Woman getting her teeth checked by the dentist

Maxillary Roundhouse

“The formulation of a problem is often more essential than its solution, which may be merely a matter of mathematical or experimental skills.”

Albert Einstein


That’s interesting Uncle Albert in that if we don’t fully comprehend the problem…

How then can we derive the most viable solution more easily?

Clark Gable, known as

“The King of Hollywood”,

played the dashing Rhett Butler in

Gone with the Wind

the ‘1939 Movie of The Year.

Speaking of problems…

Unfortunately, Gable developed

advanced periodontitis

as a young adult and needed his damaged teeth removed.

His charming smile was actually thanks to dentures. Who knew?

That name of the movie …

likely reminded him that his natural teeth were also, unfortunately

‘Gone With the Wind ‘

…for sure!

NOT a confidence builder,

even though Clark went on to have a successful & storied career.

In the 1930s…

Full dentures were the best option our dental profession had to offer as ‘preventive dentistry’ was yet to be developed as a standard of care!!

There was such a thing as dental implants back then… but primitive at best.

It’s like,

‘You don’t know what you got…

until you lose it,

…and I’m sure Clark, and anyone else who ever lost their natural teeth, immediately realized

they sure do miss them

…and would go to great lengths to get them back, if they could!


That was Then and This is Now!

Today, in this

21st Century Age of Technology

implant dentistry can now offer amazing,natural-like solutions

…thanks to the innovation,

self-tapping, tapered designs of the

Mono One Piece implant


•no screws loosening,

•no screw fracturing,

•no micro-gap,

•minimal grafting, and

•virtually no peri-implantitis

that is associated with the Two Stage

•with much less

parts, pieces & inventory…

•with much less

surgical & prosthetic protocol.

This is truly a Magical Time

in dental implant history as it’s never been better with all the technological advances. simplified techniques & placement protocol.

we can often, given enough bone, take a totally edentulous arch and restore in back to a

form, feel, and function

that rivals their natural teeth

in a relatively short period of time.

Clinical Case in Point: Maxillary Roundhouse

If Clark walked into our office today, as did this newly retired man in his late 60s with a hope for a ‘permanent solution’…

since he was about to lose what natural upper teeth he had left.

We presented him with the Zirconia Roundhouse fixed One Piece implant solution as per his desires

…offering at least 8 implants and a cemented fixes prosthesis that would most closely replicate his natural teeth.

Given the available bone…

we were able to place eleven (11)

implants and deliver the final prosthesis a relatively short period of time of 12 weeks.

The Bottom Line was that…


was very satisfied & happy to ‘feel whole’ again…

to be able to smile with confidence,

to be able to chew his favorite foods all over again.


was happy to be able to provide a

minimally invasive, more affordable,

& more natural like fixed restoration

that is truly…

Second to None

in a more timely & efficient fashion


One Piece v Two Piece Implant

(From Precigem World

Dr. Mayar Khairnar

Dr. Darshana Khanar)

1. Consideration

•One Piece

The implant and the abutment are fused – they are manufactured as one piece.

•Two Piece

The implant and the abutment are separate.

The abutment is either cemented or cold welded.

If the abutment is secured with a screw onto the implant, then it can be considered to be three pieces.

2. Basic Design

•One piece

Simple. No joint. Single piece.

•Two piece

Complex. Two parts joint by screw.

3. Implant placement procedure

•One piece

Single sitting surgical procedure and very often flapless (no open surgical procedures are necessary).

Implant procedures are less time-consuming than that required for bridgework

•Two piece

Very often more complex surgical procedures are necessary, spread over 2 or 3 sittings in a period of 3-6 months (Implant placement, Healing Screw placement & Abutment Placement).

4. Loading

•One piece

Immediate Loading – ie patient can be given the crown(s) / bridge(s) the very next day.

•Two piece

period of 3-6 months (Implant placement, Healing Screw placement & Abutment Placement).

5. Prosthodontic procedure

•One piece

Conventional impressions of the implants can be made just as is the case with conventional bridgework. Less time-consuming.

Also…Digital Scanning

is even better with accuracy,

efficiency, cost, and comfort.

•Two piece

Conventional impressions of the implants can be made just as is the case with conventional bridgework. Less time-consuming.

6. Size and Designed

•One piece

A wide range of sizes and designs are available suiting various bone types and measurements.

The designs even help avoid bone augmentation and sinus lifts.

•Two piece

Limited sizes and designs are available thereby limiting their application.

7. Cost

•One piece

These work out a lot more cost-effective in comparison with two/three piece implants.

•Two piece

Expensive – with respect to the costs of the implants as well as the time taken for multiple procedures.

8. From the patient’s point of view

•One piece

With a less complex placement procedure, less number of sittings and crown(s) & bridges can be cemented in a day or two…

more or less like that of conventional bridgework & costs are comparable with that of conventional bridgework.

•Two piece

Crowns/bridges are cemented only after 3 months after the healing phase. Much more expensive than conventional bridgework.

9. Screw Loosening

•One piece


Since there is no separate abutment- screw-implant assembly.

•Two piece

Very common.

Being two-piece, the relation between the root portion and the abutment portion can present problems.

Studies have proved that two-piece implants experience higher mechanical stress under oblique loading

10. Long-term Maintenance

•One piece

Being a single piece, the strength provided by the implant is excellent and there is no separate root portion and abutment portion. Maintenance is very simple… maintenance is just the same as that of conventional bridgework

•Two piece

Maintenance of these implants is more complex… very often screws (when used) are to be tightened at periodic intervals as there will be micro-movement between the implant and the abutment.

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