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Medical Forum / General / Dentistry / August 2005Denture Mini Implant
So, really need all my teeth removed. All my web research leads me to Mini Implant Retained Over-Dentures. Expense , an issue. Therefore: not just implants or " non mini " sized implants for retention. Been told I have great bone ( dense ) in jaw. Been in touch with : Imtec ( MDI ), IntraLock ( MDL ) with no real solution so far. Meaning, they haven't located a local enough Doc for me yet. I'm in the Yorktown / Mohegan Lake , Ny area: 10547 , Westchester County . Just stunning how tough it is to locate a local ( or even reasonable travel ) dentist that makes clear that this procedure is a possibility for them. One has to just go " fish " with consult / x-ray fees piling up. My wife and I have just bought our first house. Would love to find the procedure ( extraction - maybe using insurance for that - , mini implants, dentures ) for around $3,000.00. Wonder if that's just impossible; or if Canada, dental schools , or some other innovative idea is needed. Or just " give it up " and go get the teeth pulled and get the old George Washingtons? Thanks for any help, Marty ( voicelit ) > My wife and I have just bought our first house. Would love to find the > procedure ( extraction - maybe using insurance for that - , mini > implants, dentures ) for around $3,000.00. Wonder if that's just > impossible Probably "that's just impossible" at that price.  Signature. Amatus . > So, really need all my teeth removed. All my web research leads me to > Mini Implant Retained Over-Dentures. Expense , an issue. Therefore: not [quoted text clipped - 18 lines] > > Marty ( voicelit ) Around here two mini-implants go for $1,000 (for two) and you can us your old denture if it still fits. photo follows . http://www.tinypic.com/ape994.jpg . [image: http://www.tinypic.com/ape994.jpg] . -- Joel34 Everything I've read and heard leads me to believe that 4 minis are far more desirable than 2... > Around here two mini-implants go for $1,000 (for two) and you can use > your old denture if it still fits. Can someone point me to some published research on these mini-implants? Dr. G. > photo follows > > . > > http://www.tinypic.com/ape994.jpg SignaturePlease reply via newsgroup. Here? ** 1: Morea C, Dominguez GC, Wuo Ado V, Tortamano A. Related Articles Links Surgical guide for optimal positioning of mini-implants. J Clin Orthod. 2005 May;39(5):317-21. No abstract available. PMID: 15961891 [PubMed - indexed for MEDLINE] 2: Ohnishi H, Yagi T, Yasuda Y, Takada K. Related Articles, Links A mini-implant for orthodontic anchorage in a deep overbite case. Angle Orthod. 2005 May;75(3):444-52. PMID: 15898387 [PubMed - indexed for MEDLINE] 3: Guler N, Cildir S, Iseri U, Sandalli N, Dilek O. Related Articles Links Hypohidrotic ectodermal dysplasia with bilateral impacted teeth at th coronoid process: a case rehabilitated with mini dental implants. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005 May;99(5):E34-8 PMID: 15829868 [PubMed - in process] 4: Hubbard LG. Related Articles, Links Many problems, mini solutions. Dent Today. 2005 Mar;24(3):104, 106-7. No abstract available. PMID: 15816669 [PubMed - indexed for MEDLINE] 5: Ishii T, Nojima K, Nishii Y, Takaki T, Yamaguchi H. Relate Articles, Links Evaluation of the implantation position of mini-screws for orthodonti treatment in the maxillary molar area by a micro CT. Bull Tokyo Dent Coll. 2004 Aug;45(3):165-72. PMID: 15779459 [PubMed - indexed for MEDLINE] 6: Huja SS, Litsky AS, Beck FM, Johnson KA, Larsen PE. Relate Articles, Links Pull-out strength of monocortical screws placed in the maxillae an mandibles of dogs. Am J Orthod Dentofacial Orthop. 2005 Mar;127(3):307-13. PMID: 15775945 [PubMed - indexed for MEDLINE] 7: Hong RK, Heo JM, Ha YK. Related Articles, Links Lever-arm and mini-implant system for anterior torque control durin retraction in lingual orthodontic treatment. Angle Orthod. 2005 Jan;75(1):129-41. PMID: 15747828 [PubMed - indexed for MEDLINE] 8: Ahn MR, An KM, Choi JH, Sohn DS. Related Articles, Links Immediate loading with mini dental implants in the fully edentulou mandible. Implant Dent. 2004 Dec;13(4):367-72. PMID: 15591999 [PubMed - indexed for MEDLINE] 9: Mazor Z, Steigmann M, Leshem R, Peleg M. Related Articles, Links Mini-implants to reconstruct missing teeth in severe ridge deficienc and small interdental space: a 5-year case series. Implant Dent. 2004 Dec;13(4):336-41. PMID: 15591995 [PubMed - indexed for MEDLINE] 10: Yao CC, Wu CB, Wu HY, Kok SH, Chang HF, Chen YJ. Related Articles Links Intrusion of the overerupted upper left first and second molars b mini-implants with partial-fixed orthodontic appliances: a cas report. Angle Orthod. 2004 Aug;74(4):550-7. PMID: 15387035 [PubMed - indexed for MEDLINE] 11: Travess HC, Williams PH, Sandy JR. Related Articles, Links The use of osseointegrated implants in orthodontic patients: 2 Absolute anchorage. Dent Update. 2004 Jul-Aug;31(6):355-6, 359-60, 362. PMID: 15376720 [PubMed - indexed for MEDLINE] 12: Kanie T, Nagata M, Ban S. Related Articles, Links Comparison of the mechanical properties of 2 prostheti mini-implants. Implant Dent. 2004 Sep;13(3):251-6. PMID: 15359162 [PubMed - indexed for MEDLINE] 13: Bilgili H, Kurum B. Related Articles, Links Treatment of fractures of the mandible and maxilla by mini titaniu plate fixation systems in dogs and cats. Aust Vet J. 2003 Nov;81(11):671-3. PMID: 15086106 [PubMed - indexed for MEDLINE] 14: Nocini PF, De Santis D, Ferrari F, Bertele GP. Related Articles Links A customized distraction device for alveolar ridge augmentation an alignment of ankylosed teeth. Int J Oral Maxillofac Implants. 2004 Jan-Feb;19(1):133-44. PMID: 14982366 [PubMed - indexed for MEDLINE] 15: Cheng SJ, Tseng IY, Lee JJ, Kok SH. Related Articles, Links A prospective study of the risk factors associated with failure o mini-implants used for orthodontic anchorage. Int J Oral Maxillofac Implants. 2004 Jan-Feb;19(1):100-6. PMID: 14982362 [PubMed - indexed for MEDLINE] 16: De Clerck H, Cornelis M, Timmerman H. Related Articles, Links [Dental tours de force 4. The use of a bone anchor for holding uprigh a tipped molar in the lower jaw] Ned Tijdschr Tandheelkd. 2004 Jan;111(1):10-3. Dutch. PMID: 14768238 [PubMed - indexed for MEDLINE] 17: Shatkin TE, Shatkin S, Oppenheimer AJ, Oppenheimer BD. Related Articles, Links A simplified approach to implant dentistry with mini dental implants. Alpha Omegan. 2003 Oct;96(3):7-15. No abstract available. PMID: 14702939 [PubMed - indexed for MEDLINE] 18: [No authors listed] Related Articles, Links Tri mini-transitional implants the ultimate immediate loading implant for transitional or long-term use. J Ir Dent Assoc. 2003;49(2):75. No abstract available. PMID: 12961967 [PubMed - indexed for MEDLINE] 19: Fritz U, Diedrich P, Kinzinger G, Al-Said M. Related Articles, Links The anchorage quality of mini-implants towards translatory and extrusive forces. J Orofac Orthop. 2003 Jul;64(4):293-304. English, German. PMID: 12937865 [PubMed - indexed for MEDLINE] 20: Nkenke E, Lehner B, Weinzierl K, Thams U, Neugebauer J, Steveling H, Radespiel-Troger M, Neukam FW. Related Articles, Links Bone contact, growth, and density around immediately loaded implants in the mandible of mini pigs. Clin Oral Implants Res. 2003 Jun;14(3):312-21. PMID: 12755781 [PubMed - indexed for MEDLINE] Items 1 - 20 of 44 SignatureJoel344 Joel Of Philadelphia ? I'm from Philly. 2 mini implants for $1,000.00 . Can't remember how many are recomennded for retaining a denture. 2 for mandible, 4 for maxilla ? Or 4 bottom and 6 on top. Whatever : that could be 2 grand for the bottom, 4 grand for the top : $ 6,000 ; plus whatever : say $ 500. each for dentures ( have no idea how good or bad dentures at that price are ) : $ 7,000 ; extractions etc... Between $7,000.00 and $10, 000 all together ? Gee, had an offer from Koos up in Stratford , Ct. to do it with real implants for $17,000. Lot of dentists are pushing the envelope with minis if you check the Dentaltown forum under Mini. Marty ( voicelit ) Hiya Marty (the other Marty!) I've seen this implant stuff advertised recently (well within the pas five years ~ my how time flies!) as $1,000 for two mini-implants se into your old denture ~ it may have been from a shop called "AFFORDABLE DENTURES." ..... One guy called my regular dental sho several days ago and asked for a price for implants but then retorte that he already had a fee in his pocket of $650 per implant. When I asked about was that mini-implant or maxi-implant he had no ide what I was talking about but I already knew. So I explained a bit an recommended that he come in for a free consultation to get a bette informed diagnosis. Of course I snagged his e-mail (this was a phon call, remember) and I sent him information and the image that i recreated below. Jeez, its exactly like a phone system. There are so many ways t approach the problem, each with different features and each wit different costs. This forum, sci.med.dentistry/DentalCom.Net/MedKB/host of others is public way of INFORMING patients and ourselves so that we are all o the same page. What we got going on is a syndication o patients/doctors who offer opinions about dental problems. Basically am still learning this stuff myself although I should know better as m first continuing education dental implant course was in 1968. S dentists and patients, tell us what is your opinion of this. Ar mini-implants as effective in the lower edentulous (toothless) arch? ANSWERS to other questions. 1. I believe four are recommended, however this depends on vertica height of bone. Often the molar region is way worn down (atrophied). 2. Upper denture will stay in just great WITHOUT implants, in fac often times better. Suction is the key. I have had a number of patient call me from home to ask how to get those suckers out. The answer is t blow air up behind the denture and break the seal. (This assumes decent maxillary bone structure and a lack of movabl mucosa!) 3. If you are spending big bucks get the job done right and have porcelain/metal non-removable roundhouse CEMENTED onto the abutments. 4. If you spend the dough you are entitled to at least this. 5. In my shop there are two periodontists doing the surgica implantation. We are offering reasonable fees along with top-notc care! 6. Who are AFFORDABLE DENTURES? Well its a chain. There are two of the in our area however there were three. The one that folded was the sam guy advertising the $1,000 for two implants and was located around 67t and Market Streets in the Upper Darby region. Its a couple of building south of the old Horn and Hardart building that may be a McDonald' today. Another is in New Jersey while the third is at Roosevelt Mall. I hav no idea how they operate, however, I am always suspicious of people wh advertise on TV about their one-day service. This is a common misnomer If you need dentures tomorrow, you may or may not get the best job. know .... I have done too many one-day wonders to count! So who is the ORIGINAL Marty? Well check her profile piccie at thi thread or naother thread ... you will not be disappointed. She is dental hygienist from the Paoli area ........ and a very popular denta hygienist from what I am told. Joely STANDARD DISCLAIMER APPLIES: This is not diagnosis or treatmen suggestion. That cannot be done without an in-person consultation an examination, in Pennsylvania and in other jurisdictions. VOICElit (MARTY) Joel Of Philadelphia ? I'm from Philly. 2 mini implants for $1,000.0 . Can't remember how many are recomennded for retaining a denture. 2 for mandible, 4 for maxilla ? Or 4 bottom and 6 on top. Whatever : that could be 2 grand for the bottom, 4 grand for the top : $ 6,000 ; plus whatever : say $ 500. each for dentures ( have no idea how good or bad dentures at that price are ) : $ 7,000 ; extractions etc... Between $7,000.00 and $10, 000 all together ? Gee, had an offer from Koos up in Stratford , Ct. to do it with real implants for $17,000. Lot of dentists are pushing the envelope with minis if you check the Dentaltown forum under Mini. Marty ( voicelit ) SignatureJoel344 > Can't remember how many are recomennded for retaining a denture. 2 for > mandible, 4 for maxilla ? Or 4 bottom and 6 on top. As far as I can see: for minis, 4-6 on bottom (or 2-3 root form implants). For maxilla, minis are not really recommended (but as Joel pointed out, people tend to have less problems adapting to full uppers). If you really want an upper implant-retained denture, this would work out quite expensive. You can check out this group as well (for user opinions): http://groups.msn.com/denturesanewsmile/general.msnw Excellent resource, Let's (Letsconnect). Thanks. I do not believe I hav seen the MSN site before. Its looks like interesting general discussion but there is no way to search within the discussions. Say I am lookin for "mini-implants." Do I have to open each thread and read it? I hav become so lazy (and so efficient) with all this newfanged interne stuff! Now where are my 3x5 index cards anyway? Joel -- Joel34 > Its looks like interesting general discussion, > but there is no way to search within the discussions. Say I am looking > for "mini-implants." Do I have to open each thread and read it? msn groups are a Microsoft thingy... do you REALLY expect a SEARCH FUNCTION??? :-P You can ask a question though and wait for replies... For technical aspects of implant-retained dentures, DT's implantology forum is more informative, but it's still interesting to read about first-hand (or rather, -mouth) experiences (actually, the search function on DT is pretty useless as well - boolean operators don't seem to work?) That's 4 to 6 just to " retain / stabilize " the lower denture - guess be cause they're " minis " ? Wouldn't 2 mini implants at least improve the lower denture's stability ? Would some " mini implants " in the maxilla allow for a palateless denture ? Less speech problems ? Still interesting how difficult the search for a dentist that has any experience with these things. Imtec allows for you to select a city , but then you're only seeing who attended one Imtec course. What does that really tell you. You do see alot of " UK " ( Brit ) stuff on this. Yea, I'd have to come up with some really innovative / complex set of moves to get this done in our budget : have the insurance pay for the basement-level extractions, cheapo dentures... then try and get someone to work with me about the " minis ". Then there's schools ; haven't been able to get myself into a " study " of some kind. So far. Travel to Costa Rico or someplace . Is it " Hungry " in Europe that's the hot spot for this ? Will check on " original " marty soon. " Upper Darby " wow " Horn & Hardhart's "... I'll bet I coulda got this done cheap and well at " Gimbel's ". Marty ( voicelit ) You have posed excellent questions. A prime consideration about how thi needs to be designed has to do with the severity of the bite, the forc of the bite, the lateral excursions, and the dentist's judgemen (guess-timate) of same! For many people, there is not a huge amount of lateral, side-to-sid displacement so two implants may do the trick to prevent the backward slippage. On the upper, if you eliminate the palate, you eliminate the "suction. This means that two implants will never do the job. Why not? Because th denture will rotate around the fulcrum, that is the line bisecting th two implants. STEP ONE is always to be sure that the dentist has plenty of dentur experience. If the dentures themselves prove to be a problem, try tw lower mini-implants for stabilization. If a better approach is desired, prepare to pay more, much more. Joe -- Joel34 As far as I understand, you're running the risk of one or both implants becoming loose where only 2 minis are involved. Stability is the second issue. I've often wondered about Hungry myself... If there are any dental schools near you, you should check into this. Joel would know more though (PA, right?) Nah, Voicelit ( marty ) here. I'm in the New York area . Yorktown , Westchester County. 10547 Marty Sorry, I was getting mixed up with a different thread location-wise. If cost is the main concern, dental schools would be worth investigating, though it might take a bit of time for the work to be completed. 4 minis (lower) might be your best bet, unless you can afford two or three "standard" lower implants. One advantage of the minis is that usually, the overdenture can be attached immediately. Also, they can work where ordinary implants can't (due to lack of decent bone). Otherwise, most implant specialists would recommend 'standard' implants. But the minis might work just fine. Well, I go see this guy : Dr. Joseph Zaky here in Yorktown, Ny. tomorrow. Free consult, free x-rays. Don't have much hope that he can actually do it for around $3,000.00, but might point me in some direction. I like the immediate aspect of the minis. Seems I'd have to luck in to some strange situation: someone needs to " experiment " in some way, needs to "try out " some new equipment. Marty ( voicelit ) If its the mini-implants I think you will be in luck .... Please let us know! Joel SignatureJoel344 > [...] > I like the immediate aspect of the minis. While I can see the convenience of immediate treatment, I wonder about the practicality. I have no experience with minis, but I do have extensive experience with some other types of implants. Some of the research to which Dr. Joel referred me, seemed to suggest that there was a (bit) less success with minis placed and loaded immediately compared to those which were allowed to heal and were then "put to work". This same thing has been seen with other types of implants. I think this is something you should talk to your dentist about before you decide to do anything. Could be nothing the worry about. Then again...? Dr. G. prosthodontist > Seems I'd have to luck in to some strange situation: someone needs to > " experiment " in some way, needs to "try out " some new equipment. > > Marty ( voicelit ) SignaturePlease reply via newsgroup. We have been using mini's in various locations for anchorage supports for sectional movement for the last few years. We have found they can speed up treatment, especially for those patietns who are not compliant with headgear or other patient controlled factors. Dr. Braces >> [...] >> I like the immediate aspect of the minis. [quoted text clipped - 19 lines] >> >> Marty ( voicelit ) We are on the same page here Dr. G. In fact, I am exploring and thinkin this issue through right now, for very practical reasons. All things being equal, what we prefer are root-form implants, togethe with fixed, non-removable porcelain fired onto a metal substructure Unfortunately, this is expensive care. And we prefer that implan placement be done by one of our specialists who has completed two o three years of full-time advanced dental study through an accredite university program. This is what we are doing over at our shop. We are coordinating th treatment for maximum patient benefit. That said, there are people with slipping lower dentures who still nee care. Perhaps they live on disability payments, or just have not pu together a decent career. Well, that MAY be justification for FALLBACK position. We are exploring the literature and we agree that what I posted is no representative, fair, balanced, or even anything but the mos superficial introduction into the discussion. Perhaps this discussio is of interest to this group. Joe -- Joel34 Voicelit ( marty ) original poster here. Went to that free consult in Yorktown Heights, Ny today. Kinda offputting . X-rays. The dental assistant hands me a bunch of loose leaf binder type books full of amateurish graphics and polaroids of bad teeth corrected by the dentist. Another dingy book of letters of apreciation from worshipful patients. Strange place above a busy intersection , huge cosmetic dentistry photo in window - all yellowed with age. Place was clean, but a strange of purple I'd associate with some depressing fast food joint. Doctor was very conversant with implants and minis. I asked if he used Imtec, he said he used a better product, I asked " MDL, Intra Lock ?" he says: " so, you have done some research" . Whatever. He's probably right that the basic cost would be about 6 grand each - upper and lower. What with extractions, healing, temporary denture, 4 minis for the lower - I think he came to this price without any minis on the upper, just suction - etc... I'm still gonna search around for some unique set of situations that brings all this in for less money before just having them all yanked out and whatever dimestore dentures my MetLife insurance will pay for. Stay tuned. Hey Joel, know much about the Philly scene? I was quite the local " art star " down there during the '70s. Marty ( voicelit ) It still seems like a lot of money ........ Keep a-shoppin' ....... Okay, art scene ....... I am/was a South Street dude ,,, Lickety Split Cafe Yas, Black Banana, erstwhile friend of Isaiah Zagar ...... Joe -- Joel34 Yes, Isaiah... years ago, I helped do the plastering of " Eyes ". Use to live down on 6th and Kater, worked with a " Jeff Baumann ". Is Isaiah still around ? Think I heard he was ill. Julia ? Couple of years ago, I was living at 4th and Lombard. Miss " Mommy's, The Book Trader ". Marty ( voicelit ) Isaiah and Julia are doing fine. They live up around 9th and South. Th most famous project right now is Magic Garden. You may know Bo Natalini who was close with Isaiah at the time. I live at 7th and Pin which is right around the corner. Joel Here is Judy Wicks on Magic Garden: Save the Magic Garden: Mosaic Tour with Isaiah Zagar Saturday, September 10, 9am . [image: http://www.whitedog.com/isaiah.gif] . Save the Magic Garden: Mosaic Tour with Isaiah Zagar Saturday, September 10, 9am [image: http://www.whitedog.com/isaiah.gif] For more than 30 years, mosaic artist Isaiah Zagar has been usin broken mirrors, bicycle wheels, bottles, tiles and ceramic objects t embellish Philadelphia including the Painted Bride Art Center, and number of interior spaces. After meeting at the Cafe for coffee muffins, we will travel to the landmark Magic Garden, Zagar’ sculptural environment on South St., to tour it and a number of hi works inside and out by foot. He considers the Magic Garden to be th keystone of his extensive outdoor art museum but it is threatened wit destruction. When we return to the Cafe for lunch, Zagar will discus his work and his vision for preserving it. $40 includes muffins & coffee, transportation, tour, lunch, tax & tip Space Limited. Reservations required. (215) 386-9224. (For mosaic workshop info or to help save the Magic Garden, visit isaiahzagar.com or philadelphiasmagicgardens.org, or cal 215-327-9911.) See more Community Tours. Return to Events Listings White Dog Cafe 3420 Sansom Street, Philadelphia, PA 19104 (215) 386-9224 (For mosaic workshop info or to help save the Magic Garden, visit isaiahzagar.com or philadelphiasmagicgardens.org, or cal 215-327-9911.) See more Community Tours. Return to Events Listings White Dog Cafe 3420 Sansom Street, Philadelphia, PA 19104 (215) 386-922 -- Joel34 Joel, tell Isiah , Julia you were online with Marty Watt. They'd get a kick out of it. You ARE a " dentist " ? Practicing ? There in the Society Hill area ? Implants ? Dentures ? For years, when I'd come back for awhile to Philly, I'd always be at the Knave Of Hearts. Think I heard it finally closed. Ah, the " White Dog Cafe ". For me it was always " La Terrace ". Back in the '70s , there on Sansom st. out on the Penn Campus. I lived in Powelton Village. Right near MOVE , around the corner from Ira Einhorn. Marty ( voicelit ) Will do! I see Isaiah and Julia all the time! I was one of the original customers at Knave of Hearts ..... you coul always find me there out back in the garden on Sunday mornings ..... Judy's just closed (Third and Bainbridge). I was their customer bac when it was on Leithgow Street right behind Zipperhead. Another longstanding favorite was Astral Plane ...... Now Knave of Hearts ... the building and adjoining buildings wer bought out by the Chinese guys ..... they ripped out the entir building while simultaneously rebuilding it with huge vertical space overlooking balconies, the woiks. But its still in cinderblock! Ther are no buyers. I was very worried that puppy would fall in while the were working on it. But you know how clever the Chinese guys are! Sadly, in the last few years Knave of Hearts did not keep up to it original reputation. I always liked Mickey Lubel and the gang over at Lickety Split. I se Mickey around the neighborhood. He now sells real estate for Plume directly across American Street from Knave of Hearts. The old neighborhood is still pretty much going strong! YIKES! We cal it the BOARDWALK! Joe -- Joel34 Joel, was reading your posts concerning the " reverse auction ". You've got a great sense of the " consumer's " situation . My " research " into all this dentistry / implant stuff has taken me so far as to have gotten myself onto the DentalTown forums. I managed to find the answer to a few questions they use to keep the public out. It's like sneaking into a private party , and overhearing what's really going on. But all this insider knowledge is just driving me nuts. Ignorance was bliss. I know enough to just be in a rage about what choices I'm getting stuck with 'cause I can't just comparison shop . Can't get that info. \ Was talking to some receptionist yesterday about possibly setting up a consult. I ask if the DDS does " minis ". She says " first you would have to consult ( panoflex ) to know if the doctor recommends ... " etc ... Concept being that if the dentist had never taken those courses, bought that technology then : guess what ( duh.. ) he's going ( in great priestly tones ) to prescribe against " minis " . But you can't just phone and ask if such and such a procedure is even offered by the dentist. Yes, Astral Plane back in the day. The '70s with people face down in there chilled soup from qualudes. Joel, why wouldn't I come to Philly and use you as my " denturist " / mini implant guy ? How does one find out about " now recruiting " studies, or dentists that are just starting up a practice ? Probably should start a new topic on this issue. Marty ( voicelit ) That's a great possiblity ....... but with some caveats. Here is me: Practiced in general dentistry and did bazillions of dentures .... in upstate New York Practiced in center city ....... sold my building, practice. Its where the commuter tunnel is right now! Left for a PhD research program in biochemistry/physiology ... Medical College of Pennsylvania on Henry Avenue. No PhD degree, but migrated into Department of Medicine, Division o Endocrinology, Lipd Research Program. Was a lab research directo there. That's actually nothing more than giving someone a title t avoid paying them anything but a mere pittance. Back to general dentistry ........ City practice .... later moved to a small practice in Media PA. Sold that. Taught for three years at Harcum College's Expanded Function progra plus a couple of other teaching programs. Did consulting ...... NOW ...... we are building a new facility for discount implants ... .yeah I know this sounds good. There will be general dentistry as well The implants will be placed by periodontists, with proper experience an credentials ...... But as of today, the doors are not yet open! We got patients callin and here I am putting them off. Now the entire implant thing is ye more complicated. On day One we will be prepared to do bridgework, roo canal, etc., but the implant stuff is going on at another location bu not yet here. So there is the time constraint! But who knows? At least we can help educate one another, possibly more! Joe -- Joel34 So, Joel... I'd imagine you must be in touch with some competent people ? Though, I'm learning how rare the dentist " interested " in their work . I can't get any " traction " up here, no -sort of - social leads. Just cold-call mainstream citizen ( sap ) stuff. Meantime, I'm doin' all this with the new house stuff going on... you know: living at Home Depot. Old Cape Cod , needs tons of work. Plus, I'm slowly learning the world of ride around lawn mowers, weed trimmer ( big time Stihl gas powered ) , motion detector lights, on &on. Got a new puppy ( 8 months ) from the shelter. Turns out to be a " Kelpie " some sort of legendary Australian stock dog. Wants to heard cattle about 50 miles each day. Now the search for Dentures. Whew. Well, just finished building my wife a spice rack . Now, more ride around mowing, and 2nd attempt at the weed trimmer. Marty ( voicelit ) This is true. Being Hungry makes people chew more vigorously. I sugges smaller meals more often so you do not get TOO HUNGRY and do not CHE YOUR FOOD to the point of loosening your implants. Joel letsconnect Wrote: > As far as I understand, you're running the risk of one or both implants > becoming loose where only 2 minis are involved. Stability is th [quoted text clipped - 3 lines] > If there are any dental schools near you, you should check into this. > Joel would know more though (PA, right? -- Joel34 Thanks for the references. I think some of them are a bit questionable, but in the long run I can find no reason to believe the minis won't work well given the proper indication. Dr. G. prosthodontist > 1: Morea C, Dominguez GC, Wuo Ado V, Tortamano A. Related Articles, > Links [quoted text clipped - 11 lines] > PMID: 12755781 [PubMed - indexed for MEDLINE] > Items 1 - 20 of 44 SignaturePlease reply via newsgroup. |
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