation is carried out under local anaesthesia, and the patient may also be given sedation in order to help them feel more at ease. After the administration of local anaesthesia, an incision is made within the gingiva in order to expose the bone. The bone is first drilled with a pilot hole, and then successively larger drills are used to create a channel for the implant. After the implant has been placed, a healing abutment or cover screw will be screwed into place in order to improve the likelihood of successful osseointegration. Following this, the adjacent tissue is stitched shut using sutures.

Pterygoid Implants: Success Rates and Failure Rates:-

Pterygoid implants have been shown in a number of studies to have a high rate of success, a bone loss that is comparable to that of conventional implants, a low risk of complications, and a high level of patient acceptability. According to the findings of a study that was presented in the International Journal of Oral and Maxillofacial Implants, pterygoid implants had a cumulative survival rate of 92.7{1674a3571c55e5a3d8f6a51db1dea01af71aff6b2bbefaaad37d5912cc13090c} after five years. 

When it comes to the treatment of the posterior maxilla, the insertion of pterygoid implants can serve as an alternative to sinus-lifting and other grafting procedures. Pterygoid implants are used in cases of partial edentulism to avoid the need for distal cantilevers. In order to successfully implant the pterygoid, surgical experience and skill are required. Pterygoid implants have a high rate of success, and patients typically experience minimal distress and favourable outcomes, despite the possibility of complications. This is the case despite the fact that complications may arise. Pterygoid implants are, in most cases, an efficient and effective treatment option for posterior maxillary deficiency.
Dr. Richa Mehta is a well-known dentist in the Mira Road neighbourhood of Mumbai. She is also the founder of the dental practise Cosmodent India. She has worked in the field of dentistry for more than 15 years and is particularly well-known for her expertise in implantology. Patients at Cosmodent India receive dental care of the highest possible standard from Dr. Richa Mehta and the rest of the staff there, who utilise cutting-edge technology and pioneering approaches in their work. They have an entire department that is devoted to implantology, and within that department, they are experts in pterygoid implants. Dr. Swapnil Pande is a senior consultant at Cosmodent India. He also has a Ph.D. in implantology from the University of Sheffield. He is highly experienced in implantology and has authored a number of research papers that have been published on the subject. Dr. Swapnil Pande is a member of a number of international dental organisations and goes to conferences and workshops on a regular basis in order to stay current on the most recent advancements in implantology. Patients who are thinking about getting pterygoid implants should speak with either Dr. Richa Mehta or Dr. Swapnil Pande to determine whether or not they are good candidates for this procedure. The staff at Cosmodent India will conduct an examination of the patient in order to determine the most appropriate treatment strategy by taking into account the patient’s bone density, dental health, and other relevant factors. Pterygoid implants are beneficial for patients in general, but they are especially useful for those who have limited bone quantity and who also have the maxillary sinus. Patients are able to receive high-quality, individualised care and achieve optimal oral health with the help of Dr. Richa Mehta, Dr. Swapnil Pande, and the rest of the team at Dr. Richa’s Cosmodent India.