Collins Oral & Maxillofacial Surgery P.S.  Patrick C. Collins, D.D.S.  Diplomate of the American Board of Oral and Maxillofacial Surgery


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Mini Dental Implants
A Patient's Guide to Mini-Dental Implants

What Are Mini Implants?

Mini-Dental Implants

What’s the primary and most effective use for Mini Implants?

The most effective use of this unique dental product is stabilization of a
mandibular denture. There are approximately 50,000,000 people in the United
States who are “edentulous” (literally meaning lacking teeth) who struggle
daily with prosthetic devices. A majority suffers a great deal of discomfort
as a result of loose or ill-fitting dentures. Also, many denture wearers
simply withdraw from any type of social engagement as a result of being
compelled to wear them. Moreover, it's not uncommon for family members to
complain about a denture wearer’s disagreeable breath as a result of food
being trapped and decaying under their denture prosthesis. Successful
placement of the MDI addresses and solves all of these social and practical
problems.

How specifically can mini dental implants help denture wearers?

The standard insertion protocol for mini dental implants calls for four of
them to be gently screwed into the front of a patient’s lower jaw, or
mandible. This is a relatively painless procedure that can be performed by a
general dentist, requiring only a mild anesthesia. The mini implants, which
are approximately the size of wooden toothpicks, are placed about four
millimeters apart in the patient’s mandible. The patient’s denture is then
carefully adjusted by the dentist to allow it to snap onto the four mini
implants. The result? A tight fitting, completely reliable system that
allows a patient to speak and eat with confidence. All performed in about an
hour’s time. Because of the unique, minimally invasive procedure, the minute
size of the implants, and the characteristic placement area, the typical MDI
patient can enjoy a light meal within an hour’s time from having the mini
implants placed.

I’m somewhat aware of the tremendous forces the human jaw usually endures during normal chewing of food. How can these tiny implants withstand that?

It’s true that what the dental profession calls occlusal forces create
dynamic pressures on the human jaw. Our jaws are marvelously designed to
adequately withstand those forces. It’s also true that mankind has been
struggling for centuries to come up with some type of metal or metallic
element that can efficiently withstand those forces. Most have been outright
failures. However, approximately twenty-five years ago some doctors around
the world began experimenting with titanium as a potential dental medium.
Titanium is an extremely strong metal used in the construction of aircraft
and aircraft engines. The metal, in its commercial form, is incredibly
strong and durable. The Sendax MDI takes that metallurgical concept to the
next level by adapting an industry approved mixture of commercially pure
titanium, a small percentage of aluminum, and a tiny sample of vanadium,
likewise a malleable metallic element. The result is the strongest metal on
earth, now commonly referred to as titanium alloy. In fact, extensive tests
conducted several years ago by the University of Alabama-Birmingham School of Orthopedics at Dr. Sendax’s behest revealed that the particular titanium alloy implants used in the IMTEC Sendax MDI’s are 64% stronger than ones constructed of commercially pure titanium. The bottom line of this
discussion area is simple: If a denture patient has sufficient bone mass to
create a rock hard placement of the tiny implant, which an experienced
dentist can usually determine by an initial examination, the mini dental
implants will generally withstand normal occlusal forces just like natural
teeth. Fractures are extremely rare, but as the case with a person’s normal
teeth, can certainly occur.

What about failures?

It must be recognized that all implant systems as well as natural teeth are
subject to potential failure due to natural causes, including osteoporosis,
poor oral hygiene, wear and tear attrition, poor health, heavy, stressful
biting habits, and lack of follow-up dental maintenance care. Mini implants
similarly do not carry any actual or implied guarantee as to longevity.
However, the loss of a mini implant is a far less critical event to the
patient since it may be replaced at relatively minimal cost compared to
conventional implants, and with minimal associated bone or gum
deterioration.

How are mini implants different?

As a revolutionary departure from routine implant methods, mini implants are
so narrow they are typically inserted directly through the overlying gum
tissue and into the bone underneath. Consequently the need to surgically cut
and “flap” open the gum tissue, routinely required for standard implant
systems, is avoided in most MDI applications. As a result, post-insertion
patient irritation and soreness is significantly reduced. While all dental
implants require care during insertion to avoid encroaching on vulnerable
nerve, sinus or bony structures, the ultra small width of the mini implants
offers a much more comfortable margin of safety.

What type surgery is involved?

A single, minimally invasive surgery is needed for insertion of the MDI mini
implants. They are then put into immediate biting or “loading” function
thanks to their “self-tapping” design, thereby anchoring a fixed bridge
system. As a result, it is often possible to provide the complete mini
implant service in a single office visit. Mini dental implants clearly
represent an enormous breakthrough for the dental implant specialty as the
most patient-friendly, cost-effective, proven implant system available
today.

What will my first day be like?

Leave the denture into place until bedtime. You should not experience any
excessive bleeding. There will be some mild discomfort but this should be
minimal and controlled by the recommended pain medication. The denture
should feel secure. You may eat as soon as you wish to, but avoid
excessively hard or sticky foods at first. Upon removing the denture, rinse
your mouth with with the provided antiseptic mouthwash and clean around each implant fixture with a cotton swab and toothpaste. Use a cotton swab for three days. After that, use your ACCESS toothbrush. It has been designed to clean your implants and gently stimulate the surrounding gum tissue.

How do I place & remove my dentures?

The implants and O-ring fixture must be clean and free from debris. Grasp
the denture with both hands and lightly seat the denture, feeling that the
O-rings are resting above the ball head of the implants, then press down
firmly and equally on both sides. Make sure that you feel the implant heads
easily fitting each O-ring. You will feel the denture snap into place. If
you have trouble seating your denture, first make sure that the implants and
denture are absolutely clean. Secondly, make sure that you feel the implants
resting over each O-ring. A light touch will give you the best results.
Remember to push downward equally on both sides. If you are still
experiencing difficulty, see if a family member can give you assistance.
To remove the denture, place your thumbs under each side of the lower
denture rim and push both sides upward at the same time.

What’s a typical daily routine one might expect once the MDI’s have been
placed?

As with all dental applications, there’s a short adjustment period during
which time you become comfortable placing and removing the denture.
Typically, this involves removal of the lower denture in the morning,
brushing the gums and implant area with an ACCESS curved bristle
toothbrush, rinsing the mouth, rinsing the denture itself, then replacing
it.

You must clean and brush the ball of the implant as if they were your
natural teeth. As with natural teeth, food and bacterial debris must be
removed or it will cause inflammation of the gums. In addition, food and
debris can be forced into the O-ring fixture causing improper seating and
loss of retention. The O-ring fixture must also be cleaned out.
The result is a normal day’s activity for you, including eating, talking,
taking a nap, etc. Then, in the evening, the denture is usually removed
again, the ACCESS brush is used, and the mouth thoroughly rinsed. The result is a fully functioning dental appliance that works.


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