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OCO ISI Dental Implant to Replace a Missing Upper Molar Tooth

My patient came to see me because she was tired of her gum hurting when she would eat where she was missing her upper molar.Occlusal Pre OCO 5.0

Food would poke her in the gum and she was just unhappy.

 

 

 

 

 

Buccal Pre OCO 5.0

She also did not like when she smiled everyone seeing the empty space.

 

 

 

 

Pre PA

 

I had extracted the molar tooth about 5 months ago due to a failed Root Canal.  We packed the extraction socket with a bone grafting material so her own bone would fill in where the tooth roots used to be. As you can see on the x-ray it filled in very nicely.

 

 

 

OCO ISI 5.0 x 12mm

 

I explained to my patient her choices in implants…either two mini implants to support the molar size crown or one regular size implant.  It would cost a bit more to do the traditional implant but that is what she decided on after our treatment planning and consultation.  I measured the space and a OCO ISI One Piece Regular size implant would work just fine here.

 

 

With the OCO ISI dental implant system only 2 burs are necessary to place the implant.  Here we see the pilot bit with a drill stop to keep it from going any farther in the bone than we want.  Its right in line and we proceed to the next step.Slide9

 

 

 

OCO 5.0 parallel pin

 

The next size bit is used and a implant replica is placed to verify fit and angle.  All looks good so we gently rotate the OCO ISI one piece dental implant into the gum and bone.

 

 

 

 

Final OCO ISI 5.0

 

Clinical view of the OCO ISI 5.0mm implant in place ready for a traditional impression like you would have for a crown on a tooth.  Notice the lack of blood, stitches or any real trauma to the area.  With the OCO implant protocol it is very similar to the placement of a mini dental implant.  No flap of gum tissue is made.  It is one piece in design, so no extra parts and pieces for the dentist to buy. 

Final PA

 

Final x-ray of the OCO ISI 5.0 x 12mm dental implant in place. 

In the end a missing upper molar tooth can be replaced quite easily for both the dentist and patient with either:

A regular implant that is one piece in design or

A 2 mini dental implants to support the larger size crown.

Slide10

 

The impression is off to First Impressions Dental Lab for them to make a Upper Molar Crown.

 

Paresh B Patel Dentist Mooresville NC

Mini Dental Implants

Dental Implants Charlotte NC

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

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

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