Mini Dental Implants Vs Zygomatic and Pterygoid All on 4 Implants скачать в хорошем качестве

Mini Dental Implants Vs Zygomatic and Pterygoid All on 4 Implants

Mini implants and zygomatic implants are as opposite as they come! In this video I explain how someone with "no bone" on the upper jaw would consider mini implants vs. zygomatic/pterygoid implants. Which lasts longer? Which is prone to problems? Hello, I'm Dr. Ramsey Amin. Today the topic is quite the opposite, mini implants versus zygomatic implants. Now we're typically talking about replacing the full upper jaw. And let's talk about each one here for a moment. Usually when this question arises because somebody has been told they have no bone on their top jaw at all, and there's nothing to anchor, so do you go really, really small and narrow or do you put something extra, larger, in different areas of the mouth? So my own personal feelings of mini dental implants, and over the years and experiences that I've seen them, I call them temporary implants. They're very narrow. They are bendable and they break. They're not intended to really support full teeth for a long-term basis. They could be used on a temporary basis in some situations, or when they're really sickly, who may need some denture support. But this certainly isn't for long-term. Mini implants have never really been well-accepted by the dental community. We haven't found long-term success with them. It's a quick fix. So if the upper jaw is typically hollow altogether, and there's no bone anywhere, the other option is putting implants in remote locations. That means that we're going to anchor them into the bottom of the nose, or what's called the vomer, this thing called the piriform rim, the zygomatic arches, or zygoma it's called. Or way in the back, called the pterygoid area. Those are areas that have bone, even in patients that have had severe bone loss. So typically the upper jaw is hollow, because the sinuses are very big. So even though you feel like you have gum there, inside there's nothing to go into. So in my practice, patients that have hollow bone or no bone, I utilize zygomatic and pterygoid implants for many years now, in addition to anchoring into the bottom of the nose. It sounds a little bit strange that the implant doesn't go through your nose at all, but it actually anchors into the base of the nose, just grabs the hard bone. And that's what we're looking for. Usually it's hollow everywhere, and as we get a little deeper, there's a hard spot almost everywhere on the upper jaw. And so that's called remote anchorage or non-conventional implants. So if I had to choose having my whole upper jaw replaced with mini implants or a combination of larger, longer implants, such as pterygoid, zygomatic or vomer nasal lifting, that would certainly be the way that I would do it, or if my own mother or father needed to have their teeth replaced. Because that gives long-term solutions with a regular size diameter implant. So these implants are about, on average, I'd say 4.2 millimeters in diameter, versus a mini implant that's two millimeters in diameter. That's not very much, if you look at a little ruler and check that out. Also, with the options that I provide for patients, we typically will have teeth within 24 hours. That means I could take out the remaining teeth, I can put in the zygomatic, the pterygoid, the nasal type of implant, and have teeth attached right away. That means you're smiling and all that is done within a day. Of course, it takes a lot of work on the front end, some digital planning, facial scanning, we call intraoral scan. It's like a little wand that goes inside. We use what's called a Trios that helps develop all the records beforehand and make sure that your jaw, called the vertical dimension, is correct, all before doing anything at all. I find that with the mini dental implant solution, they're just kind of put in there, and then it's more of an afterthought making the teeth. Whereas with the definitive way of doing, with real implants or zygomatic pterygoid implants, all that is pre-planned very carefully beforehand, a full digital workup, a full facial analysis. So I know what you're going to look like before I ever start. There's a lot of mental rehearsal that comes through, many times over, until we actually go to surgery and then deliver teeth that get computer milled. It's really quite neat. That means that little arms come out from a computer machine and drill away a large puck of material to make the smile really nice. And I have lots of examples on the site here. But bottom line, for mini dental implants, would not be my solution really anywhere in the mouth. Not anything long-term, maybe 18 months at the most.