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Replacing over retained baby teeth with mini dental implants

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Mini dental implants (narrow or small diameter implants) are used to replace over-retained baby teeth in an adult

Mini dental implants (narrow or small diameter implants) are used to replace over-retained baby teeth in an adult

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    Replacing over retained baby teeth with mini dental implants Replacing over retained baby teeth with mini dental implants Presentation Transcript

    • Replacing Over-retained Deciduous Maxillary Canines with Small Diameter Implants Dr. A. F. Paghdiwala Pearl Dental Arts, Newtown, PA www.pearldentalarts.com 1-888-PEARL81 or 215-504-4070
    • A 57 years old school teacher, had congenitally missing maxillary permanent canines bilaterally
    • Due to resorption, both canines had almost no roots
    •  The presence of roots gives bulk and volume to the alveolar bone  Since the roots of the deciduous canines had resorbed and there were no permanent teeth underlying them, the alveolar ridge was extremely thin bucco- lingually apical to the deciduous canines
    • Options available to replace the over-retained canines  Flipper  Cast Partial Denture  Fixed Bridge  Maryland Bridge  Implant Supported Crown After discussing the pros and cons of the various options, the patient preferred to get an Implant supported crown
    • Why the patient had reservations about getting implants  Fear and Anxiety  Cost  Time  Need for Bone Grafting- another invasive procedure, increasing her fear and anxiety
    • Advantages of small diameter implants for this patient  Less invasive  Only one drill needed - osteotomy completed faster  No need for bone grafting, no need to reflect flap - less anxiety for patient  Less expensive - implant less expensive, separate abutment not needed, less chairside time  Treatment completed faster  Small diameter implant, easier to fit when available room and width of bone compromised
    • The deciduous canine was extracted
    • Steps in Placing Small Diameter Dental Implants Each Implant takes less than 10 minutes and usually, no incision or suturing is needed • Local Anesthetic • Osteotomy with 1.1 mm surgical drill, x-ray • Insert the Implant with a finger wrench • Place it in some more with a Wing Nut • Secure it in completely with a mini wrench
    • Steps in placing the implant- Implant is threaded in with a finger wrench
    • Steps in placing the implant- Implant inserted some more with wing nut
    • Steps in placing the implant- Implant seated to position with mini wrench
    • The dental implant was placed 3M (Imtec) MDI Max Standard O-Ball 13mm.
    • A Composite Resin Build-up was made directly onto the implant
    • Radiographs Two Weeks Post-op
    • The resin build-ups were prepped, impressions made, Porcelain Crowns cemented
    • Radiographs Two Years Post-Op
    • Photographs four years post-op
    • Radiographs four years post-op
    • Another case, showing a missing tooth to be replaced by a small diameter implant
    • Implant inserted
    • Missing tooth built up directly on top of Implant with resin This small diameter implant with resin buildup has been in function for 8 years
    • Another case, showing two missing teeth restored mini implants and PMCs These two mini implants and crowns have been in function for four years
    • Conclusion • small diameter implants are usually placed to support removable dentures •For replacing individual teeth, standard diameter Implants are usually the method of choice
    • •However, some patients may not be prepared to accept implants for various reasons: - fear and anxiety - cost of treatment - length of time involved • In addition, oral conditions may not allow standard diameter implants, such as reduced mesio-distal space or inadequate width of bone bucco- lingually
    • In these cases, small diameter dental implants may be presented to the patient as a less invasive, less expensive, faster treatment option for replacing the missing teeth. In this presenter’s experience, a direct resin build-up right onto the small diameter implants can be an extremely inexpensive and quick temporary cosmetic solution for a patient short on time and finances