Can Mini Implants Support My Failing Bridge?
Patrick asks:
I recently had two support teeth for a bottom permanent bridge go bad. The dentist said that he could not reattach them and tried to sell me a denture. He does not do implants. I saw the information on Mini implants and was wondering if they could be used to hold in the current device which is in excellent shape. I know for a fact that I can support implants because I have been tested.
Dear Patrick,
Without X rays or an exam it is difficult to answer your question. However, in general, a loose device, such as the bridge you describe, cannot be retrofitted for any dental implants. A bridge is made for the supporting structure in place at the time. Therefore, a new bridge would have to be made so that everything fits correctly.
As for mini dental implants, they do have their place to support either a bridge or removable denture., so they are potentially an option in your case. However, a cone beam CT scan would best indicate the bone levels and what would work best in your situation.
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Possible Indication for Mini Implants
Actually, retrofitting an existing bridge with minis is a good use for small diameter implants. It can increase the useful life of the bridge and in your case allow you to avoid the need for a full denture. Of course, specific evaluation of your situation is important and you may not be a candidate for the use of mini implants. In my office in Buffalo, Ny I would evaluate with a CBCT scan. That would tell me if there is enough bone available to use minis for the case. Although the width of bone can be severely compromised and MDIs will still be appropriate, short ridges preclude the use of mini implants. All this said, you may be better off with an implant supported or retained denture anyway; retrofitting a bridge is essentially a band-aid on a problem. Most importantly you should find yourself a progressive implant dentist that would give you a thorough evaluation and comprehensive consultation to determine the best course of action; someone who places both mini implants and standard implants.
Benjamin D. Oppenheimer, DDS
http://www.drmdi.com
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