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Mini Dental Implant vs Regular Implant ~ Whats the difference?

I get asked this question a lot from both Doctors and Patients.  I think a better way to look at this is to compare one or two piece dental implants. 

Mini dental implants are one piece in design…the part that comes up into the gum is connected to the screw part that goes into the bone.  One piece means for the patient less expense.  But there are one piece dental implants in regular implant sizes.  OCO Biomedical has a one piece, 3.25mm + 4.0mm + 5.0mm.  Once again the same theme….one piece less expense for the patient.

Isi_fixed[1]

 

OCO Biomedical ISI one piece dental implant.  Same concept as a mini dental implant with no extra piece to purchase as the abutment (part that come up out of the gum) is fixed to the body of the regular size dental implant.

 

 

 

 

 

 

So when would you use a one piece regular size implant?  I think when you have enough stability in the bone that would allow immediate loading.  Most of the time that will be in the lower jaw; but in this example we were able to do this to replace an upper missing molar.

Before oco 4.0 ISI

My patient had a missing upper left molar.

Our plan was to replace it with a regular size implant (we could have done it with two mini dental implants, but he preferred to have a traditional size solution).

 

 

 

 

 

 

 

 

 

 

Pilot bit

He had been missing that tooth for well over 7 years.  This had allow his sinus cavity to 'drop down' thus reducing the height of bone we had to place a dental implant.  Our plan was to do a 'sinus tent' and gain a bit of height by adding some bone through the small hole that was made in his gum.  Easy to do and very predictable.

 

 

 

OCO ISI

 

OCO Biomedical ISI one piece 4.0mm implant was selected.  The bone was very dense and I was fairly certain I would get over 35ncm of torque to stabilize the implant.  If I did not then a two piece 4.0mm implant could have been placed and left to heal into the bone for the next 12 weeks.

 

 

 

 

 

 

 

OCO fully seated ISI 2Regular size implant in place to replace the missing upper crown.  The placement procedure is the same as when I place a mini dental implant.  Notice the lack of blood or gum that had to be cut.  A temporary crown was made and the patient will come back to have the final crown cemented.  In this case the patient needed additional time to collect the funds for his crown. So he would not return for around 8 weeks for his impression.

 

OCO ISI final sinus tent

  

 

 

 

 

 

 

IMG_8194

 

 

The lab fabricated a Zirconia Crown to fit the OCO ISI 4.0mm dental implant.

 

 

 

 

 

 

 

 

IMG_2120

 

Internal view of the Zirconia crown.

 

 

 

 

 

 

 

 

 

 

IMG_2124

 

Zirconia crown in place over the OCO Biomedical ISI 4.0mm dental implant.

 

 

 

 

 

 

 

 

Final Thoughts:  In a well designed implant system placing a larger size implant is just as easy as placing a mini dental implant.  With the OCO system the only thing you change is the final drill bit.  There are no other drill sizes to work your way through. 

What I like even better is the ability to now have either a one piece or two piece implant that offers the same prosthetic abutment.  If you do place a two piece OCO and put in a solid abutment you have now created a one piece OCO ISI implant. 

The other thing I like about these implants is that you cement the crown to the implant body, not the abutment, so the 'micro gap' in internal to the implant crowns.

Paresh B Patel DDS

Dental Implants Charlotte NC

Dental Implants Hickory Lenoir Asheville NC

 

Mini Dental Implant vs Regular Implant ~ Whats the difference?

I get asked this question a lot from both Doctors and Patients.  I think a better way to look at this is to compare one or two piece dental implants.

Mini dental implants are one piece in design…the part that comes up into the gum is connected to the screw part that goes into the bone.  One piece means for the patient less expense.  But there are one piece dental implants in regular implant sizes.  OCO Biomedical has a one piece, 3.25mm + 4.0mm + 5.0mm.  Once again the same theme….one piece less expense for the patient.

Isi_fixed[1]

OCO Biomedical ISI one piece dental implant.  Same concept as a mini dental implant with no extra piece to purchase as the abutment (part that come up out of the gum) is fixed to the body of the regular size dental implant.

So when would you use a one piece regular size implant?  I think when you have enough stability in the bone that would allow immediate loading.  Most of the time that will be in the lower jaw; but in this example we were able to do this to replace an upper missing molar.

Before oco 4.0 ISI

My patient had a missing upper left molar.

Our plan was to replace it with a regular size implant (we could have done it with two mini dental implants, but he preferred to have a traditional size solution).

Pilot bit

He had been missing that tooth for well over 7 years.  This had allow his sinus cavity to ‘drop down’ thus reducing the height of bone we had to place a dental implant.  Our plan was to do a ‘sinus tent’ and gain a bit of height by adding some bone through the small hole that was made in his gum.  Easy to do and very predictable.

OCO ISI

OCO Biomedical ISI one piece 4.0mm implant was selected.  The bone was very dense and I was fairly certain I would get over 35ncm of torque to stabilize the implant.  If I did not then a two piece 4.0mm implant could have been placed and left to heal into the bone for the next 12 weeks.

OCO fully seated ISI 2Regular size implant in place to replace the missing upper crown.  The placement procedure is the same as when I place a mini dental implant.  Notice the lack of blood or gum that had to be cut.  A temporary crown was made and the patient will come back to have the final crown cemented.  In this case the patient needed additional time to collect the funds for his crown. So he would not return for around 8 weeks for his impression.

OCO ISI final sinus tent

IMG_8194

The lab fabricated a Zirconia Crown to fit the OCO ISI 4.0mm dental implant.

IMG_2120

Internal view of the Zirconia crown.

IMG_2124

Zirconia crown in place over the OCO Biomedical ISI 4.0mm dental implant.

Final Thoughts:  In a well designed implant system placing a larger size implant is just as easy as placing a mini dental implant.  With the OCO system the only thing you change is the final drill bit.  There are no other drill sizes to work your way through.

What I like even better is the ability to now have either a one piece or two piece implant that offers the same prosthetic abutment.  If you do place a two piece OCO and put in a solid abutment you have now created a one piece OCO ISI implant.

The other thing I like about these implants is that you cement the crown to the implant body, not the abutment, so the ‘micro gap’ in internal to the implant crowns.

Paresh B Patel DDS

Dental Implants Charlotte NC

Dental Implants Hickory Lenoir Asheville NC

Academy of Mini Dental Implants First Journal

Many thanks to Dr. Bob Caseldine for getting the first edition of the Journal of the Academy of Mini Dental Implants published. For him it has been a labor of love and it shows.  Great Job!  With this new addition to the Academy I hope it encourages more Dentists to see the value that the mini dental implant has to offer for our patients who all too often suffer from ill fitting dentures and missing teeth.  Without these mini implants I just do not see how we can help so many patients who think there is no other option except to stay at home and suffer. 

Journal of Academy of MDI - First Edition_Page_01
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Mini Dental Implants

Dentist Mooresville NC