Evidence map›Paper›PMID 41020024›Full record

ArticleCureus2025

An Innovative Technique to Immediately Load a Severely Atrophic Maxilla Without Zygomatic Dental Implants Using the 3B-TB Protocol.

Murugavel Chandrasekaran, Vivek Pandian Chellapandi, Deenadayalan Narasimman, Deepak Abraham Pandyan, Balamurugan Rajendran

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Murugavel ChandrasekaranDentistry, Oral Surgery, Oral Implantology, Full Arch Institute, Chennai, IND.
Vivek Pandian ChellapandiDentistry, Oral Surgery, Oral Implantology, Dr. Vivek's Msrams Dentistry Private Limited, Chennai, IND.
Deenadayalan NarasimmanDentistry, Oral Surgery, Oral Implantology, Clinical Director, Best Dental Clinic, Chennai, IND.
Deepak Abraham PandyanOral and Maxillofacial Surgery, Madha Dental College and Hospital, Chennai, IND.
Balamurugan RajendranDentistry, Oral Surgery, Oral Implantology, RYA Cosmo Foundation Hospital, Chennai, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Zygomatic dental implants are a standard treatment option in the management of severe atrophic maxilla with a good survival rate. However, zygomatic implants have potential complications, drawbacks, limitations, and risks of failure. The 3B-TB protocol is an innovative technique to immediately load a severely atrophic maxilla without placing zygomatic implants. The aim of this technical note is to avoid zygomatic implants and their associated complications, and elaborates on the management of severely atrophic maxillae using the 3B-TB protocol of implant placement and prosthetic restoration. The 3B-TB protocol was critically planned by implementing a combination of key mechanical and surgical principles for full mouth rehabilitation. Rehabilitation of severely atrophic maxilla by this protocol does not require an implant support in Bedrossian zone 3, 2 (molar and premolar region). Long bending moments and excess micro-movements at the bone implant interface are reduced, which ultimately facilitates immediate loading, safe osseointegration, and long-term stability. Surgical techniques, combined with uniquely designed single-piece compressive multi-unit implants, support engagement even in unfavorable pterygomaxillary areas, with 2-4mm of bone width, and 2-8mm of bone height. The 3B-TB protocol is a successful and promising alternative treatment choice to other available treatment modalities like zygomatic implants and bone grafts in the management of severe atrophied maxilla with minimal to no complications.

Indexed as

3b-tb protocolatrophic maxillacompressive multiunit implantsno zygoma approachpalatal roll over flap method

Identifiers

PMID41020024
PMCPMC12462165

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.