Missing Teeth Replaced with Mini Dental Implants & Porcelain Crowns ~ A technique from the Advanced CE Seminar
This is part II of the post Mini Dental Implants to replace a missing front upper tooth. See recent posts for the history of the case.
Its been 4 weeks or so and the all Porcelain crowns are back from First Impressions Dental Lab to fit over the ACE Secure Mini Dental Implants.
Mini Dental Implant Crowns
A scan was taken of the mini dental implants with a iTERO digital optical scanner and Jon Younce at the lab was able to plan the case in a all digital format to make Zirconium all porcelain crowns.
All Porcelain Ridge Lap Mini Dental Implant Crowns.
These crowns could be made over any mini dental implant (Intra Lock, IMTEC, OCO Biomedical mini, Hiossen etc…)
I have often been told that it is not possible to make good looking anterior(front) tooth crowns on top of mini dental implants because of the ridge lap design. Or without creating a emergence profile below the gum its not possible.
I think the real issue is the patients gum thickness. If the gum is too thin you see the gray halo of the implant as it comes out of the gum. Even if you have a traditional implant with a two piece design and a custom fabricated ceramic abutment if the gum is too thin its hard to have room for the crown.
So I like to have patients know before we place the mini dental implants if they have thin tissue type and what can be done to make the gum thicker if aesthetics is a primary concern.
As with anything in dentistry….almost everything is possible…..its just how much time, money and effort the patient and doctor are willing to invest.
Paresh B Patel DDS Dentist Mooresville NC