Vol. 20, No. 2
 Page 2
December 2007

Against All Odds A “No Bone Solution™” continues:

A 67-year-old retired surgeon was referred to the Pi Dental Implant Center by his periodontist and restorative dentist in April 2007 with a prior diagnosis of “no bone in the maxilla (Figs 1A-C).” This patient’s desire for treatment included “fixed teeth” with improved oral function and esthetics. Some of his medical conditions were potentially detrimental to the long-term prognosis of complex dental treatment, but not insurmountable. The patient was diagnosed with diabetes, emphysema, high blood pressure and dry mouth syndrome. To further complicate matters, he smoked two packs of cigarettes a day and admitted to an intense parafunctional bruxing and clenching habit.

Preop dentures and radiographs Preop dentures and radiographs Preop dentures and radiographs
Figs 1A: Patient’s intraoral preoperative image illustrates minimal anterior ridge and bone in the posterior below the expanded sinuses.
Figs 1B: Upper removable denture
exhibits a very flat and atrophic palate.
Figs 1C: Denture with two retention snaps for the failing “mini” implants

Preop Panoramic Xray
Fig 2A: Preoperative panoramic radiograph

Preoperative Ceph Xray
Fig 2B: Lateral preoperative cephalometric radiograph

No Bone Solution™ is a special treatment protocol developed at the Pi Dental Center. It combines unique computer guided implant surgery with precision screw retained fixed prosthodontic rehabilitation of the severely atrophic maxilla. The protocol eliminates the need for invasive bone grafting and extensive procedures.



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