International Academy of Mini Dental Implants http://iamdi.org iamdi.org Wed, 15 Aug 2012 16:34:25 +0000 en-US hourly 1 https://wordpress.org/?v=5.2.1 Fellowship http://iamdi.org/2012/08/15/research/ Wed, 15 Aug 2012 16:34:25 +0000 http://iaomdi.org.s106041.gridserver.com/?p=234 Education http://iamdi.org/2012/08/15/compassion/ Wed, 15 Aug 2012 16:33:42 +0000 http://iaomdi.org.s106041.gridserver.com/?p=231 Integrity http://iamdi.org/2012/08/15/integrity/ Wed, 15 Aug 2012 16:33:06 +0000 http://iaomdi.org.s106041.gridserver.com/?p=228 Full Arch Restoration using Small Diameter Dental Implants and Traditional Crown and Bridge http://iamdi.org/2012/08/15/full-arch-restoration-using-small-diameter-dental-implants-and-traditional-crown-and-bridge/ Wed, 15 Aug 2012 05:59:10 +0000 http://iaomdi.org.s106041.gridserver.com/?p=210 David R. Powers, D.D.S.

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Thirty years of advancements of materials, designs, and techniques have allowed the endosseous dental implant to become the standard of care for tooth replacement therapy.

However, a patient driven need has been identified within the practice of dental implantology for an approach that is not only less invasive but also more time and cost-effective, than traditional endosseous implants.

The Small Diameter Dental Implant (SDI), also known as a “mini”, is an emerging treatment modality that appears to accomplish the aforementioned patient desires.

The diameter of the SDI affords the implant the ability to be placed in minimal amounts of bone.  In most cases, the necessity for ridge augmentation and sinus lift procedures are eliminated.

The potential for immediate loading of both fixed and removable dental prosthesis also adds to the SDI’s clinical attributes.

Case Study

A 39-year-old male patient presented with generalized gross caries accompanied by many retained roots.  He stated that he “could not chew” and was “in constant pain”.

The patient desired full mouth rehabilitation of the dentition, retaining as many of his natural teeth as possible.  A panoramic radiograph was taken and reviewed with the patient. (Figure 2)

A treatment plan incorporating traditional crown and bridge techniques as well as dental implant placement was proposed.

The proximity of the maxillary posterior residual ridges to the maxillary sinuses would have required sinus lift procedures to accommodate traditional endosseous implants.

The patient declined the lift procedures due to time and monetary restraints.

An alternate treatment plan was then presented incorporating the same traditional crown and bridge techniques along with the placement and restoration of SDIs.  This approach would circumvent the need for ridge augmentation/sinus lift procedures.

The patient agreed to the second treatment plant.  After impressions, photos, and bite-registration were taken, the case was sent to Samuel Shatkin FIRST Laboratory {1} for fabrication of implant placement stents and assessment of appropriate small diameter implant sizes.

 

Clinical Treatment

Six- 2.5 mm x 11.5 mm Intralock MDL implants were placed in the right and left maxillary residual ridges.  The surgical stents were used for pilot drill and implant placement guidance. (Figure 3)

The remaining maxillary teeth were prepared.

A temporary acrylic bridge was then fabricated.

Full arch maxillary and mandibular impressions were taken along with bite-registration.  The temporary bridge was cemented and the patient appointed for prosthetic delivery.

The final restorations were seated and the patient was given an oral irrigation device and oral hygiene instructions.

Closing Comments

The continuing evolution of implant dentistry requires the dental surgeon to remain aware of changes in techniques and modalities in order to better serve their patient.

The small diameter (mini) dental implant has proven itself for several years as a method of removable prosthesis stabilization.  This implant is now becoming a viable option for many fixed prosthetic applications. {2, 3}

It is this author’s opinion that the small diameter (mini) dental implant will enable the implant practitioner to provide the patient with a fast, less invasive, less costly approach to dental restoration.

{References}

1. Samuel Shatkin FIRST Laboratories, 2500 Kensington Ave. Amherst, NY 14226

2. T.Shatkin DDS,S. Shatkin DDS,MD B.Oppenheimer DDS, A.Oppenheimer, MD. Mini Dental Implants for Long Term Fixed and Removable Prosthesis: A Retrospective Analysis of 2514 implants placed Over a 5 Year Period Compendium Feb 2007

3. Christensen G.J. The"mini" implant has arrived. Jor of AmDent Assoc. 2006; 137:387-390

 

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Small Diameter Implant Placement http://iamdi.org/2012/08/15/small-diameter-implant-placement/ Wed, 15 Aug 2012 05:44:12 +0000 http://iaomdi.org.s106041.gridserver.com/?p=203 Dr. Thomas Pekar DDS

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The following is a case study of a complete denture stabilization using small diameter (mini) dental implants.

A 50 year old male patient presented after visiting three dentist and two Oral Surgeons. Their general treatment consensus included hip graft donation onto the maxilla for implant/denture stabilization.

The patient had worn a complete maxillary denture for 30 years.

Oral examination revealed a flat anterior maxillary ridge offering no retention. (Figure 1)

Denture adhesive had been used daily to secure his maxillary denture. The instability of his denture caused much anxiety and embarrassment in his sales profession.

A CT scan image shows the narrow pre maxilla and small triangular wedge of bone present.

A complete clinical/surgical workup was performed. From this information a surgical implant placement stent was fabricated based upon the CT scan.

The Shatkin First Technique {1} was used for the location and placement of pilot osteotomies.

Six Intra-lock {2} small diameter implants (2.5mm x 15mm and 2.5mm x 10mm) were placed in the premaxilla.

Post surgical Panoramic Radiograph reveals osseous placement of the small diameter implants.

Discussion:

There are many patients for whom traditional implant therapy is not a viable option for financial or health reasons. Bone grafting, which many times accompanies traditional implant placement, presents an added morbidity/mortality risk for certain patients due to age or medical conditions. Non-invasive placement of small diameter dental implants for denture stabilization overcomes many of the traditional dental implant negative sequellae. This treatment outcome would have not been possible with traditional implant concepts. The patient has done well and is quite satisfied

References

{1} Shatkin First Technique, Shatkin TE, Shatkin S, Oppenheimer AJ, Oppenheimer BD. A simplified approach to implant dentistry with mini dental implants. Alpha Omegan. 2003;96(3):7-15.

{2} Intra-lock , Intra-Lock International, Inc. 6560 West Rogers Circle, Suite 24, Boca Raton, FL 33487

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Case Studies http://iamdi.org/2012/08/07/case-studies/ Tue, 07 Aug 2012 05:34:16 +0000 http://iaomdi.org.s106041.gridserver.com/?p=169 Dentists http://iamdi.org/2012/08/07/dentists/ Tue, 07 Aug 2012 00:57:27 +0000 http://iaomdi.org.s106041.gridserver.com/?p=142