Dentaltown May 2017 - 31

Before

was retrofitted and relined with a hard
reline denture base. The restoration was
cement with a resin cement. The occlusion
was checked and adjusted. I dispensed a
Water-Pik and an implant tooth brush
with circular bristles to facilitate cleaning
of the appliance.
The patient left the office with a fully
restored dentition-something she was told
she could never receive because of her health
status and poor bone quantity. She's since
been able to reduce the usage of medication
for anxiety and depression, and even able
to discontinue her use of a cardiac life vest.

References
1.
Shatkin, TE, Petrotto, CA, Mini
Dental Implants: A retrospective
study of 5640 implants placed
over a 12-year period. A Supplement to Compendium Continuing Education in Dentistry,
Volume 33 Special Issue 3
2.
Shatkin First Dental Lab, Resin
Roundhouse, Zirconia Roundhouse, Shatkin First Intralock
Implants, 2500 Kensington Ave.
Amhurst, NY 14226
3.
Intra-Lock International, Global
Headquarters 6560 West Rogers
Circle, Bldg. 24 Boca Raton,
Florida 33487 USA
4.
Osseon Calcium-Phosphate
Beyond Nano Size, Intra-lock
International

After

Discussion
The ability to eat is something many of
us take for granted. Medically compromised
patients who have poor dentition often are
not able to perform this basic function
without extremely modified eating, such as
foods that have been pureed or softened by
using a blender. This makes for a quality of
life that is severely hampered; poor nutrition
is something that medically compromised
patients can ill afford.
In cases like this one, mini-dental
implants can be truly life changing. Teeth
that are stable and free of pain make eating
more enjoyable-immediately, without the
need for major oral surgery. The minimally
invasive nature of mini-dental implants
means less surgery time, fewer risks of
complications during surgery, and less healing
and recovery time. Conventional implant
oral surgery usually involves multiple surgical
visits, extended surgery time and a longer
healing period. Also, this patient would have
required extensive bone augmentation (see
CT scan, Fig. 3, p. 28), and the time from
bone grafting and conventional implant
placement to fixed restorations could be as
long as one year. For a severely medically
compromised patient, this was not an option.

Conclusion
Mini-dental implants are a viable option
to treat elderly and medically compromised
patients who need full-mouth reconstruction but aren't healthy enough to undergo
conventional implant treatment. ■

FREE FACTS, circle 26 on card

dentaltown.com \\ MAY 2017

31



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