Dental Implantology: SINGAPORE ACADEMY OF MEDICINE GIVES MINIS THE NOD

SINGAPORE ACADEMY OF MEDICINE GIVES MINIS THE NOD

SINGAPORE ACADEMY OF MEDICINE GIVES MINIS THE NOD

ESPECIALLY FOR LOWER FULL DENTURE STABILIZATION

A LANDMARK DECISION AND ONE OF THE FIRST IN THE WORLD

BY A RESPECTED HEALTH AUTHORITY

1. The Academy of Medicine Singapore with the Singapore Ministry of Health and other dental specialist bodies has recommended narrow diameter dental implants to be used for mandibular denture stabilization.

The recommendation comes with a high rating of Grade B, Level 2++. This rating means that it is recommended for use on patients and is supported by high quality systematic reviews of case control or cohort studies. Patients with implants between 2.5mm to 3.3mm for mandibular overdenture retention had good survival rates of more than 98% in two prospective studies.

2. Below is the link to download the latest clinical guidelines for implant dentistry in Singapore:

http://www.ams.edu.sg/amsattachments/Dental%20implant%20CPG%20Booklet_revised.pdf

3. It was compiled by a committee of 22 implant dentists in Singapore. They referred to 121 respected papers from all over the world. These guidelines are endorsed by the Academy of Medicine Singapore, Ministry of Health, Society of Periodontology, College of Dental Surgeons, Association of Oral and Maxillofacial Surgeons and Prosthodontic Society of Singapore. Dated August 2012.

On page 19 is the recommendation for narrow diameter dental implants for mandibular overdenture retention. Although there is no comment on the use of minis or narrow diameters for crowns and bridges, there is no disapproval either. It usually means that the jury is out and practitioners should use them responsibly as they see fit.

If you go to the link immediately below, there is posted one of the most comprehensive debates on the use of minimized dental implants for lower full denture stabilization:-

RESORBED MANDIBLE BEST TREATMENT PLAN DEBATE

http://www.osseonews.com/resorbed-mandible-case-best-treatment-plan/

LOWER FULL DENTURE STABILIZATION

ANOTHER

AND ANOTHER

LOWER AND UPPER FULL DENTURE STABILIZATION

7/11/2014 WE DO NOT ADVOCATE UPPER FULL DENTURE STABILIZATION ANYMORE.

WE HAVE FOUND THAT UNLESS THE MAXILLARY BONE IS DENSE AND OF SUFFICIENT HEIGHT, FAILURE OF THE IMPLANTS USED IN STABILIZATION IS VERY HIGH UP TO 50%. VERY DIFFERENT FROM THE MANDIBLE WHERE THE ANTERIOR BONE IS USUALLY VERY DENSE AND FAILURE OF MINIS USED IN DENTURE STABILIZATION IS ONLY 2-5%.

WE NOW ADVOCATE A FIXED APPLIANCE FOR THE UPPER WITH 8-10 ONE PIECE IMPLANTS OF VARIOUS LENGTHS AND DIAMETERS. THE FIXED APPLIANCE CAN BE IN PFM OR THE PATIENT'S EXISTING FULL DENTURE WITH THE PALATE REMOVED.

PLEASE SEE BELOW FOR AN EXAMPLE.