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Mini Dental Implant Bridge ~ Full Arch Roundhouse Crowns for Fixed Teeth

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What do patients that have no teeth really want?  Is it dental implants?  Crowns?  Implant supported dentures?  NO…they want their teeth.  For right now that is not something that dentistry can give back to them…  However we can get pretty close with some mini dental implants and a well thought out and fabricated full arch roundhouse bridge of porcelain crowns. 

Cosmetic upper denture

When we decide make a full arch of teeth over mini dental implants I like to make a well fitting denture to begin with.  It is our blueprint for what the final crowns should look like.  The patient can approve in the denture the color, size, esthetics, function, speech, etc….all before we make the investment in the final porcelain bridge.

 

 

 

 

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Once the provisional denture is approved by the patient all the diagnostic information is sent to the Dental Lab for the final planning. This case was done with Evolution Dental Lab.  A guide stent is made for the placement of the mini dental implants.  This is done off the Cone Beam 3D x-ray scan to ensure the dental implants are placed in sound bone and will allow for the crowns to be placed in the correct approved position.

 

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A wax mock up of the final design is made on the stone cast over the mini dental implants.  This mock up will be duplicated in putty so I can make the patient in their mouth a temporary set of teeth to confirm everything once more.

 

 

 

 

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Surgical guide for the placement of the mini dental implants.

 

 

 

 

 

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OCO Biomedical Mini Dental Implants in place ready to have the temporary bridge made.

 

 

 

Denture Chairside temp bridge

 

The temporary is made…notice how similar it looks to the approved denture.  Since we have worked out most of the details of esthetics and function in the denture all I need to do is place the dental implants the the predetermined positions and copy the denture into the temporary bridge.  The patient leaves that day without the denture.  He has a fixed set of teeth to chew and smile with.  Any slight changes, if needed, are made and the dental lab can make the final bridge.

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The final mini dental implant bridge was made in two pieces.  There is an exact fit to this bridge.  Notice the multicolor pink porcelain to frame the porcelain crowns. 

 

 

 

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Back teeth for the mini dental implant roundhouse bridge.

 

 

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Final bridge over the OCO Biomedical dental implants. 

 

 

 

 

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Mini Dental Implant Bridge cemented in patients mouth…day of placement.

 

 

 

 

 

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Lip retracted view of the mini dental implant bridge.  Notice the intimate fit of the pink porcelain to the gum tissue.  The patient can floss or waterpick between each mini dental implant. 

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Steve with his new teeth the day of placement.  He has a full arch of mini dental implants and a fixed non removable set of Porcelain crowns.  Solutions similar to this start at $12,999.  This includes the implants and the crowns. 

What a wonderful way to get rid of your dentures and get back to living you life enjoying the things you want to do. 

Without the advent of mini dental implants solutions like this would require a commitment of around $20,000 with more time/discomfort.

Paresh B Patel Implant Dentist Charlotte NC

Mini Dental Implants

Dental Implants Hickory Wilkesboro Asheville NC

Dental Implant Education Seminars

Mini Dental Implant Roundhouse ~ Full Arch Crown and Bridge for Fixed Teeth

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My next patient was going to be a traditional implant case.   The treatment plan he wanted was to replace all his upper missing teeth with regular implants.  This would require a sinus lift on both sides where the lost teeth had allowed the sinus to drop down with no bone left under the gum tissue.

After sinus lift rt side

 

I did the sinus lift on the patients right side first.  When I went over to the left side there was a thin section of tooth root left.  Upon removal of that root there was enough damage to the sinus membrane that I elected to let the sinus heal and would come back at a later date to finish.

 

 

SinusFlap

Pizzo  Flap for Sinus Lift and

                                                                Pizzotome to cut lateral window

Pack bone Done Bone packed into Sinus Cavity

Sutures being placed

 

Although he healed just fine….the patient elected not to do the sinus lift on the other side and asked if I could change his treatment plan to accommodate a full fixed roundhouse bridge on mini dental implants.   Of course I could…there was good bone where we did the sinus lift and I would not have to expand the bone in the anterior maxilla(front upper jaw).  This is what I believe in…minimal surgery, minimal augmentation of the bone, place what will fit and enough of them to equal the surface area of a regular size implant. 

I had the dental lab produce a wax up model of what I wanted the patient to 'test drive' in his mouth.  A IMG_8061 12 tooth bridge.  I would make this out of chairside arcylic much like a temporary crown that you wear while the dental lab is making the final porcelain crown. 

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Based off the 3D Cone BeamiCAT scan I decided to place some OCO Biomedical 3.0mm mini dental implants to support the back teeth and OCO Biomedical 2.5mm mini dental implants to support the front teeth. 

Minis Micros Clinical

 

 

OCO Biomedical mini dental implants in place to support a full fixed roundhouse porcelain fused to metal bridge.  This will be like any other bridge that the patient does not remove and will brush and floss like his own teeth. 

 

 

 

OCO 2.5 micro

 

 

3D CT slice showing how thin the bone is in the front upper jaw.  As thin as the bone is we were able to place the OCO 2.5mm mini dental implant fully supported in the bone.

 

 

OCO 3.0 mini CT slice

 

3D CT slice in the area where I did the sinus lift.  You can see the new bone that has filled in from the middle of the implant to the tip.  The OCO 3.0mm mini dental implant is centered in the ridge for proper crown placement. 

 

 

 

Impression Minis micros

A standard full arch impression was taken.  The lab will insert the OCO mini dental implant analogs and will make the full roundhouse bridge supported by our mini dental implants.

 

 

Denture Chairside temp bridge

My patient immediately after the placement of the OCO Biomedical 2.5mm and 3.0 mini dental implants.  He left the office with a totally mini implant supported temporary bridge that was made off the diagnostic wax up.  It was made chairside with Luxatemp temporary material.

 

 

 

 

OCO mini dental implants for bridge

 

Final pan x-ray of the 11 OCO mini dental implants in place with the resin temporary bridge over the top.  When I get the final bridge new clinical photographs will continue the post.

 

Denture -Minis and Temp Bridge