BONE CLIMBING UP MINI DENTAL IMPLANT

Immediate extraction and implantation. Bone level is definitely higher than when the implant was first placed.

Well what do you think? Nah........ can't be bone climbing up the implant. Its a camera trick!
Whatever it is, I am really glad and I guess I will continue to do this "miracle" as long as the miracles keep coming and not run out.

Not very scientific, but my patient is not complaining.

BONE CLIMBING UP MINI DENTAL IMPLANT

A case of immediate extraction and implantation, followed by PFM bridge within 3 weeks. Follow-up xrays showed healthy bone growing around the minis. Not only did the bone seem to have climbed up the second implant from the left, there is also a layer of healthy cortical bone around it and between the minis.

There was a study that claimed that bone remodels around the minis at much higher rates than around a conventional, indicating the possibility that the bone around the mini maybe mainly woven bone and therefore not as good and sound as that around a conventional. Looking at this series of xrays, I am not sure that is true and if so, is it a disadvantage or advantage?

 There is also the possibility that the bone that seemed to have climbed up the mini may not be in close intimate contact with the surface of the implant, and therefore may not be osseointegrated. Alright then, I am going to CBVT this one as soon as I think it is necessary enough to buy one.

BONE CLIMBING UP MINI DENTAL IMPLANT

This young girl avulsed her tooth. It was reimplanted and splinted. Endodontics was done, but eventually the tooth had to be extracted due to external resorption of the root. A mini was subsequently placed with a composite crown in place. About 13 years old then, orthodontic treatment was commenced and completed. By then, she was about 16, so we placed in a PFM. If we compare the 2 Xrays closely, it can be seen that the bone level has climbed or risen up to match that of the adjacent teeth. Thus in young children, where bone maturity has not been reached, an adjustable composite tooth built on a mini may be an option in order to compensate for bone growth and obviate submergence that may result. Treatment of choice?

Bone has climbed up along the mini implant and even up and around the base of the PFM.

5. ECTODERMAL DYSPLASIA: BEST TREATMENT PLAN SHOULD INCLUDE MINIS ?

Now things are beginning to take shape and the first of many spontaneous smiles !! Those are real narrow ridges, considering that they never carried teeth before....... can they even be called alveolar bone?
Narrow ridges with limited budget and desire to smile asap and certainly no inclination for bone grafts and the like ......... MINIS THE BEST BET ?

4. ECTODERMAL DYSPLASIA: ARE MINIS THE BEST BET TO FINISH THIS CASE ?

Having made it my stated purpose as.... "to make him smile easily and spontaneously",  I proceeded to cosmetically bond and reshape his two "draculas" into more innocently looking incisors. With growing inspiration, I orthodontically began approximating them.

3. ECTODERMAL DYSPLASIA: TREATMENT WITH MINIS THE BEST BET ?

First thing I decided was to raise the bite with over crowns on whatever posterior grinders he had been alloted due to his condition. Ah......that would moderate down his pouting lips and make him less like wanting to kiss you.

2. ECTODERMAL DYSPLASIA: ARE MINIS THE BEST BET IN THE TREATMENT OF THIS CONDITION ?

Took the appropriate xrays and even did a cephalometric study of his face. What are his expectations and budget ? What is his oral and general condition ? What is my experience and knowledge that I can apply here ? What is the precise diagnosis of his dental condition and what then is an appropriate treatment plan......taking all these into consideration ?