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🌍 All-on-6 with Pterygoid Implants for an NRI Patient 🇺🇸 with BIL-RAM™️ Protocol.🌟A middle-aged woman residing in the US...
20/07/2026

🌍 All-on-6 with Pterygoid Implants for an NRI Patient 🇺🇸 with BIL-RAM™️ Protocol.

🌟A middle-aged woman residing in the USA visited us for comprehensive dental implant rehabilitation. With her return journey scheduled within a Month, the entire treatment had to be completed within her limited stay in India. ✈️
🦷 The procedure involved immediate extractions, immediate implant placement, and immediate loading, enabling the patient to receive fixed teeth without waiting for several months.
🔩 The case was executed according to My BIL-RAM™ Protocol — Bicortical Immediate Loading with Remote Anchorage on Multi-unit abutments. Six implants were strategically positioned, including bilateral pterygoid implants to provide strong posterior remote anchorage and improve the anteroposterior spread.
All the implants used were Neodent, except for the pterygoid implants.
⚙️ The patient was rehabilitated with a screw-retained DMLS prosthesis supported on multi-unit abutments, providing a rigid, retrievable, and stable full-arch restoration.
🌟From failing teeth to a fixed and functional smile—completed within her short stay in India before she returned to the USA. 🇮🇳➡️🇺🇸
🌟The power of bicortical engagement.
🌟The strength of remote anchorage.
👉The precision of the BIL-RAM™ Protocol. 🔥
(Trademarked on my name)-Bicortical Immediate Loading with Remote Anchorage on Multi-unit abutments
👍 Postop CBCT slices are included in this post.

🔥 PATZI Protocol—once again!🦷 This time, the maxillary reconstruction was performed using 3 implants engaging the nasal ...
18/07/2026

🔥 PATZI Protocol—once again!
🦷 This time, the maxillary reconstruction was performed using 3 implants engaging the nasal floor/nasalis region, 2 zygomatic implants, and 2 pterygoid implants.Fixed teeth in just 8 days.
⚡ The patient presented with aggressive periodontitis and was managed with immediate extractions, immediate implant placement, and immediate loading.
🔩 All implants used were crestally polished implants, except for 2 placed in the 36 and 46 regions.
🎯 In this Free hand surgery-The postoperative CT slices demonstrate the precise positioning, cortical engagement, and excellent trajectory of every implant—nasalis, zygomatic, and pterygoid.
🎥 I will also upload the complete postoperative CT video separately as a short, so that the implant trajectories and engagements can be appreciated in detail.
🚀 Remote anchorage. Strategic implant distribution. Immediate functional rehabilitation.

08/07/2026

Zygoma implants for a 39 yr old male patient....lost his teeth to gum disease and i am feeling bad that these days many young fellows are loosing their teeth and also the confidence in life.Periodontitis is now becoming a public health emergency.

🌟QUAD ZYGOMATIC IMPLANTS | 6-MONTH FOLLOW-UP ✅⭐️This challenging Quad Zygoma rehabilitation was performed by me in Mumba...
30/06/2026

🌟QUAD ZYGOMATIC IMPLANTS | 6-MONTH FOLLOW-UP ✅

⭐️This challenging Quad Zygoma rehabilitation was performed by me in Mumbai as a consultant in January 2026 and i thank Dr Piyush Upadhayay & Dr Shraddha Ekkaldevi for the opportunity & the lower jaw and all the prosthetic steps were done by Dr piyush & Dr shraddha beautifully.
⭐️The patient had a severely resorbed maxilla with a knife-edge ridge and D4 bone quality. She had previously been advised against conventional implant treatment elsewhere because of the poor available bone and was given an ill-Fitting denture.

🌟Post-operative CBCT was performed at an independent scan centre owned by the Oral Medicine and Maxillofacial Radiology specialist who subsequently evaluated the scan. He prepared an elaborate radiology report extending to nearly 20 pages, assessing the implant trajectories, zygomatic engagement, sinus relationship, and surrounding anatomical structures (slices of which is posted here)
🌟i actually fed this PDF to chat gpt and it gave me a surgeon score of 9/10 overall (by analysing what the radiologist wrote as a summary and also looking at all the slices posted by those Docs in the report itself...
🦷A quad zygomatic implant approach was planned to obtain remote anchorage and establish a stable full-arch foundation.
🔹 In the first quadrant, zygomatic implants were positioned in the canine and first-molar regions.
🔹 In the second quadrant, zygomatic implants were positioned in the first-premolar and molar regions.
🔹 The strategic distribution helped achieve favourable anterior–posterior spread and cross-arch stability for rehabilitation.

🌟Now at the 6-month follow-up, the patient is doing well clinically, and all four zygomatic implants remain stable and healthy and the patient is extremely happy to get rid of her denture.she is chewing all the food she likes to.
🌟Feel the perfection of Quad zygomas in the individual pages of the radiologist report or message me for full PDF report or i will try to post the pdf in comments .

🦷 ALL-ON-X IMMEDIATE LOADING | HYDERABAD SOFTWARE ENGINEER👨‍💻 This full-arch immediate-loading rehabilitation was done f...
24/06/2026

🦷 ALL-ON-X IMMEDIATE LOADING | HYDERABAD SOFTWARE ENGINEER

👨‍💻 This full-arch immediate-loading rehabilitation was done for a software engineer from Hyderabad, referred by my best friend, roommate, and PSIMS Lion, Dr. Mukkapati Koteswara Rao, M.S. (General Surgery).

🏗️ The maxilla had deficient bone, so the implant plan included nasal-floor engagement and bilateral pterygoid anchorage & a Nasopalatine implant to obtain a stable remote-anchorage foundation for immediate loading.
✨ The final restoration was a screw-retained zirconia monolithic prosthesis over a custom I-bar framework on multi-unit abutments.

🎯 What made this case particularly special was the level of customization involved. The patient was very particular about the tooth form, smile, phonetics, and overall appearance. Multiple trial corrections were carried out until he was completely satisfied.

🖥️ He literally sat beside me with the 3D-printed screw-retained trial prosthesis in his mouth, dictating the changes he wanted, while the design was modified in real time.

⚙️ Every stage of the digital and prosthetic workflow was performed in-house:

🌟 Anatomic wax-up in Exocad
🌟 I-bar framework extraction from the wax-up using Blender for Dental (B4D)
🌟 CAM designing in MillBox
🌟Milling with Roland DGSHAPE
🌟Zirconia colouring, sintering, and post-sintering finishing done personally by me
🌟 Final glaze and gingival ceramic layering completed by our in-house technician

The implants used were AB Dental implants, with Osstem implants in the lower anterior region. The pterygoid implants were Quickdent.

👨‍⚕️ From implant placement and biomechanics to digital smile design, CAD/CAM design, milling, sintering, and final finishing, every critical step was closely controlled without compromise.

🚀 Customization at its peak. Immediate function with remote anchorage. Precision at every stage.

🌟PATZI Protocol in a maxilla with highly pneumatized sinuses.🌟I even forgot to say him that his upper jaw has less bone ...
11/06/2026

🌟PATZI Protocol in a maxilla with highly pneumatized sinuses.
🌟I even forgot to say him that his upper jaw has less bone and so we are going for zygomatic implants...I just explained the process and they proceeded.
🌟A 64-year-old male patient reported with multiple root stumps and In the same surgical appointment, all root stumps were removed and immediate implants were placed using the PATZI Protocol — combining:
⭐ Pterygoid implants
⭐ Zygomatic implants
⭐ Nasalis implants
🦷Free hand surgery...See the perfection of engagements in the CT video.
🦷Within just 10 days, the patient received permanent screw-retained DMLS teeth and any shrinkage will be addressed after 3 months.
🦷For this case, suture removal itself became the loading appointment — a beautiful example of immediate implantology, remote anchorage, and in-house digital prosthetic precision working together.

Eid Mubarak! May this blessed month bring you peace, compassion, and good health. Let us reflect with gratitude, spread ...
20/03/2026

Eid Mubarak! May this blessed month bring you peace, compassion, and good health. Let us reflect with gratitude, spread kindness, and embrace the spirit of peace and well-being. Wishing you a joyous and blessed Eid!

Celebrate new beginnings this Ugadi! As the festive spirit unfolds, may your life be filled with prosperity, success, an...
19/03/2026

Celebrate new beginnings this Ugadi! As the festive spirit unfolds, may your life be filled with prosperity, success, and the promise of a brighter, healthier future for all.

When Failure Happens Twice… We Don’t Give Up.This patient came to us from Nalgonda District, Telangana after facing two ...
02/03/2026

When Failure Happens Twice… We Don’t Give Up.
This patient came to us from Nalgonda District, Telangana after facing two major implant failures done elsewhere.
▪️ First: Conventional implants – failed after 3 years.
▪️ Second: Full mouth BASAL implants – failed within just 6 months.
After removal of all implants, he was advised a removable prosthesis… something he simply couldn’t accept.
As a last resort, he reached us.
Given the severe maxillary compromise, I suggested Zygomatic implant rehabilitation — the ideal solution in such cases of advanced atrophy. However, due to fear of zygoma implants, he declined.
With utmost surgical planning and careful utilization of the available maxillary bone and pterygoid engagement, we proceeded with an All-on-6 rehabilitation achieving solid bicortical engagement for enhanced primary stability.
✅ Today marks his 4-month follow-up, and I’m happy to share that all implants are stable and doing well.
Though I still believe zygomatic implants would have been biomechanically ideal in this case, respecting patient comfort and psychology is equally important in treatment planning.

cases of the day....both r posted LIVE on my FB in which i told the reason for Basal in the 1st case.
06/01/2026

cases of the day....both r posted LIVE on my FB in which i told the reason for Basal in the 1st case.

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Your Dentist Dental Clinic, 74-23-20, Venkatappiah Street, Ashok Nagar
Vijayawada
520007

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Monday 9am - 9pm
Tuesday 9am - 9pm
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9293398888

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