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Use of Mini Dental Implants on the Rise but Questions Linger
Date:11/20/2008

ported findings from his Feb. 2007 article published in Compendium Dental Journal showing his overall success rate with mini implants was 95 percent. He noted implants are now widely accepted in the dental profession for denture stabilization and crown and bridge applications.

For stabilizing dentures, Shatkin explained that four mini implants are inserted in the front of the patent's lower jaw. It requires mild anesthesia. The dentist adjusts the denture to snap on to the implants and secure it. Denture wearers also can remove the prosthesis for cleaning and snap it back in place.

Concerns About Inadequate Research

Italian dental researcher and practitioner Matteo Chiapasco, MD presented a more conservative view to AAID meeting attendees, stressing there is inadequate scientific literature supporting long-term use of mini implants and no well-defined protocols to determine clinical situations for which they should be indicated.

"Adopting any procedure without sufficient research would bring us away from practicing evidence-based dentistry and back to the '70s and '80s when decisions were made from clinical experimentation," said Gowey.

According AAID President Jaime Lozada, DDS, there is concurrence for using mini implants to stabilize a denture and for insertion in tight spaces between teeth, but many implant dentists do not use them for single tooth or multiple implant placements. "For placing implants in an extraction site, in most cases, it's in the patient's best interest to use a traditional implant to help preserve the bone and promote better osseointegration," he said.

Olivia Palmer, DMD, an AAID Fellow practicing in Charleston, SC, believes mini-implants aren't designed to support normal-size crowns for single-tooth implants. "The chewing force applied from a crown could overwhelm a mini implant and put way too much pressure on the bone. This can lea
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SOURCE American Academy of Implant Dentistry
Copyright©2008 PR Newswire.
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