Dental Products Report - April 2009 - (Page 70) CLINICAL 360° RESTORATIVE TECHNIQUE HOW TO RETAIN A MAXILLARY REMOVABLE PARTIAL The Skinny 2.4-mm implant is minimally invasive and low cost without compromising results. by D R . STEVEN B. LOMBARDI 1 2 AT A GLANCE 1. Pre-op radiograph. Note the failed maxillary right molar. 2. Pre-op clinical view. Note the adequate ridge and extraction socket on tooth No. 3. 3 4 Information provided by American Dental Implant Corp. Dental implants and dental implantology have evolved and matured as a discipline of dentistry. A myriad of highly advanced, complex diagnostics and pre-implant receptor site augmentations are available both as materials and techniques. With all of these high-level advancements, there is an important place in implantology for a “simpli ed therapy,” o ering its bene ts to a large segment of the edentulous population. These procedures have greater appeal because of cost containment, surgical simplicity, and minimal post-procedural pain and healing. A small diameter implant should o er uncompromising strength as well as full prosthetic versatility. The Skinny 2.4 o ers the bene t of a small diameter while providing a universal restorative platform. This means a true small diameter implant may be restored as a conventional diameter implant without new components, instrumentation, or a learning curve. As this case illustrates, when an implant is placed, a prosthetic option that could be amended in the future may be chosen. In this case, O-ring denture snaps were used; however, the option exists to proceed to a full implant bridge at a later date. Case presentation The patient has had teeth extracted and added to his partial for the last 25 years. When the last tooth on the upper right quadrant was removed, the patient was at a philosophical and nancial progression into a full denture; he resisted a full upper denture. He had two weak but asymptomatic teeth in the maxillary left quadrant, which made the discussion of a full denture provocative. The patient is in good health, and there were no pathologies or abnormalities in the maxillary right quadrant anterior to the last o ending tooth. The decision was made to not treat or extract the maxillary left failing teeth and to place implants in the maxillary right quadrant. STEP On the same day as the extraction of tooth No. 3, one hour was scheduled for three implant placements. Pre-operative radiographs showed no radiolucencies or questionable osseous defects (Fig. 1), and adequate ridge was available in both width and depth (Fig. 2). STEP After MSA and ASA blocks and infiltration, using the same local anesthesia needle, the bony anatomy was determined by probing the gingival tissue to bone. When the crest of the ridge was determined, a 3-mm tissue punch was used to locate the site for implant placement. A Bard Parker 15 was used to trace 3. The implant is delivered to the surgical site directly from the package. ADIC offers a true premounted implant delivery system. 4. The implant is fully seated. The driver will remain to act as a guide pin, assisting in parallelism. 5. The second implant being threaded. 6. Osteotomy prep using the Skinny 2.4 Final Sizing Drill. It matches the implant and eliminates the risk of overdrilling. 6 5 01 02 7 8 SMALL DIAMETER IMPLANT FEATURES Two-piece implant designed for narrow ridge situations High strength and versatility without the need for bone graft Internal hex restorative chamber requires no esthetic compromise American Dental Implant Corp. americandentalimplant.com 800-511-0661 DENTALPRODUCTSREPORT.COM | April http://www.americandentalimplant.com http://www.dentalproductsreport.com
For optimal viewing of this digital publication, please enable JavaScript and then refresh the page. If you would like to try to load the digital publication without using Flash Player detection, please click here.