Small Diameter Restorative Space

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Posted on By In Patient/Consumer Inquiries

Quick question if you don't mind. Is there a small diameter (less than 3.5 mm) two piece implant that you like/trust?
I have a case that requires implants # 07 and # 10. Comprehensive ortho tx has been completed leaving spaces where placing 3.5 mm fixtures is just too tight. No further ortho correction is possible as per cosmesis and inter-arch relationships/occlusion.
Bone quality is good, B-P bone quantity is adequate, vertical osseous dimension allows for placement of 10 - 13 mm length fixtures. occlusion is atraumatic.
It is just very tight M-D (approx 5 - 5.5 mm).

A one piece fixture without angulation modification potential won't do well here. And, this is a high exposure, esthetic zone case. C+B not an alternative.

Any thoughts on a narrow two piece implant system in a case like this?



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A good one-piece unibody option is the Zmmer 3.0mm and the 2 piece implant system is the Dentsply Xive 3.0-3.4mm. Both are excellent options to restore small spaces.
Good luck and thanks for the post.
Maurice Salama


Biohorizons laser-lok 3mm will give you a strong 2-piece implant with the prosthetic freedom you require. Take another look at your CBCT imaging and if you can use a one piece I would use the Biohorizons one piece 3mm that used to be callled maximus. Place it with osteotome preparation and you can have better control of angulation as well as less risk to adjacent roots from drills.