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Ken Clifford, DDS   October 24th, 2009 Dr Chow - Amen to all your comments. There is absolutely no reason not to use mini implants. I have been cementing full arch mini implant hybrid bridges as a denture alternative for the past two years. My opinion is that a CEMENTED bridge on mini implants is an affordable alternative for patients unwilling or unable to pay for the all on four bridges, or the conventional implant porcelain/metal solutions. Cementation to minis eliminates the micromovement responsible for most implant failure in a full arch situation. By using quality denture teeth and a quality denture acrylic with high flexural strength, I can quickly construct a highly aesthetic denture alternative which can be loaded immediately. Patients go home happy, and so do I! Paresh B Patel   October 27th, 2009 Dr. Chow, thank you for your well organized and eloquently articulated thoughts on the current state of mini implants. I look forward to reviewing your text “Mini

K. F. Chow BDS., FDSRCS  October 23rd, 2009 Narrow diameter dental implants are being increasingly used not only to stabilize dentures but also for long term applications like crowns and bridges. I agree with Carl in that there is no such thing as an absolute contraindication in medicine. Even botox which will kill you if injected into your bloodstream is used ingeniously and judiciously to extend the youthful looks of people. The key word is “judiciously”. Know your medicine well and know what you want to do with it and then you can apply it safely and usefully. It is significant that one of the doyens of implant dentistry has recognized that narrow diameters have their uses especially in narrow ridges and in suitable bone. I started out with conventionals and with the advent of minis, incorporated them into my treatment planning and in many complex cases have successfully integrated them both into my treatment planning taking into consideration the patient’s expectations an

Dental Implants are recognised widely both professionally and by people at large as the best replacement for lost teeth. Though it cannot be as good as the original, it is close to it in terms of function, appearance and durability. Previously the challenge was to replace lost teeth that bite well, look good and last long. These challenges have largely been overcome in the last ten years or so. The new challenge is to make dental implants universally available at an easily affordable price. To achieve these, the training of dentists have to be made simple and speedy and adequate. This is important because currently worldwide, hardly 5 to 10% of dentists routinely practise dental implantology. A universally simple and affordable dental implant system needs to be invented.