cronicaskaterbinas

And there you have it......a stabilized full upper denture that can be snapped on and off at will for whatever reason. Now she can smile and talk and eat and drink without being afraid that it will fall off at the most embarassing moments. You can do it for the uppers and you can do it for the lowers. We also gave her some O-rings and an instrument called kaifoo to take out and replace the O-rings once they are worn out.

The upper full denture was then snapped on to the implants on the upper jaw. They could also be snapped off at will by the patient whenever she wants for cleaning purposes mainly and sometimes just for fun. Oh, by the way, those tall looking teeth on the lower right are porcelain teeth built onto mini dental implants. They would have looked better with some pink gumwork.

We then cold cured the O-rings and housings into the denture to correspond exactly to the mini O-ball head implants.

So we placed 6 mini O-ball heads into the upper jaws. Minimally invasive, almost bloodless, and immediately load them.

This patient's main complaint was that the upper full denture was too big and keeps falling down when she opens her mouth......a real nuisance and causes her untold misery because she loves to socialise. Please can you help? This is what we did.

The old gentleman lived another 6 years and died only recently.......but not until he had umpteen good well chewed meals.......and great enjoyment with the family at all sorts of cafes and restaurants! Minis can change your life for the better faster, cheaper.......and yes....I would dare say better than other alternatives because it is also very much less traumatic! WATCH OUT FOR THE NEXT POSTING WHERE YOU WILL SEE AN UPPER FULL SET OF FALSE TEETH STABILIZED BY MINIS.

The lower false teeth could now be snapped-on and snapped-off by the patient himself after some practice and a little guidance. Just about 2 hour job and voila!........That very night, our 76 year old began to eat again and......to enjoy his food again!  He was no more shy of going out with the family to eat anymore. His life was changed!........for the better!

Then, we made 4 holes where the minis were and using O-rings and housings, we cold-cured them to the false set of teeth ........to create a minor miracle!

First, we placed in 4 O-ball head mini-implants inter foraminally.

Hello. This is a case of a 76 year old man who has lost interest in living because he cannot eat properly anymore. His son said that he wanted to die because his lower false teeth moved everytime he tried to chew and he felt very miserable. This is what we did.

K. F. Chow BDS., FDSRCS   July 19th, 2010 If you are placing 5 conventional implants, you might as well place one more to make it 6 and have a fixed prosthesis. A fixed prosthesis will be more reliable than a removable one because there will be less pulling and pushing of the implant during removal and placement if a removable is used. And some will also convince you that 4 is enough….all on four. But if you are placing minis for a removable prosthesis, then place 6 for balance, three on each side between the centrals to the premolars. Place the longest you can and bicortical if possible, because the maxillary bone is softer….and therefore more piling is needed….yeah…like building a house….see. Bone augmentation is unnecessary and very difficult, as is suggested by Dr Richard Hughes. To raise the height of the maxillary ridge, you will have to use a titanium mesh with bone graft mixed with bone marrow…..and it will take a much longer time, incur more pain to the mouth as well as the po

K. F. Chow BDS., FDSRCS   July 14th, 2010 Even if the patient is willing to pay, Black’s principle of “Conservation of sound tooth structure” should not be forgotten. The two incisors looks alive and sound to me. The conservative option should always be considered first before other options in the name of aesthetics and “patient willing to pay”.

K. F. Chow BDS., FDSRCS   July 14th, 2010 Yes. Definitely yes, because one 3.5mm diameter implant of length 12mm will have as much if not more surface area than the existing 2 periodontally involved incisors. And we all know that an ankylosed tooth/implant is much more difficult to remove than a periodontal ligamentalised tooth, area for area. Probably half the surface area will do. And it will prevent loss of the adjacent periodontally involved incisors provided they are root-planed at the same time. Even better if they are splinted to the implant. Two 1.8mm diameter minis will also suffice. A removable prosthesis is a no no because it will speed up the loss of the incisors, seeing that they are already periodontally compromised and probably mobile. Please…..no extractions as far as possible. You might as well do a conventional 4unit bridge on the 2 incisors…than to extract them. K. F. Chow BDS., FDSRCS   July 14th, 2010 We must not subcumb to the hubris of thinking that our dental im

K. F. Chow BDS., FDSRCS   July 4th, 2010 “Biologic width” as I understand it( please correct me if I am wrong), was a term borrowed from prosthodontics. It denotes the observed resultant distance that develops between the crown-abutment margin of a natural tooth and the crestal bone level when the margin is placed less than 2mm to the crestal bone level. The observed distance or “biological width” is about 2mm. It means that if we place the crown-abutment margin less than 2mm distance to the crestal bone level, the bone level will resorb or die-back until there is at least a 2mm gap distance to the crown-abutment margin. It was labelled biologic or biological because it was observed as a “natural”(sic) biological response of the bone tissue to the crown-abutment margin. This response was attributed to the irritation that the margin inflicts on the bone for some reason. And this is the reason that we extrude a class 3 fractured tooth so that when we build a post crown, the distance betw