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OCO ISI Dental Implant to Replace a Missing Upper Molar Tooth

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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

One Piece Solid Regular Implant or 2 Mini Dental Implants to Replace a Missing Upper Molar

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My next patient had an upper molar that he wanted to replace.Before oco 4.0 ISI

 

The upper molar had been extracted a few years ago.  The molar behind it had started to tip forward and he really missed it when chewing his favorite food….Prime Rib a J&W Cafeteria.

 

 

 

 

 

 

 

 

 

 

Before OCO ISI xray

 

On the x-ray of the area you can see how the molar behind was starting to tip forward.  You can also see the sinus cavity slowly coming down.  In a few more years I suspect there would be very little height of bone.  Then it would be very difficult to replace his missing molar with a mini dental implant or even a regular conventional implant.

 

 

 

 

 

 

 

One of my biggest objections to using a regular Regular Implant
implant is the two piece design.  Anything that is made of two pieces is never going to be as strong as something that is one solid piece.  Thus a 2.5mm mini dental implant is just as strong as a larger two piece 3.75mm implant. 

I was asked to try out a different kind of regular implant.  An OCO Biomedical solid one piece regular size implant.  To replace this missing molar I would have used 2 Intra Lock Mini Dental Implants from Shatkin FIRST. 

 OCO ISI

Since there was not 8mm of height available to place the regular implant I decided to do a sinus lift by tenting the membrane with some Foundation collagen material.  The concept is to carefully penetrate the bone and then widen it just enough to place some of the Foundation material in to push the sinus membrane up and then insert the implant.  Over time the body will fill bone in around the tip of the implant in the sinus cavity.

Pilot bit

Pilot bit in and ready to tent up sinus              Foundation

                                                     Foundation material

 

 

Parallel pin 2

 

OCO Biomedical 4.0mm parallel pin in place to check spacing for final implant placement.  Notice the lack of blood as the placement protocol is similar to that of placing a mini dental implant.  NO FLAP, one pilot bit.  There is one additional step…the final sizing bit. 

 

 

 

Xray OCO ISI half in

 

After the Foundation bone grafting material was packed into the socket the OCO Biomedical ISI 4.0mm implant was used to push to material up into the sinus under the sinus membrane.

 

 

 

 

OCO fully seated

OCO Biomedical ISI regular implant in place ready to replace the missing upper molar.  I will have the dental lab make a all porcelain crown to replace his missing molar.  Once again notice the lack of a surgical flap, lack of blood, bruising of the tissue, no stitches or suture.  Really very minimal surgery…very similar to the placement protocol of a mini dental implant.

 

 

In the end I think there is a place for either type of implant (regular or mini dental implant).  They both work and they both work well.  It really to me is what the dentist feels works best in his/her hands and what the patients desires are.  Cost certainly is an issue with the mini dental implant being more cost effective.  If I had to to this case over again I would have a hard time choosing the best option for my patient.  Its all on what you like to do and what you are good at.  My final thoughts are that there are so many patients that have missing teeth we should encourage dentists to get trained in placing implants…mini dental implant are a great way to start.

Paresh B Patel Dentist Mooresville NC

Mini Dental Implants