SIMPLIFIED PTERYGOID AND DOUBLE PTERYGOID PROTOCOLS: The tall tilted pin hole immediate loading (TTPHIL) concept has evolved from various ideologies in implantology: basal, pterygoid, zygomatic and angulated/tilted implants under principles of immediate loading. In the conventional implant techniques, the distribution of prosthetic loads to the bone–implant interface, poor bone density, and added restorations may pose an important risk factor for the long-term survival. To maximize the success of rehabilitation, the TTPHIL technique utilizes the use of long tilted bicortical implants with Pterygoids and double pterygoids. I prefer TISP Tooth Implant Supported when there are no other options. First preference Implant to Implant connection. When Option A is not there, Option B #TISP instead of #SINUSLIFTS. In the posterior maxilla, pterygoid implants are placed. Pterygoid implants were introduced by Tulasne which were intended to pass through maxillary tuberosity. Highlighting key features of TTPHIL-ALL TILT technique #Mucointegration—#Onetimeabutment concept #Singledrill under preparation Self-drilling active threaded implant for #bicorticalbasal bone engagement #Tallimplants to engage cortical plates depending on case to case 8mm to 25mm #Tiltedimplants (9–65°) to have more bone implant contact Rigid splinting with #screwretainedprosthetics solution for retrievability Platform switching abutment with no micromovement at implant abutment junction Flapless subcrestal placement (Pin hole procedure) Immediate prosthesis within 3 days to a week time (at Ttphil ALL TILT Technique) https://www.instagram.com/p/CAcy3jlJBFO/?igshid=1shvlo0ectap0