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Mini Implant Partial Failure and
Treatment with PRF in the Anterior
Salvaging a mini implant using platelet-rich fibrin (PRF).
Dentaltown.com > Message Boards > Implantology > Mini Implants > Mini Implant Partial Failure and Treatment with PRF in the Anterior
JoshBrowerDDS
Member Since: 11/15/06
Post: 1 of 7
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I saw some posts about the high failure rate of mini implants and how some practitioners can
make them work while others can't. There is a very recent and good article that tested general
implantology of general practitioners versus specialists in JADA which found that at least in
their study that the failure rate was much higher. I think this can be true for a couple of reasons.
Proper postoperative care is always very important from the patient. I believe patients don't
take general practitioners as seriously as a specialist when talking about implants and postoperative care since their general practitioner was wrong about how long that "patch" would last. I
also think as a general practitioner that we get "talked" into things because we have seen things
work that shouldn't have based on our training.
Being "talked into something" usually equates into "rushing" the treatment or trying something
risky that may make the procedure fail if things don't go perfectly. All that is pure conjecture, but
what I came up with after thinking about the article in JADA. Opinions all vary and I would agree
with all of them. Here is a case I did where I used an immediate load implant in the anterior that
was "new" from Intralock in 2.5mm diameter. I do not blame the implant for the failure. This was
purely patient related and part of not taking the informed consent seriously as all patients should.
This patient had the implant placed without complication with the new crown and bridge
head which was going to have a nice emergence profile and allow for bicortical stabilization. She
"needed" something to make it look like a tooth since her
Fig. 1
flipper couldn't be adjusted to fit over the implant without breaking it. She refused an essix retainer. The temp
was placed on the facial only so cleansing would be easy.
The implant placement went well with excellent stability achieved, so an impression was taken. Watch what
happened when she came back and what I did.
Fig. 2
Emergence profile on placement (Fig. 1)
Bicortical stabilization (Fig. 2)
Buccal plate broken off and loose from "I couldn't
stop pushing on it with my tongue. It was so
new and interesting." (Fig. 3)
A flap to see the amount of damage from the
Fig. 3
Fig. 4
tongue. (Fig. 4)
First try patient did not care for PRF area and
little was gained. Third pic is healing from
that. PRF done again and crown temp
placed on to guide tissue growth. Crown
touching PRF only. (Fig. 5)
Fig. 5
28
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