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Pterygoid or merely tilted? It cannot be determined from a panoramic radiograph alone

D. C. and N. P. discuss whether a tilted implant should be called pterygoid, referring to position, anchorage and the limitations of a panoramic radiograph. N. P. also explains personal reservations about immediately loading vertical implants in the posterior maxilla.

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We cant judge wether implant is pterygoid or not from opg , only operator know by getting high insertion torque , if you have ever used noris pterygoid implant you must know that you never get torque untill you hit pterygoid junction

Original text

We cant judge wether implant is pterygoid or not from opg , only operator know by getting high insertion torque , if you have ever used noris pterygoid implant you must know that you never get torque untill you hit pterygoid junction

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I think according to you this must be pterygoid

Original text

I think according to you this must be pterygoid

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Your second point enough bone for vertical implant placement I my experience maxillary posterior bone is not meant for immediate loading I can place vertical implants but to immediately load maxillary posterior vertical implant is risky for me

Original text

Your second point enough bone for vertical implant placement I my experience maxillary posterior bone is not meant for immediate loading I can place vertical implants but to immediately load maxillary posterior vertical implant is risky for me

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