6. ECTODERMAL DYSPLASIA: UPRIGHTING THE PEG SHAPED CANINES AND MINIS TO FINISH THE CASE ?

Then, we use the MOSTDIMUM to make the composite BUD, around which we construct two composite laterals, giving this young man his first ever decent smile line which we hope will continue the process of transforming his life for the better. Wait till you see the final transformation!!!!!!

After grafting the lateral labial surfaces, we place in the minis.

Now, what do we do? We put in two implants for the laterals of course! What sort of dental implants? Ahhhhhhh......... Conventionals are out of the question. Minimized dental implants of course! Even then, we still had to graft the labial surfaces of the laterals to increase the thickness because there was only a wafer thin  layer of bone there...... having had no teeth there before at all.... congenitally missing. Here then is a classic case of minis being the treatment of choice!

Open coil springs to upright the two peg shaped microdontic canines. Minis in the empty spaces to complete the case. Conventionals will require bone grafts to increase the width of the ridge. Or bone splits can be attempted. If this is my son, I will just place minis together with the BUDDY SYSTEM  and complete the case cheaper, faster, safer stronger than conventionals. Minis with PFMs can be completed in 2 weeks or less, depending on lab support.

ANATOMICALLY CORRECT POSITIONING OF MINIS TO REPLACE UPPER RIGHT MOLAR

Notice the "CLEANING GROOVE" between the two abutment holes. This is to facilitate the threading of a bridge cleaner and floss in between and thus the undersurface of the crown can be flossed right to the surface of the implants. The ability to floss thus and the smallness of the emergence margin of the mini will arguably prevent any peri-implantitis in the long run.

In contrast, a conventional implant with an aesthetic emergence profile that includes a large emergence margin cannot be flossed all the way to the surface of the implant proper. The emergence profile emerges out of a volcanic-like crater in the gums. The surface of the crater is usually slightly inflamed and together with the large surface will arguably be more susceptible to peri-implantitis as compared to a mini dental implant. Examine the pics below.

Let's continue with the replacement of the upper molar by copying the anatomical/biologically ergonomical/natural/no-brainer/obviously correct positions of the roots.

The upper right first molar was deemed unsavable and extracted. After a short healing period, 2 minis were placed. One on the palatal wall of the sinus and the other on the buccal wall of the sinus. The divinely ordained and inarguably best anatomical positions of the palatal and disto-buccal roots were copied by the two mini dental implants. The undersurface of the crown was designed with a"CLEANING GROOVE" to enable threading of a dental floss and flossing.