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IN ANSWER TO THE ABOVE QUESTION IN AN OSSEONEWS DISCUSSION http://www.osseonews.com/can-i-avoid-a-maxillary-sinus-lift/ http://smalldentalimplants.blogspot.com/2010/12/anatomical-positioning-of-minis-to.html K. F. Chow BDS., FDSRCS   May 7, 2010 at 10:43 am Dear Dr A, I guess you are another fictitious Doc with an alphabet. Nevertheless, it is an interesting question. If you do not want to do a sinus lift, any reason will do though it might not be a good one. I myself once did not want to do it because I hated having to make a large opening into the sinus! And if I can avoid it, I did. So I tried crestal lifts invented by Summers. Works, but often found myself having to spend more time than if I just did a lateral window which is more sure and definitive. There are various ingenious ways nowadays, the latest seem to be the “hatch” technique with a special off centre drill. However, if you want to avoid all these, there are several ways to avoid a sinus lift altogether:- * Do a convent

When this gentleman who is generally healthy and a smoker to boot requested for help, it was quite a challenge. He could not eat properly because the upper denture tended to fall down and he had only a few lower front teeth left. Cost was not a big issue but he still preferred some savings if possible.  The options were presented and the choices were between standard implants or minis or a mix of them with the accompanying pros and cons. We started in December 2009 and completed in December 2010. It could have been earlier except that the gentleman had the lowers done first and tried it out for several months before he made the judgement call that minis do work and requested for minis for the uppers as well.  With all the pros and cons discussed and informed consent obtained, we proceeded to place in 12 minis or MOSTDIs as I like to call them. One was lost from the incisor area basically because the anterior ridge was extremely narrow. Nevertheless, 10 was enough. We cemented BUDs( Bri

This lady presented with a retained primary left canine due to a congenitally missing permanent canine. Since it was already mobile and inflamed, we extracted it and immediately placed in a mini dental implant. A composite BUD was moulded on with the MOSTDIMOLD and the resulting abutment was shaped. An impression was taken and sent for a PFM which was then cemented the following visit. In this particular case, there was some resorption of the adjacent premolar root due probably to the prolonged retention of the  chronically inflamed primary canine next to it. A flap was raised and all infamed tissue was curretted thoroughly before placement of the mini. Three years later, an xray revealed that the resorbed portion of the root has been filled with bone and the implant supported canine was still looking good and biting strong. The bone had filled up the socket and climbed up the mini dental implant to the max, thus giving the mucosa good support, hence the wonderful aesthetics. Put minis

K. F. Chow BDS., FDSRCS   says: October 23, 2009 at 11:26 am THE CASE FOR NARROW DIAMETERS/MINIS/REDUCED DIAMETERS/ MINIMIZED DENTAL IMPLANTS/MOSTDIS 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 integra

Mother had been searching all over the country for a dentist willing to treat her son. With some trepedition took it on. First visit refused even to open the mouth. Spoke with the patient and asked this 8year old to come  again. Gave him a small gift. Got these models only on the third visit. At 10 years old bracketed the two centrals and approximated the two teeth. By now patient has gotten used to visiting us and being comfortable in the dental chair. Parents and child becoming more positive and encouraged as they see the two centrals attaining a more natural position. Retained the centrals together with a flat wire and composite. What next ?!?! We raised the bite to a more normal vertical dimension with over crowns on the posterior molars. Observe the edentulous ridges. They have never ever hosted teeth before and cannot then be called alveolar bone. How are we going to restore this 13 year old's dentition? A pair of removable acrylic partial dentures with stabilizing stainless