One Piece Dental Implant ~ OCO Biomedical ISI Extraction & Immediate Placement

In keeping with our mission at my dental office we try to make implant dentistry affordable to those patients that have not been able to move forward with their treatment. 

I have been thrilled to find a one piece dental implant in a regular or traditional implant size.  The OCO Biomedical ISI dental implant offers me the option of using a larger implant that does not require additional parts.  The abutment(the part of the implant that comes up out of the gum) is made right along with the body of the dental implant(the part that is inserted into the bone). OCO ISI implant

This offers me the things I like about mini dental implants:

  • One piece design
  • No additional parts to buy
  • No microgap
  • Prepping of the abutment in the mouth is part of the insertion protocol
  • No surgical flap is recommended
  • Less trauma
  • Less healing for the patient
  • Increase in affordability for patients
  • Ease of placement….

My next patient was missing his upper eye tooth and the little tooth next to it was fractured and need to be extracted.Pre op buccal view

Of course there was a lot else going on but this is where we decided to start after getting his periodontal condition as stable as possible. 




Using some PDL-vators from Salvin Dental Supply I removed the tooth with minimal trauma.

Pdl to remove #7


Peritome to seperate the PDL fibers from the tooth that needed to be extracted. 





7 extracted socket


Extraction socket with the tooth removed.  Notice very little trauma to the soft gum tissue.




#8 marking bur  Tissue punch 4.0mm  Pilot bit 1.8mm w drill stop  R11

The same insertion protocol was used for the OCO One Piece Dental Implant as I would do for a mini dental implant.  Its called logical progression.  If you can place a mini dental implant; add one more bone former and you can put in a one piece regular implant.  I try to follow the philosophy of selecting a implant that will fit the bone NOT make the bone fit the implant with additional surgical procedures. 

Parallel pin in  Oco isi 4.0 yellow cap in Thumb driver clinical  Socket wrench

The same concept is applied to the Mini Dental Implant that will be placed into the extraction site.  It is is one piece dental implant like the OCO ISI 4.0 x 14mm that was placed to act the the root for the missing eye tooth. 

We are going to place a OCO i-mini 3.0 x 16mm to get at a minimum 3mm past the end of the root of the tooth that was extracted.  This is to ensure stability of our mini dental implant for the temporary crown.

3.0 yellow cap  3.0 thumb driver  R12

With both the traditional one piece dental implant and the mini dental implant in place we can make the temporary crowns to fit over them while they heal.  You can see on the xray that the mini dental implant has gone past the tip of the extraction socket.  The regular size OCO ISI one piece dental implant is firm with over 50ncm of torque. 

Temps 6 7 close up

Two temporary acrylic crowns are made and cemented over the OCO one piece dental implants.  Once the tissue heals in around the extraction site and fills in with bone the final impression will be made for First Impressions Dental Lab to make the Porcelain Crowns over the mini dental implant as well as the regular one piece implant. 



Paresh B Patel Dental Implants Hickory Lenoir Wilkesboro NC

Dental Implants Charlotte Mooresville NC