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!
However,
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
featuring
•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…
• THE PATIENT
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.
•THE DENTIST
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
Absent.
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.