Blog – Page 7 – Implants By Paresh

OCO TSI Dental Implant & ISI One Piece Dental Implant

December 17, 2010/in Blog /by Paresh Patel

If you have a missing tooth or several teeth, dental implants are an option you should consider. A dental implant (mini or traditional) acts as the root of a tooth and allows the attachment of a fixed crown to chew and smile with.

Pan x-ray with missing premolar teeth in the upper and lower jaws

The missing premolar teeth upper jaw

Missing premolar tooth lower jaw

The placement of the OCO Biomedical one piece ISI implants is very straight forward. No flap and minimal steps to insert; very similar to placing a mini dental implant. With little surgery very little healing time is required. Less discomfort is experienced by the patient with this kind of protocol.

A small pilot bit is used to make a small hole in the gum and bone. I do like in the OCO placement kit the various drill stops. These are slipped over the pilot bit and will not allow the dentist to drill any further down that the stop. The 10mm drill stop is show here on the x-ray.

10mm drill stop on the OCO Biomedical pilot bit. A great idea that I am glad to see made it into the placement kit.

One more item I like in the OCO Biomedical ISI placement kit is the tissue punch. The rounded end fits precisely into the pilot hole and a perfect plug of tissue is removed the exact size of the dental implant.

Tissue removed for the placement of an OCO ISI 4.0mm dental implant.

Look at how nice of a tissue punch is created.

The only other step is to use the final sizing bit and the OCO ISI dental implant is inserted into the gum and bone. Since the dental implant is a one piece design there is no abutment to screw into place. A impression cap is placed over the OCO ISI implant and off to First Impressions Dental Lab it goes for a porcelain crown.

The upper jaw was a bit more challenging in this case. The bone that had filled in was not very dense and was soft in density.

X-ray of the missing upper premolar teeth.

I decided to place a two piece OCO Biomedical TSI implant. With this I could place the dental implants and let them heal in the bone without my patient putting undue stress and strain on them. The thing I like about the OCO TSI is that it has the same thread geometry and immediate stabilization design as the one piece OCI ISI dental implants. I believe that most cases can be solved with the OCO ISI dental implant….however in those cases where primary stability can not be achieved then the two piece OCO TSI is a great tool to have in the office.

OCO TSI dental implant. Same design….just in two pieces.

Placement is the exact same protocol. All the step are followed and a cover screw that is included is placed over the OCO TSI dental implant.

Clincial photo showing the OCO Biomedical TSI Two-Piece Implants. One has the cover screw. The other shows the gold Ti-Ni coating. This gives the gum tissue a warm glow instead of a grey halo by masking the Ti surface of the dental implant.

The collar is machine finished and is 2mm tall. If a smaller collar is needed the OCO ERI (Esthetic Region Implant) offers a 1mm collar that is also Ti-Ni coated gold in color.

For Dental Implant Educationthe next OCO Biomedical course seminar will be in Orlando on Jan 8, 2011. 7 hours of Dental CE in implant dentistry is given.

I continue the post with the final crowns.

Paresh B Patel General & Implant Dentist Mooresville NC

Mini Dental Implants Charlotte Hickory Lenoir NC

OCO Mini Dental Implants An Easy Procedure to Replace Missing Teeth

December 16, 2010/in Blog, Uncategorized /by Paresh Patel

Mini Dental Implants have become a popular choice for patients who are missing teeth to replace them with fixed crowns. This cost effective procedure allows many patients to move forward with dental implant therapy that otherwise would not. These crowns are just like a crown that would fit over a natural tooth. The mini dental implant acts as a new root for the crown to attach to.

Thin ridge of bone on the lower jaw where the canine and premolar teeth have been missing for several years. Without teeth, the ridge of bone will resorb away in height and width. A mini dental implant will keep that bone from deteriorating and will serve as an anchor for a crown or bridge.

Pan x-ray showing the missing teeth on the upper and lower jaws. My patient was very nervous about the procedure and wanted to start with two dental implants on her lower jaw.

In 30 minutes we had two OCO 3.0mm mini dental implants in place ready to take a impression for First Impressions Dental Labto make two PFM crowns.

The placement procedure is very simple. No flap of gum tissue is made. No real surgery to do. No fracturing and expanding the bone. The design and engineering of the OCO Biomedical implants is consistent from the small size of 3.0mm all the way up to 6.0mm in diameter.

They are dual stabilized and in good bone can be used immediately. The tip of the OCO Biomedical Dental Implants have a bull nose design. This pulls the bone up and places in under tension not compression. This important fact promotes bone growth and healing. Compression (small hole and forcing a larger dental implant into it) creates an environment of bone resorption before healing and stabilization.

X-ray with the two OCO Biomedical Mini Dental Implants in the lower jaw to act as 'roots' for two PFM crowns. They will replace the missing premolar and canine teeth.

PFM crowns in place over the mini dental implants. The adjustments on porcelain will be polished out and re-glazed in the porcelain oven. I will post a final picture at that time.

X-ray of the crowns on the OCO Biomedical mini dental implants.

Paresh B Patel Dentist Mooresville NC

Mini Dental Implants

Dental Implants Charlotte Hickory Asheville Lenoir Wilkesboro Boone NC

OCO ISI Dental Implant to Replace a Missing Upper Molar Tooth

December 10, 2010/in Blog, Uncategorized /by Paresh Patel

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.

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

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

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.

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.

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.

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 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.

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

Mini Dental Implants ~ The Permanent Solution for replacing a Missing Tooth with a Crown

December 9, 2010/in Blog, Uncategorized /by Paresh Patel

A mini dental implant is titanium root that is placed into your jaw to secure a porcelain crown or bridge. Mini Dental implants are the perfect option for anyone who has lost their tooth or teeth due to periodontal disease, a traumatic iinjury, or a failed root canal. Mini dental implants do less trauma than traditional bridgework, since implants do not require Dentists of grind down the adjacent teeth. Mini Dental Implants can create a natural looking result. If you are teeth and would like to smile, speak and eat again with comfort and confidence, then consider Mini Dental Implants. Long-term studies show great success rates for mini dental implants.

My next patient was missing one of her upper teeth. Made her feel very self conscious when she smiled or was out in public.

Missing Premolar tooth and decayed premolar tooth behind it.

X-ray of the area of the missing premolar tooth. A great spot for a OCO mini dental implant to replace the missing tooth with a fixed porcelain crown.

Pilot bit in place to check to see if the mini dental implant would line up in between the adjacent teeth.

The one piece OCO Biomedical Mini Dental Implant in place ready for a regular impression for First Impressions Dental Lab to make the Porcelain Crown.

Final pan x-ray of the OCO Mini Dental Implant that will be used as the root to anchor a crown.

Temporary Crown made chairside to fit over the OCO Mini Dental Implant.

Final PA x-ray showing the OCO immediately stabilized implant.

Paresh B Patel DDS Dentist Mooresville NC

Dental Implants Charlotte NC

Snap in Denture with OCO Biomedical Mini Dental Implants

December 9, 2010/in Blog, Uncategorized /by Paresh Patel

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.

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.

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.

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

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.

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.

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?

December 9, 2010/in Blog, Uncategorized /by Paresh Patel

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. 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.

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

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.

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.

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

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.

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 ~ Dental Implant Procedure Upper Tooth

December 6, 2010/in Blog, Uncategorized /by Paresh Patel

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 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.

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.

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

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.

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.

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 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 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.

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

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 ~ OCO Dental Implant Procedure for Immediate Load Upper Tooth

December 6, 2010/in Blog, Uncategorized /by Paresh Patel

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 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.

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.

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.