Snap in Denture with OCO Biomedical Mini Dental Implants

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No ridge of bone left on your lower jaw?  Suffering with a loose ill fitting denture?  Tired of gluing down your denture and then still having it move around when you eat or talk? 

Then you should ask for Mini Dental Implants to help create a snap in denture.  In one or two visits you can now go back to eating the things that you enjoy.  Have the security of loose dentures not falling out when you speak or sing. 

Our next patient example is very typical of what we do.

Before oco micro

 

Lower jaw where the teeth have been missing for years.  The jawbone has been worn away by the lack of teeth and the lower denture constantly rubbing over the gum tissue.  You can see the ulcer in the gum tissue where the denture rubs the tissue when the patient is trying to eat. 

 

 

IMG_1740

 

Example of a Mini Dental Implant.  There are several reputable manufacturers of mini dental implants such as OCO Biomedical, Intra Lock, IMTEC MDI, and HiOssen.  Any of these would be a good choice as all are FDA approved and have long term clinical success.

 

 

 

 

 

 

 

 

Existing denutre

 

 

Patients existing lower denture.  It is almost FLAT as there is hardly any ridge of bone for it to sit on.

 

 

 

Oco 2.2 micro denture

4 OCO mini dental implants in the lower jaw ready to hold and secure the denture with snaps.

These 4 mini dental implants were placed in about 30 minutes.  This case was a bit more difficult that most due to the extremely thin ridge of bone that was left.

 

 

Coe Soft Relline

 

Existing denture is relined with a soft material.  Normally I would fit the snaps into the denture the same day.  In this case we are making a new denture so I will let the soft reline material condition the tissue around the mini dental implants and will put the snaps in the new denture.

 

 

Doris OCO minis lowers

 

Final x-ray with the 4 OCO Biomedical mini dental implants that will secure in a snap in lower denture.

 

 

Paresh B Patel Dentist Mooresville NC

Mini Dental Implants

Mini Dental Implants What would we do without them? Go around without teeth?

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I guess I must be a pretty scary dude…                           . Dr patel

It seems like all the patients that need to come see the dentist wait until the very last minute to ask for help.  We really are not that bad here at Lake Norman Mini Dental Implant Center. 

My next patient had a Cone Beam 3D scan done in March of this year.  She had a failing root canal on one of her upper front teeth.  She must talk to some of my other patients because she had done the same thing as several others…..super-glued her post and crown in at least a dozen times.Images[5]  Should I just consider superglue to sell here at the office?

 

All kidding aside…I must say its pretty creative what patients will think up to solve their dental problems.  I know it takes a lot  of courage to come into the dental office.  Those patients who are deathly scared of us please know that we are here to help.  We will not judge.  We only offer solutions and a range of them to fit what your goals are. 

SuperGlueCrown
Clinical photo of the crown and post that the patient had super-glued back into place.  X-ray shows the failing post and crown. 

 

 

 

 

 

X00984 ICAT slice #7

 

On her 3D CBCT we can see the HUGE defect in the bone where the dental abscess is at the tip of the root canal tooth.

And this is from March…its now December…hopefully I could thread in a Intra Lock 2.0mm mini dental implant into the Palatal(roof of the mouth side) bone to hold a temporary crown.

 

 

I took the tooth out preserving as much of the bone as possible.  It was now time to try and get the Intra Lock Mini Dental Implant in.Defect w mini in place

 

 

 

 

 

 

 

The Intra Lock mini dental implant was rock stable (over 40ncm) and now we would pack the defect with some bone grafting material and a collagen membrane.  In a few months we should have good bone to work with.  My initial thoughts are that the mini is going to integrate(heal) into the bone.  If it does not we should have enough new bone to place a new mini implant.

IMG_1713

 

Bone grafting material in place, mini dental implant in place and gum tissue closed up and ready for a temporary crown.

 

 

 

 

 

 

 

 

IMG_1717

 

Temporary Crown made chairside over the mini dental implant.  This way the patient does not have to wear a flipper type of partial one tooth denture.

 

X00984_1

 

 

Final x-ray of the mini dental implant.  We will see how the bone fills in and what our next steps will be.  She will return after a few months to check the healing and treatment plan the final restoration. 

 

 

 

 

 

 

 

 

Broken Tooth ~ Extraction ~ OCO Dental Implant Procedure for Immediate Load Upper Tooth

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My patient who alternates between our office and the periodontist office came in today.  She had been told a few months ago by the periodontist that her upper canine tooth crown was failing and would come out soon. But as most patients and people are we hate to go see our dentist until…..it breaks

Broken Canine

 

Broken upper canine tooth.  She had super glued the post and Porcelain fused to Metal crown to the root for the weekend.  Not a great solution as you can see from the gum tissue.  But I thought it was quite creative.

 

 

PFM and post broken

 

 

 

 

 

 

X-ray of the broken tooth with the crown and post missing.

 

 

 

 

 

To get the rest of the root out without damaging the delicate plate of bone on the cheek side I had ordered some SalvinPDL-elevators.  These are thin bladed instruments used by the dentist to remove the broken root without damaging the bone.  Thanks Chris Totty for sending them out.  I had another brand but needed another set and I quite like these.  Plus Salvin Implant Supply is here in Charlotte NC.Salvin pd-Elevators

 

 

 

Salvin PDElevtors

 

Canine root being removed and as much bone being preserved as possible for an OCO Biomedical ISI 4.0mm dental implant placement.  With this kind of implant we can predictably load the implant without a surgical flap and have a 99.9% documented success rate.  Patients no longer have to suffer with the healing of a invasive gum flap and a time intensive two state surgery. 

 

 

 

Canine out

 

 

Now with the canine root out I could check the quality of bone and pick what dental implant would make the most sense to place.  We could let the area heal and place a few mini dental implants or consider a one piece OCO Biomedical Immediate Stabilized Implant. 

 

OCO 4.0 x 14mm

 

Having a stock of OCO Biomedical Implants that Matt Baron and Chris Sanchez had sent me I quickly found a OCO ISI 4.0 x 14mm that would work great in a situation like this.

 

 

 

 

 

 

 

 

 

Pilot bit

 

 

Following the simple OCO dental implant placement protocol I used the pilot bit to ensure the correct angle was being followed and took an xray to confirm.

 

 

 

 

 

 

 

 

OCO 4.0 ISI in

 

OCO Biomedical ISI 4.0 x 14mm dental implant in the extraction site.  Notice the gold color Titanium Nitride finish.  This will give a good warm color to the implant and final crown under the gum tissue.

 

 

Final OCO ISI 4.0 x 14 in

 

Final x-ray showing the OCO Biomedical ISI dental implant in place spaced correctly between the two adjacent teeth and capturing 3mm of bone past the end of the extracted root for immediate stability.  I used her existing PFM crown as her temporary by grinding out the old post from the inside of the crown and cementing it over the OCO dental implant with temporary cement.

 

 

 

 

 

 

PFM temp

 

I used her old PFM crown as a temporary and fit it right over the OCO ISI dental implant.

 

 

 

 

 

OCO ISI 4.0 x 14mm Pan

 

Final Pan x-ray with the OCO ISI dental implant and PFM temporary crown in place.  The patient will come back in 6 weeks for a tissue and healing check.  If all looks good an impression will be taken for First Impressions Dental Lab to make the all porcelain crown to fit over the dental implant.  I will post the final crown picture at that time.

I think this case could have been solved either with a mini dental implant capturing the palatal slope of bone or a traditional implant as shown.  I have done both and they both will work well with the proper training.  I am encouraged by the number of dentists who are now seeking to get dental implant education.  There are several great mini dental implant seminars and education as well as regular implant CE courses.  I encourage any dentist to get started and mini dental implants are a great way to move forward in helping our patients. 

Paresh B Patel Dentist Mooresville NC

Mini Dental Implants Charlotte NC

Broken Tooth ~ Extraction ~ Dental Implant Procedure Upper Tooth

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My patient who alternates between our office and the periodontist office came in today.  She had been told a few months ago by the periodontist that her upper canine tooth crown was failing and would come out soon. But as most patients and people are we hate to go see our dentist until…..it breaks

Broken Canine

 

Broken upper canine tooth.  She had super glued the post and Porcelain fused to Metal crown to the root for the weekend.  Not a great solution as you can see from the gum tissue.  But I thought it was quite creative.

 

 

PFM and post broken

 

 

 

 

 

 

X-ray of the broken tooth with the crown and post missing.

 

 

 

 

 

To get the rest of the root out without damaging the delicate plate of bone on the cheek side I had ordered some SalvinPDL-elevators.  These are thin bladed instruments used by the dentist to remove the broken root without damaging the bone.  Thanks Chris Totty for sending them out.  I had another brand but needed another set and I quite like these.  Plus Salvin Implant Supply is here in Charlotte NC.Salvin pd-Elevators

 

 

 

Salvin PDElevtors

 

Canine root being removed and as much bone being preserved as possible for an OCO Biomedical ISI 4.0mm dental implant placement.

 

 

 

Canine out

 

 

Now with the canine root out I could check the quality of bone and pick what dental implant would make the most sense to place.  We could let the area heal and place a few mini dental implants or consider a one piece OCO Biomedical Immediate Stabilized Implant. 

 

OCO 4.0 x 14mm

 

Having a stock of OCO Biomedical Implants that Matt Baron and Chris Sanchez had sent me I quickly found a OCO ISI 4.0 x 14mm that would work great in a situation like this.

 

 

 

 

 

 

 

 

 

Pilot bit

 

 

Following the simple OCO dental implant placement protocol I used the pilot bit to ensure the correct angle was being followed and took an xray to confirm.

 

 

 

 

 

 

 

 

OCO 4.0 ISI in

 

OCO Biomedical ISI 4.0 x 14mm dental implant in the extraction site.  Notice the gold color Titanium Nitride finish.  This will give a good warm color to the implant and final crown under the gum tissue.

 

 

Final OCO ISI 4.0 x 14 in

 

Final x-ray showing the OCO Biomedical ISI dental implant in place spaced correctly between the two adjacent teeth and capturing 3mm of bone past the end of the extracted root for immediate stability.  I used her existing PFM crown as her temporary by grinding out the old post from the inside of the crown and cementing it over the OCO dental implant with temporary cement.

 

 

 

 

 

 

PFM temp

 

I used her old PFM crown as a temporary and fit it right over the OCO ISI dental implant.

 

 

 

 

 

OCO ISI 4.0 x 14mm Pan

 

Final Pan x-ray with the OCO ISI dental implant and PFM temporary crown in place.  The patient will come back in 6 weeks for a tissue and healing check.  If all looks good an impression will be taken for First Impressions Dental Lab to make the all porcelain crown to fit over the dental implant.  I will post the final crown picture at that time.

I think this case could have been solved either with a mini dental implant capturing the palatal slope of bone or a traditional implant as shown.  I have done both and they both will work well with the proper training.  I am encouraged by the number of dentists who are now seeking to get dental implant education.  There are several great mini dental implant seminars and education as well as regular implant CE courses.  I encourage any dentist to get started and mini dental implants are a great way to move forward in helping our patients. 

Paresh B Patel Dentist Mooresville NC

Mini Dental Implants Charlotte NC

One Piece Solid Regular Implant or 2 Mini Dental Implants to Replace a Missing Upper Molar

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My next patient had an upper molar that he wanted to replace.Before oco 4.0 ISI

 

The upper molar had been extracted a few years ago.  The molar behind it had started to tip forward and he really missed it when chewing his favorite food….Prime Rib a J&W Cafeteria.

 

 

 

 

 

 

 

 

 

 

Before OCO ISI xray

 

On the x-ray of the area you can see how the molar behind was starting to tip forward.  You can also see the sinus cavity slowly coming down.  In a few more years I suspect there would be very little height of bone.  Then it would be very difficult to replace his missing molar with a mini dental implant or even a regular conventional implant.

 

 

 

 

 

 

 

One of my biggest objections to using a regular Regular Implant
implant is the two piece design.  Anything that is made of two pieces is never going to be as strong as something that is one solid piece.  Thus a 2.5mm mini dental implant is just as strong as a larger two piece 3.75mm implant. 

I was asked to try out a different kind of regular implant.  An OCO Biomedical solid one piece regular size implant.  To replace this missing molar I would have used 2 Intra Lock Mini Dental Implants from Shatkin FIRST. 

 OCO ISI

Since there was not 8mm of height available to place the regular implant I decided to do a sinus lift by tenting the membrane with some Foundation collagen material.  The concept is to carefully penetrate the bone and then widen it just enough to place some of the Foundation material in to push the sinus membrane up and then insert the implant.  Over time the body will fill bone in around the tip of the implant in the sinus cavity.

Pilot bit

Pilot bit in and ready to tent up sinus              Foundation

                                                     Foundation material

 

 

Parallel pin 2

 

OCO Biomedical 4.0mm parallel pin in place to check spacing for final implant placement.  Notice the lack of blood as the placement protocol is similar to that of placing a mini dental implant.  NO FLAP, one pilot bit.  There is one additional step…the final sizing bit. 

 

 

 

Xray OCO ISI half in

 

After the Foundation bone grafting material was packed into the socket the OCO Biomedical ISI 4.0mm implant was used to push to material up into the sinus under the sinus membrane.

 

 

 

 

OCO fully seated

OCO Biomedical ISI regular implant in place ready to replace the missing upper molar.  I will have the dental lab make a all porcelain crown to replace his missing molar.  Once again notice the lack of a surgical flap, lack of blood, bruising of the tissue, no stitches or suture.  Really very minimal surgery…very similar to the placement protocol of a mini dental implant.

 

 

In the end I think there is a place for either type of implant (regular or mini dental implant).  They both work and they both work well.  It really to me is what the dentist feels works best in his/her hands and what the patients desires are.  Cost certainly is an issue with the mini dental implant being more cost effective.  If I had to to this case over again I would have a hard time choosing the best option for my patient.  Its all on what you like to do and what you are good at.  My final thoughts are that there are so many patients that have missing teeth we should encourage dentists to get trained in placing implants…mini dental implant are a great way to start.

Paresh B Patel Dentist Mooresville NC

Mini Dental Implants

 

 

 

 

 

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

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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.

After sinus lift rt side

 

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.

 

 

SinusFlap

Pizzo  Flap for Sinus Lift and

                                                                Pizzotome to cut lateral window

Pack bone Done 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 IMG_8061 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. 

IMG_8060

 

    

                                     

 

 

 

 

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. 

Minis Micros Clinical

 

 

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. 

 

 

 

OCO 2.5 micro

 

 

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.

 

 

OCO 3.0 mini CT slice

 

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. 

 

 

 

Impression Minis micros

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.

 

 

Denture Chairside temp bridge

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.

 

 

 

 

OCO mini dental implants for bridge

 

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.

 

Denture -Minis and Temp Bridge