crown – Implants By Paresh

OCO Biomedical Mini Dental Implant for a Molar Crown ~ 1/2 the Cost & 1/2 the pain

November 11, 2010/in Blog /by Paresh Patel

1/2 the time, 1/2 the cost, 1/2 to no surgery needed and less pain? This is what my patient asked me. She said, 'Are you sure about this?'

She was reading from a poster in our office touting the benefits of mini dental implants. I told her in most cases YES. Well she told me….I don't really care about most cases I care about mine!

With that in mind we went to work. Yes I recognize the open margin on the molar behind the missing tooth. The patient is aware and will address that tooth as time and $$ allow.

X-ray of the missing lower tooth molar. I had extracted a failing root canal tooth about 4 months ago and packed the extraction socket with some Foundation bone preservation material. The area looked well healed and ready for some 'painless' mini dental implants.

I gave her 1/2 a carpule (shot) of dental anesthetic and placed 2 2.2 x 10mm OCO Biomedical Micro Implants. Less numbing than I give for a lower tooth filling.

OCO mini dental implant impression caps in place to take a traditional impression.

Final X-ray of OCO mini dental implants

Lab model from First Impressions Dental Lab showing the mini dental implants and the soft tissue silicone.

PFM Mini Dental Implant Crown to fit over the OCO mini implant

Although this case shows the use of a OCO Biomedical mini dental implant; it could have been done with any reputable mini (IMTEC MDI, Intra Lock MDL, HiOssen etc…)

OK…its been a few weeks and the patient is ready to get her crown. Here are the clinical photos of the mini dental implant crown over the OCO mini implants.

Paresh B Patel DDS General & Implant Dentist Mooresville NC

Mini Dental Implants

Upper Partial or Mini Dental Implant Bridge?

October 14, 2010/in Blog, Uncategorized /by Paresh Patel

It seems here lately we have had a lot of patients come in that are unhappy, frustrated and just don't like their partial dentures. They specifically want to just get rid of it and replace it with some mini dental implants and a set of porcelain crowns or porcelain bridges.

Photo of my patients existing upper partial denture that replaces most of her upper front teeth. I did not think it looked all that bad for being 7 years old….she just did not like it. The way it kept her from tasting her food, the way she talked with it, the bulk of metal as she put it on the roof of her mouth. She also did not like the lower but wanted to start with replacing the top partial plate with mini dental implants and a bridge.

Like most patients that seem to find me…she had what looked at initial glance good bone. However on the x-ray it was mostly tissue. It had just been too long since the teeth had been extracted and the bone had just melted away. Without roots the body over time just starts taking away the bone. If an ill fitting partial sits and rubs on the bone year after year it accelerates the process of bone resorption.

So we went over the options as usual of traditional implants and some bone augmentation or I could use what bone she had, place at least 6 minis and make her a 8 tooth bridge to replace her missing teeth.

I used her existing upper partial denture plate as a guide on where I could place the mini dental implants. I drilled a hole in the center of each tooth, placed in back in her mouth and with a marking stick located the ideal place for the mini implant.

Of course in her mouth most of the 'ideal' locations had less than ideal bone.

Photo of 6 mini dental implants placed day of. You can see 2 areas where we tried to get the last 2 mini dental implants in but found poor bone. These areas will just fill back in with gum tissue.

A impression was taken of the mini dental implants and off to First Impressions Dental Lab for them to make the 8 tooth porcelain bridge. In three weeks her mini dental implant bridge will be back and I will post the photos.

Paresh B Patel DDS mini dental implant dentist

Dentist Mooresville NC

Mini Dental Implants to Secure a Lower Partial

October 13, 2010/in Blog, Uncategorized /by Paresh Patel

The uses for a mini dental implant never stop amazing me. Today we had a fella come in who had broken his lower little front tooth.

Clinical photo of the broken lower front tooth….it was broken below the level of the gum tissue.

So I decided to extract the root tip for him with some peritomes to save as much bone on the lip side as possible to hold our ????? You guessed it, a mini dental implant.

Picture of extracted root tip and the Intra Lock MILO 3.0 x 15mm mini dental implant in the socket where the root was.

Picture of the mini dental implant 'snap' in place over the o-ball. This is what will fit inside his partial denture to hold this side of the lower partial.

Picture of the impression metal cap fitted over the mini dental implant. This will be picked up in our impression so the lab can place a replica of the implant before the pour the stone model. Once that is done they can process the 'snap' under the replacement denture tooth.

Impression of mini dental implant and partial to be sent to First Impressions Dental Lab to add a snap and a tooth.

Final x-ray of mini dental implant in place where the root tip was…day of placement.

Our goal is to add a few more mini dental implants over time and then get rid of his lower partial denture for either a full set of fixed crowns or a secure lower denture. At the end of the procedure our patient commented on how quick and painless the entire process had been. It nice that such new products exist for us as dentists to offer such a non invasive, non surgical approach to dental implants.

Paresh B Patel DDS mini dental implants

Dentist Mooresville NC

Mini Dental Implants ~ Extractions ~ Immediate Placement and Saving the Bone

September 30, 2010/in Blog, Uncategorized /by Paresh Patel

Another good use for mini dental implants is when we have a failing bridge or a tooth that has had a failing root canal treatment. Our next case is a patient that came to see us after having pain with her temporary bridge. Her old bridge she told me was wobbling around and her dentist told her the post was weak and he needed to make the bridge longer…..only if we had met sooner that might not have been what she had chose to do. G8PBAUAAQB92

We can see on this x-ray (this is the x-ray she brought from her previous dentist before he removed the bridge and made it one tooth longer)the decay under the post that continues down the root on the tooth that has had the root canal treatment. The root canal tooth was very mobile (as in when I took the bridge off to assess the teeth I could move the root in the bone.

We covered all the options with the patient from a new bridge(her previous dentist has already made the decision to make a longer bridge for her that went to the canine tooth in front of the root canal tooth). I told her I thought it would not be a good idea to keep the root canal tooth since is was already mobile.

We talked about 2 traditional implants, or a few minis and single crowns on her natural teeth.

She decided to let me extract the Root canal tooth. There was enough destruction of bone on the cheek side that I explained to her that I would place some socket preservation material (a freezed dried mixture of bone) in the hole where the root was to help her body fill in that hole with good live bone so we could come back in 12 weeks and place a mini dental implant.

Here we have the socket preservation material in the extraction site. Its easy to see how plump the ridge looks. It will stay that way without caving in and will give us lots of good bone to put a mini dental implant.

2 Mini Dental Implants in place to hold a molar size crown. The mini dental implants will be shaped to allow room for her teeth to come together. We will place a Porcelain crown over the mini dental implants.

X-ray of the two mini dental implants in place.
The ghost image of where the root was will fill in with bone and in about 12 weeks we will add in another mini dental implant to support a crown.

I will continue the post with the pictures of the crowns when we get the final mini dental implant in place and the crowns back from the lab.

Paresh B Patel DDS mini dental implants

Dentist Mooresville NC

Mini Dental Implant

January 29, 2010/in Blog, Uncategorized /by Paresh Patel

What do you do when its Friday afternoon and this walks in with a crying patient attached to it?

Well I looked in the tool box and thankfully I had a stash. No not anything illegal but a stash of Intra Lock Mini Dental Implants from Shatkin FIRST Labs. Jay Moore (the well respected and highly knowledgeable sales manager) had just sent me 24 mini implants in the 'Cash for Clunkers' trade in program.

The patient stated that the bridge was 'slightly decayed' for a while and that she had noticed some movement over the past few months. Well from where I was sitting I don't know where the 'slightly decayed' came from…..it looked more like a stroll down the street in Anbar Province Iraq.

I was able to tack mush to mush and took a pre op pan xray

Of course I was drooling over the thoughts of Mini Implants everywhere for this patient! But I had to slow down and go over all the options from

1. Do nothing…not really an option….but I have heard that patients can get creative with Super Glue!

2. Extract and recommend a denture or partial.

3. Extract and implants for an over-denture or implants and a fixed bridge.

4. Extract and mini dental implants for a fixed bridge or mini implant retained full denture.

To my surprise the patient had done her homework and had come to see us specifically for mini dental implants and a mini implant bridge.

I told her lets's slow it down a bit. How about we make it the first goal to take out the broken root tips and preserve as much bone as possible with some peritomes(dental instruments to extract teeth with less trauma to the facial bone). Then see about placing some mini dental implants and for certain figure out how to make her a temporary bridge to wear while some healing occurred.

Minis all went in as planned. She will return in a few weeks for a tissue check and I will update the photos.

iCAT CT scan of mini dental implants in place for a fixed bridge

Post operative pan xray of mini dental implant in upper jaw for fixed bridge

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