cronicaskaterbinas

This patient's lower right molar had to be removed due to severe chronic periodontitis and loss of supporting bone. After one month, after the mucosa had overgrown the socket a bit, we inserted the implant the following way:- We drilled right through the mucosa in a flapless procedure until we hit paydirt.... I mean bone.  Unfortunately the first drill went right into the inferior dental canal and there was a gush of blood. The bleeding was stopped with a piece of spongostan and biting on a piece of gauze. After another 2 months, we went in again flapless again, this time more carefully in avoiding penetration of the inferior dental canal. After tapping the osteotomy and trying in the implant to its full depth, we removed it and made a straight incision along the direction of the alveolar crest. After lifting the flap bucally and lingually, we curetted the socket thoroughly to gain a raw fresh bony surface.  We then removed any loose granulation tissue attached to the flaps, screwe

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