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Mini Dental Implants to Replace Missing Teeth – Easy Quick & Cost Effective

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 My next patient was a young 27 year old.  She had such a lovely personality; but she would not smile.  How sad. Her story was typical….lost her teeth at a young age due and now wanted to do something just for her.

Photos of her missing teeth right and left sides.

 

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On my first glance it looked like she had lots of bone to place implants.  But on further investigation by doing some ridge mapping (the process where the dentist numbs the gum tissue and feels with a perio probe to see what is gum tissue and what is bone) it was determined that lots of bone had been lost over the years. 

Bone grafting or bone splitting was presented as an option but not accepted. 

The next alternative was to consider using mini dental implants to support a set of splinted or connected crowns.  

Mini implants thin ridge

Two mini implants were placed to act as roots for crowns.  The crowns will be connected together to splint the mini implants together.  On the right and left sides they will look like premolar teeth.  Over time additional mini dental implants will be added to replace the molars. 

 

 

 

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Final x-ray of the mini dental implants in place. 

 

 

 

 

 

 

CT slices

Cone Bean Scan x-ray to show how thin the bone is and the mini dental implants all in bone to the floor of the sinus cavity.  Without having mini implants this case would not have an alternative option for most patients to consider. 

I will finish the post once the premolar crowns come back from the dental lab and are cemented in place.

Paresh B Patel DDS

Dental Implants Charlotte NC

Mini Dental Implants

Mini Dental Implant Educational Seminar with Hands on Course

Mini Mark Mini Prep Implant ~ Small Diameter Implant for Small Crowns from Ace Surgical

What do you do when there is a small space between lower front teeth and you need a mini dental implant?  There are lots of choices out there, IMTEC MDI, Intra Lock, OCO Biomedical, HiOssen…all these companies make a nice mini dental implant. 

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In this case I decided to try the Ace Surgical miniMarkMini Prep Implant.  It is 2.3mm in diameter and comes in various lengths.  The tooth in the center of the photograph was not restorable and had 360 degrees of decay. 

 

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X ray of lower incisor that will be extracted and a Ace Surgical miniMark mini prep implant will be placed. 

 

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Following our standard protocol of extracting teeth with periotomes or Golden Misch forceps the tooth was removed with little trauma to the gum and bone.  You will notice in subsequent pictures the lack of blood or having to cut the gum to place the mini dental implant for the final crown.

 

 

 

 

 

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Mini Mark mini prep implant in its sterile container.

 

 

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To place the mini mark implant the step drill was used to make a initial entry point to the bone.  Due to the adjacent teeth a drill extender was used to 'get around' those teeth and into the bone.  The mini mark placement kit does not include this drill extender.  Make certain you have one on hand or consider a different implant placement kit. 

 

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mini Mark mini prep implant is now in the extraction site and fully seated using the contrangle implant motor and drill extender. 

 

 

I could not find on the distributors web page (Henry Schein Dental Supply) the restorative components for this mini implant system. 

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Most other mini dental implant manufacturers offer:

lab analogs

impression copings

temporary crown copings and/or comfort caps

This could be a limitation for easeof use for the miniMark mini prep system.

But we are not so easily frustrated and decided to come up with our own solution…not as easy as other mini dental implants but will work.

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I decided to take an ION crown form one size smaller than needed to fashion my 'own temporary coping.'

 

 

 

 

 

 

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The Dr. Patel miniMark temporary coping in place.  I cemented in over the miniMark mini prep with Temp Bond Clear and teased it on and off during the setting phase.  Notice how nice we were able to get the ION crown to fit around the gum and miniMark mini prep implant.  This could have also been done with Jet Arcylic as it will bond to the ION crown forms. The key is to create a coping that will form the gum tissue during the healing phase.

 

 

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A few dabs of bonding agent, some composite was placed over the ion crown and a temporary crown that could come on and off was fabricated. The patient will return in 12 weeks for a tissue and implant assessment. 

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Final X-ray of the miniMark mini prep implant in the extraction site for a lower incisor crown.  There needs to be at minimum 3mm past the apex of the root that was extracted to provide stability and enough bone to secure the dental implant. 

 

 

 

 

Final Thoughts

I think the mini Mark implant will work just fine.  What the General Dentist will need to assess is what kind of cases would he/she like to do?  If doing more than just a 2.3mm implant then one must consider a different implant system.  If doing a Locator style overdenture and a small implant here and there only then the ACE Surgical miniMark system will work. 

My challenge to General Dentists is why limit yourself to this? There are several mini dental implant systems that allow you to move forward in your implant choices, styles, features and sizes.   You can get the proper training and open up a world of possibilities to improve your patients lives and make dentistry exciting everyday. 

There are several good mini dental implant courses out there; find out which one is for you and get started.  As they say:  'The hardest part of getting started is…..getting started'

Paresh B Patel DDS

Mini Dental Implant Course

Mini Dental Implants

Dental Implants Charlotte NC

Mini Dental Implant Seminar – One Day Hands On Educational Course with 7 hours CE

 Coming Soon……  

A full day of education to learn the next small big thing in implant dentistry….the mini dental implant.

Easy to place

Easy to restore

Minimal surgery with Maximum return for Dr.'s and Patients

If you have never placed a dental implant then consider starting with a 2.2mm or 2.5mm mini dental implant from OCO Biomedical. 

If you are placing implants and want to sharpen your skill for fixed or removable applications then this course will teach you the logical progression to larger size implants.  Move from the 2.2 and 2.5 micro implants to a real 3.0 Mini Implant.  Then by just changing the final bit (no additional drills) you can move up to a 4.0 or 5.0 one piece or two piece implant. 

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Paresh B Patel Implant Dentistry Charlotte NC

Mini Dental Implants

Dental Implants Hickory Boone Wilkesboro Asheville NC 

One Day Hands On Courses