traditional implants – Implants By Paresh

Mini Dental Implant vs Regular Implant ~ Whats the difference?

March 29, 2011/in Uncategorized /by Paresh Patel

I get asked this question a lot from both Doctors and Patients. I think a better way to look at this is to compare one or two piece dental implants.

Mini dental implants are one piece in design…the part that comes up into the gum is connected to the screw part that goes into the bone. One piece means for the patient less expense. But there are one piece dental implants in regular implant sizes. OCO Biomedical has a one piece, 3.25mm + 4.0mm + 5.0mm. Once again the same theme….one piece less expense for the patient.

OCO Biomedical ISI one piece dental implant. Same concept as a mini dental implant with no extra piece to purchase as the abutment (part that come up out of the gum) is fixed to the body of the regular size dental implant.

So when would you use a one piece regular size implant? I think when you have enough stability in the bone that would allow immediate loading. Most of the time that will be in the lower jaw; but in this example we were able to do this to replace an upper missing molar.

My patient had a missing upper left molar.

Our plan was to replace it with a regular size implant (we could have done it with two mini dental implants, but he preferred to have a traditional size solution).

He had been missing that tooth for well over 7 years. This had allow his sinus cavity to 'drop down' thus reducing the height of bone we had to place a dental implant. Our plan was to do a 'sinus tent' and gain a bit of height by adding some bone through the small hole that was made in his gum. Easy to do and very predictable.

OCO Biomedical ISI one piece 4.0mm implant was selected. The bone was very dense and I was fairly certain I would get over 35ncm of torque to stabilize the implant. If I did not then a two piece 4.0mm implant could have been placed and left to heal into the bone for the next 12 weeks.

Regular size implant in place to replace the missing upper crown. The placement procedure is the same as when I place a mini dental implant. Notice the lack of blood or gum that had to be cut. A temporary crown was made and the patient will come back to have the final crown cemented. In this case the patient needed additional time to collect the funds for his crown. So he would not return for around 8 weeks for his impression.

The lab fabricated a Zirconia Crown to fit the OCO ISI 4.0mm dental implant.

Internal view of the Zirconia crown.

Zirconia crown in place over the OCO Biomedical ISI 4.0mm dental implant.

Final Thoughts: In a well designed implant system placing a larger size implant is just as easy as placing a mini dental implant. With the OCO system the only thing you change is the final drill bit. There are no other drill sizes to work your way through.

What I like even better is the ability to now have either a one piece or two piece implant that offers the same prosthetic abutment. If you do place a two piece OCO and put in a solid abutment you have now created a one piece OCO ISI implant.

The other thing I like about these implants is that you cement the crown to the implant body, not the abutment, so the 'micro gap' in internal to the implant crowns.

Paresh B Patel DDS

Dental Implants Charlotte NC

Dental Implants Hickory Lenoir Asheville NC

Mini Dental Implant vs Regular Implant ~ Whats the difference?

March 29, 2011/in Blog, Uncategorized /by Paresh Patel

I get asked this question a lot from both Doctors and Patients. I think a better way to look at this is to compare one or two piece dental implants.

Mini dental implants are one piece in design…the part that comes up into the gum is connected to the screw part that goes into the bone. One piece means for the patient less expense. But there are one piece dental implants in regular implant sizes. OCO Biomedical has a one piece, 3.25mm + 4.0mm + 5.0mm. Once again the same theme….one piece less expense for the patient.

OCO Biomedical ISI one piece dental implant. Same concept as a mini dental implant with no extra piece to purchase as the abutment (part that come up out of the gum) is fixed to the body of the regular size dental implant.

So when would you use a one piece regular size implant? I think when you have enough stability in the bone that would allow immediate loading. Most of the time that will be in the lower jaw; but in this example we were able to do this to replace an upper missing molar.

My patient had a missing upper left molar.

Our plan was to replace it with a regular size implant (we could have done it with two mini dental implants, but he preferred to have a traditional size solution).

He had been missing that tooth for well over 7 years. This had allow his sinus cavity to ‘drop down’ thus reducing the height of bone we had to place a dental implant. Our plan was to do a ‘sinus tent’ and gain a bit of height by adding some bone through the small hole that was made in his gum. Easy to do and very predictable.

OCO Biomedical ISI one piece 4.0mm implant was selected. The bone was very dense and I was fairly certain I would get over 35ncm of torque to stabilize the implant. If I did not then a two piece 4.0mm implant could have been placed and left to heal into the bone for the next 12 weeks.

Regular size implant in place to replace the missing upper crown. The placement procedure is the same as when I place a mini dental implant. Notice the lack of blood or gum that had to be cut. A temporary crown was made and the patient will come back to have the final crown cemented. In this case the patient needed additional time to collect the funds for his crown. So he would not return for around 8 weeks for his impression.

The lab fabricated a Zirconia Crown to fit the OCO ISI 4.0mm dental implant.

Internal view of the Zirconia crown.

Zirconia crown in place over the OCO Biomedical ISI 4.0mm dental implant.

Final Thoughts: In a well designed implant system placing a larger size implant is just as easy as placing a mini dental implant. With the OCO system the only thing you change is the final drill bit. There are no other drill sizes to work your way through.

What I like even better is the ability to now have either a one piece or two piece implant that offers the same prosthetic abutment. If you do place a two piece OCO and put in a solid abutment you have now created a one piece OCO ISI implant.

The other thing I like about these implants is that you cement the crown to the implant body, not the abutment, so the ‘micro gap’ in internal to the implant crowns.

Paresh B Patel DDS

Dental Implants Charlotte NC

Dental Implants Hickory Lenoir Asheville NC

Mini Dental Implants to Replace an Upper Partial Denture Plate

September 23, 2010/in Blog, Uncategorized /by Paresh Patel

This is actually a case that was done last year. My patient came in for his 6 month cleaning about 6 months late…. Not what I like for patients to do. But he was certainly not the ideal patient and I explained that to him prior to committing my time, energy and mini implants to the case. He is a heavy smoker (around 2 packs a day). A big NO NO for traditional implants or any kind of implants in general. But I told him if I could get the mini's in without having to flap his gum away from the bone the implants would have a better chance of healing. He had seen another dentist about traditional or conventional implants but could not move forward with treatment due to the cost. A familiar story. I told him we could offer another choice…the mini implant choice. Not the same solution but a different solution that might work for him. He had a upper partial to replace his missing 6 front teeth. He had an accident over 10 years ago and had been wearing a cast metal partial that he did not like. His big complaint was the metal hooks and just the bulk of it. He did not really have a complaint on the way his front teeth looked on the partial plate.

View of upper partial denture in place. I cut the metal hooks off so he could see what things could look like once we had the final bridge over his mini dental implants.

6 Mini Dental Implants in place in the upper jaw…day of placement. Note the lack of bleeding. No flap had to be made to insert the mini implants into the gum and bone on the upper.

Upper Partial Denture modified to fit over the 6 mini dental implants that were placed in the upper jaw. This way he would be able to wear the upper partial while the dental lab made his crowns/bridge.

6 crowns with pink porcelain to simulate gum tissue on the stone model from First Impressions Dental Lab

Retracted cheek view of his 6 crowns on six mini dental implants…1 year post placement. Notice all the smoking stain on his lower natural teeth.

Close up view of Crowns

Bite view of the 6 crowns on mini dental implants.

Overall I am happy. I know he is happy. I think his comment was, 'Doc now that I got my show teeth do I really need to get the rest of them fixed?' How do you answer that question as a Dentist?

Now if I could just get him to quit smoking, come in when he is required to for his cleanings and move forward with fixing the rest of his teeth….. But as they say, Rome was not built in a day so we move forward one MINI step at a time.

Paresh Patel DDS mini dental implants

General Dentist Mooresville NC

Academy of Mini Dental Implants First Journal

September 10, 2010/in Blog, Uncategorized /by Paresh Patel

Many thanks to Dr. Bob Caseldine for getting the first edition of the Journal of the Academy of Mini Dental Implants published. For him it has been a labor of love and it shows. Great Job! With this new addition to the Academy I hope it encourages more Dentists to see the value that the mini dental implant has to offer for our patients who all too often suffer from ill fitting dentures and missing teeth. Without these mini implants I just do not see how we can help so many patients who think there is no other option except to stay at home and suffer.

Mini Dental Implants

Dentist Mooresville NC

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