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One Piece Dental Implant ~ OCO Biomedical ISI Extraction & Immediate Placement

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In keeping with our mission at my dental office we try to make implant dentistry affordable to those patients that have not been able to move forward with their treatment. 

I have been thrilled to find a one piece dental implant in a regular or traditional implant size.  The OCO Biomedical ISI dental implant offers me the option of using a larger implant that does not require additional parts.  The abutment(the part of the implant that comes up out of the gum) is made right along with the body of the dental implant(the part that is inserted into the bone). OCO ISI implant

This offers me the things I like about mini dental implants:

  • One piece design
  • No additional parts to buy
  • No microgap
  • Prepping of the abutment in the mouth is part of the insertion protocol
  • No surgical flap is recommended
  • Less trauma
  • Less healing for the patient
  • Increase in affordability for patients
  • Ease of placement….

My next patient was missing his upper eye tooth and the little tooth next to it was fractured and need to be extracted.Pre op buccal view

Of course there was a lot else going on but this is where we decided to start after getting his periodontal condition as stable as possible. 

 

 

 

Using some PDL-vators from Salvin Dental Supply I removed the tooth with minimal trauma.

Pdl to remove #7

 

Peritome to seperate the PDL fibers from the tooth that needed to be extracted. 

 

 

 

 

7 extracted socket

 

Extraction socket with the tooth removed.  Notice very little trauma to the soft gum tissue.

 

 

 

#8 marking bur  Tissue punch 4.0mm  Pilot bit 1.8mm w drill stop  R11

The same insertion protocol was used for the OCO One Piece Dental Implant as I would do for a mini dental implant.  Its called logical progression.  If you can place a mini dental implant; add one more bone former and you can put in a one piece regular implant.  I try to follow the philosophy of selecting a implant that will fit the bone NOT make the bone fit the implant with additional surgical procedures. 

Parallel pin in  Oco isi 4.0 yellow cap in Thumb driver clinical  Socket wrench

The same concept is applied to the Mini Dental Implant that will be placed into the extraction site.  It is is one piece dental implant like the OCO ISI 4.0 x 14mm that was placed to act the the root for the missing eye tooth. 

We are going to place a OCO i-mini 3.0 x 16mm to get at a minimum 3mm past the end of the root of the tooth that was extracted.  This is to ensure stability of our mini dental implant for the temporary crown.

3.0 yellow cap  3.0 thumb driver  R12

With both the traditional one piece dental implant and the mini dental implant in place we can make the temporary crowns to fit over them while they heal.  You can see on the xray that the mini dental implant has gone past the tip of the extraction socket.  The regular size OCO ISI one piece dental implant is firm with over 50ncm of torque. 

Temps 6 7 close up

Two temporary acrylic crowns are made and cemented over the OCO one piece dental implants.  Once the tissue heals in around the extraction site and fills in with bone the final impression will be made for First Impressions Dental Lab to make the Porcelain Crowns over the mini dental implant as well as the regular one piece implant. 

 

 

Paresh B Patel Dental Implants Hickory Lenoir Wilkesboro NC

Dental Implants Charlotte Mooresville NC

OCO TSI Dental Implant & ISI One Piece Dental Implant

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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.

Jerry B pre pan

 

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

 

 

Missing 12 13 Clinical

 

The missing premolar teeth upper jaw

 

 

 

 

 

 

Missing 29

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.

Pilot bit with 10mm drill stiop

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 stip

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

 

 

 

 

 

Tissue punch

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 out

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.  OCO 4.0 x 10mm

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.

Missing 12 13

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 and driver

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.

TSI cover and no cover

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.

 

 

 

 

OCO TSI pack

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