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ISSN: 2471-8726

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Case Report

A Guided Surgical Technique for the Use of Small Diameter Implants in the Anterior Mandible: Report of a Case

Kory Grahl1*, Brittany Rich2 and Andrew P Ingel1*

1Department of Clinical Sciences, University of Nevada, School of Dental Medicine, Las Vegas, Nevada, USA

2Private Practice, Las Vegas, USA

*Corresponding Author's:
Kory Grahl
Department of Clinical Sciences, University of Nevada
Las Vegas - School of Dental Medicine, 1001 Shadow Lane
Las Vegas, Nevada 89106, USA
E-mail: [email protected]
 
Andrew P Ingel
Department of Clinical Sciences, University of Nevada
Las Vegas - School of Dental Medicine, 1001 Shadow Lane
Las Vegas, Nevada 89106, USA
E-mail: [email protected]

Received date: August 14, 2016; Accepted date: August 26, 2016; Published date: August 30, 2016

Citation: Grahl K, Rich B, Ingel AP (2016) A Guided Surgical Technique for the Use of Small Diameter Implants in the Anterior Mandible: Report of a Case. Oral health case Rep 2: 123. doi:10.4172/2471-8726.1000123

Copyright: © 2016 Grahl K, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Introduction: Over the last five years 3,276 implants have been placed at the University of Nevada Las Vegas School Of Dental Medicine. Of those, 55 have been small diameter implants (SDI), accounting for less than 2% of all dental implants. Nine SDI’s were placed for fixed restorations. This case report demonstrates the use of SDI’s for a fixed, splinted restoration, utilizing a surgical guide for both the osteotomies and implant placement.

Methods: Two 2.0 mm × 15 mm SDI’s (Shatkin F.I.R.S.T.) were placed in the location of teeth #23 and #24. A surgical guide (Shatkin F.I.R.S.T Laboratory) was used for initial osteotomies to ensure proper angulation and for final placement of the SDI’s. A laboratory fabricated splinted acrylic temporary (Shatkin F.I.R.S.T.) was placed during the healing phase.

Results: Both SDI’s displayed successful integration, based on the Health Scale for Dental Implants. The SDI’s displayed no mobility, no pain or tenderness upon function, <2 mm of radiographic bone loss from initial surgery, and no exudates. The final splinted Porcelain-Fused-to-Metal (PFM) restoration was fabricated using conventional crown and bridge techniques and was cemented using FujiCEM.

Conclusion: SDI’s are indicated in cases where bucco-lingual bone width is limited and bone and soft tissue grafting are not possible. A surgical guide can be used to ensure proper placement and angulation of SDI’s. Placement of a single traditional implant with cantilever prosthesis has an increased chance of prosthesis failure in five years. SDI’s, in this application, have a success rate comparable to traditional implants. This case demonstrated a guided surgical technique for SDI’s without extensive bone or soft tissue grafting procedures.

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