immediate placement – Implants By Paresh

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.