Mini-Implants to Reconstruct Missing Teeth in Severe Ridge Deficiency and Small Interdental Space: A 5-Year Case Series

Two of the major obstacles for dental implant placement to replace missing teeth are the lack of adequate bone width and interdental space. Overcoming these limitations requires bone augmentation procedures that transform the deficient ridge into a ridge that is capable of receiving conventional tooth-form implants. In the case of inadequate interdental space, orthodontic tooth movement is advocated before implantation. Using narrow-diameter mini-implants allows the clinician to overcome both of these obstacles without the need for additional grafting procedures or orthodontic tooth movement. The mini-implants are immediately loaded and restored so as to enable the patient to have satisfactory mastication and aesthetic appearance. A 5-year follow up of 32 implants demonstrates the benefit of this treatment modality.

[1]  G. Zarb,et al.  A 5-year prospective study of implant-supported single-tooth replacements. , 2002, Journal.

[2]  B. Touati,et al.  Single-tooth implants in the maxillary incisor region with immediate provisionalization: 2-year prospective study. , 2003, Practical procedures & aesthetic dentistry : PPAD.

[3]  J. Lustmann,et al.  Interpositional bone grafting technique to widen narrow maxillary ridge. , 1995, The International journal of oral & maxillofacial implants.

[4]  D. Buser,et al.  Implants in regenerated bone: long-term survival. , 1998, The International journal of periodontics & restorative dentistry.

[5]  P. Petrungaro,et al.  Using transitional implants during the healing phase of implant reconstruction. , 2001, General dentistry.

[6]  Pikos Ma.  Alveolar ridge augmentation with ramus buccal shelf autografts and impacted third molar removal. , 1999 .

[7]  G. Balian,et al.  The use of demineralized bone matrix in the repair of segmental defects. Augmentation with extracted matrix proteins and a comparison with autologous grafts. , 1986, The Journal of bone and joint surgery. American volume.

[8]  M. Pikos.  Alveolar ridge augmentation with ramus buccal shelf autografts and impacted third molar removal. , 1999, Dental implantology update.

[9]  T Jemt,et al.  A 3-year follow-up study on single implant treatment. , 1993, Journal of dentistry.

[10]  C. Misch,et al.  THE REPAIR OF LOCALIZED SEVERE RIDGE DEFECTS FOR IMPLANT PLACEMENT USING MANDIBULAR BONE GRAFTS , 1995, Implant dentistry.

[11]  D. Leshem,et al.  A Simple Technique for Fabrication of Immediate Interim Removable Prosthesis Supported by Transitional Implants , 2003, Implant dentistry.

[12]  V. Kainulainen,et al.  Augmentation of the narrow traumatized anterior alveolar ridge to facilitate dental implant placement. , 2003, Dental traumatology : official publication of International Association for Dental Traumatology.

[13]  O. Dörtbudak,et al.  Use of crestal bone for augmentation of extremely knife-edged alveolar ridges prior to implant placement: report of 3 cases. , 1999, The International journal of oral & maxillofacial implants.

[14]  T Jemt,et al.  Osseointegrated implants in the treatment of partially edentulous patients: a preliminary study on 876 consecutively placed fixtures. , 1989, The International journal of oral & maxillofacial implants.

[15]  S. Balaji.  Management of Deficient Anterior Maxillary Alveolus with Mandibular Parasymphyseal Bone Graft for Implants , 2002, Implant dentistry.

[16]  T Jemt,et al.  A prospective 15-year follow-up study of mandibular fixed prostheses supported by osseointegrated implants. Clinical results and marginal bone loss. , 1996, Clinical oral implants research.

[17]  D Buser,et al.  Localized ridge augmentation using guided bone regeneration. 1. Surgical procedure in the maxilla. , 1993, The International journal of periodontics & restorative dentistry.

[18]  S. Parma-Benfenati,et al.  Clinical classification of bone defects concerning the placement of dental implants. , 2003, The international journal of periodontics & restorative dentistry.

[19]  U. Belser,et al.  Localized ridge augmentation using guided bone regeneration. II. Surgical procedure in the mandible. , 1995, The International journal of periodontics & restorative dentistry.

[20]  Robert Haas,et al.  A long-term follow-up of 76 Bränemark single-tooth implants. , 2002, Clinical oral implants research.

[21]  J. Gunsolley,et al.  The single-tooth implant: a viable alternative for single-tooth replacement. , 2002, Journal of periodontology.

[22]  K. Al-Shammari,et al.  HVC ridge deficiency classification: a therapeutically oriented classification. , 2002, The International journal of periodontics & restorative dentistry.

[23]  S. Froum,et al.  The use of transitional implants for immediate fixed temporary prostheses in cases of implant restorations. , 1998, Practical periodontics and aesthetic dentistry : PPAD.

[24]  P I Brånemark,et al.  A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. , 1981, International journal of oral surgery.

[25]  E. Nkenke,et al.  Morbidity of harvesting of retromolar bone grafts: a prospective study. , 2002, Clinical oral implants research.

[26]  J. Kan,et al.  Modular transitional implants to support the interim maxillary overdenture. , 1999, Compendium of continuing education in dentistry.

[27]  G. Cardaropoli,et al.  Long-term evaluation of osseointegrated implants in regenerated and nonregenerated bone. , 2000, The International journal of periodontics & restorative dentistry.