mini dental implant lab – Implants By Paresh

My next patient was going to be a traditional implant case. The treatment plan he wanted was to replace all his upper missing teeth with regular implants. This would require a sinus lift on both sides where the lost teeth had allowed the sinus to drop down with no bone left under the gum tissue.

I did the sinus lift on the patients right side first. When I went over to the left side there was a thin section of tooth root left. Upon removal of that root there was enough damage to the sinus membrane that I elected to let the sinus heal and would come back at a later date to finish.

Flap for Sinus Lift and

Pizzotome to cut lateral window

Bone packed into Sinus Cavity

Sutures being placed

Although he healed just fine….the patient elected not to do the sinus lift on the other side and asked if I could change his treatment plan to accommodate a full fixed roundhouse bridge on mini dental implants. Of course I could…there was good bone where we did the sinus lift and I would not have to expand the bone in the anterior maxilla(front upper jaw). This is what I believe in…minimal surgery, minimal augmentation of the bone, place what will fit and enough of them to equal the surface area of a regular size implant.

I had the dental lab produce a wax up model of what I wanted the patient to 'test drive' in his mouth. A 12 tooth bridge. I would make this out of chairside arcylic much like a temporary crown that you wear while the dental lab is making the final porcelain crown.

Based off the 3D Cone BeamiCAT scan I decided to place some OCO Biomedical 3.0mm mini dental implants to support the back teeth and OCO Biomedical 2.5mm mini dental implants to support the front teeth.

OCO Biomedical mini dental implants in place to support a full fixed roundhouse porcelain fused to metal bridge. This will be like any other bridge that the patient does not remove and will brush and floss like his own teeth.

3D CT slice showing how thin the bone is in the front upper jaw. As thin as the bone is we were able to place the OCO 2.5mm mini dental implant fully supported in the bone.

3D CT slice in the area where I did the sinus lift. You can see the new bone that has filled in from the middle of the implant to the tip. The OCO 3.0mm mini dental implant is centered in the ridge for proper crown placement.

A standard full arch impression was taken. The lab will insert the OCO mini dental implant analogs and will make the full roundhouse bridge supported by our mini dental implants.

My patient immediately after the placement of the OCO Biomedical 2.5mm and 3.0 mini dental implants. He left the office with a totally mini implant supported temporary bridge that was made off the diagnostic wax up. It was made chairside with Luxatemp temporary material.

Final pan x-ray of the 11 OCO mini dental implants in place with the resin temporary bridge over the top. When I get the final bridge new clinical photographs will continue the post.

This is actually a case that was done last year. My patient came in for his 6 month cleaning about 6 months late…. Not what I like for patients to do. But he was certainly not the ideal patient and I explained that to him prior to committing my time, energy and mini implants to the case. He is a heavy smoker (around 2 packs a day). A big NO NO for traditional implants or any kind of implants in general. But I told him if I could get the mini's in without having to flap his gum away from the bone the implants would have a better chance of healing. He had seen another dentist about traditional or conventional implants but could not move forward with treatment due to the cost. A familiar story. I told him we could offer another choice…the mini implant choice. Not the same solution but a different solution that might work for him. He had a upper partial to replace his missing 6 front teeth. He had an accident over 10 years ago and had been wearing a cast metal partial that he did not like. His big complaint was the metal hooks and just the bulk of it. He did not really have a complaint on the way his front teeth looked on the partial plate.

View of upper partial denture in place. I cut the metal hooks off so he could see what things could look like once we had the final bridge over his mini dental implants.

6 Mini Dental Implants in place in the upper jaw…day of placement. Note the lack of bleeding. No flap had to be made to insert the mini implants into the gum and bone on the upper.

Upper Partial Denture modified to fit over the 6 mini dental implants that were placed in the upper jaw. This way he would be able to wear the upper partial while the dental lab made his crowns/bridge.

6 crowns with pink porcelain to simulate gum tissue on the stone model from First Impressions Dental Lab

Retracted cheek view of his 6 crowns on six mini dental implants…1 year post placement. Notice all the smoking stain on his lower natural teeth.

Close up view of Crowns

Bite view of the 6 crowns on mini dental implants.

Overall I am happy. I know he is happy. I think his comment was, 'Doc now that I got my show teeth do I really need to get the rest of them fixed?' How do you answer that question as a Dentist?

Now if I could just get him to quit smoking, come in when he is required to for his cleanings and move forward with fixing the rest of his teeth….. But as they say, Rome was not built in a day so we move forward one MINI step at a time.

Paresh Patel DDS mini dental implants

General Dentist Mooresville NC

Posts

Mini Dental Implant Roundhouse ~ Full Arch Crown and Bridge for Fixed Teeth

Mini Dental Implants to Replace an Upper Partial Denture Plate

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