Dr. Josh Brower teaching dental implants one on one in office with Live surgery. He does not teach how to tie bowties. Enjoy the slides!

Whats a Mini Implant?

Minis by definition are titanium alloy screws that are between 1.8 and 2.9999mm in diameter, with a new crop that are being called Hybrid Minis that are 2.8 to 2.9 and are most likely for use in the maxilla or a wide ridged mandible. There are usually two types of thread pitch with the more narrow for dense d1 and wide thread pitch for d2 and d3+ bone.

Minis typically come in lengths of 10-18mm and are mostly used in the dense bone of the anterior mandible, hence the lack of shorter length implants. Minis can also be used in ortho for anchorage, or used in conjunction with conventional implants to hold a temporary.

Minis are typically one piece implants due to the fact that with their narrow diameter and the high amount of torque required to place them, having an internal connection would lead to deformation and breakage while placing. Most have a ball type end onto which various crown or attachments can be cemented.

By Dr. Josh Brower

Conventional Implant Mini implant

3m Imtec 2.9 Hybrid

Intralock has cementable abutmentsFor crown and bridge.

Typical mini implant placement is between the lower anterior mentalforamens.

Important anatomy

The first step is to palpate the ridge to get a feel for the direction and undercuts.

A ratchet is used to get implants to full depth

New Park Dental Research Narrow ridge Implant

Traditional Park DentalResearch Mini Dental Implant

Mini Dental Implant Case 25 years old by the Father of Mini Dental Implants Dr. Victor SendaxTaken from the textbook (2012) Mini Dental Implants

Mini implants take care from the patient just like conventional implants.We call these “Calcuplants”.

Difficult case completed by Dr. Matt Lasorsa

Mini Dental Implant Surgical guide used in patient’s mouthWhen CT is taken to evaluate placement locations.

Mini and conventionalimplants placed at the time of extraction. Onemonth post op.

By training the tissue mini implantscan make very cosmetic anterior crowns

Upper right lateral incisor is a natural tooth.

Mini implant after10 years in use.

Mini dental implants hybridized with conventional implants to make the Denture non-removable.

Mini dental implant zirconium bridge splinted to natural teeth after a couple of years of use.

Maxillary PMMA try in for fullArch reconstruction on Minis

Denture size vs fixed zirconium bridge. This is the 3d printed try in.

Dr. Josh Brower can be found online at www.smilesforsiouxland.com , www.joshbrowerdentist.com, linkedin/drjoshbrower and throughFacebook (Mini Dental Implant Masters). Emailing questions is encouraged at browerj@gmail.com

Dr. Josh Brower, DIADI, DIAMDI, FAASDI, DICOI, AOS

Dr. Brower received scholarships to attend the University of South Dakota after graduating from Washington High School in Sioux Falls South Dakota in 1990. He completed his studies in 3 years while finishing with Cum Laude honors and received a scholarship to attend the Number 1 ranked dental school in the nation which was the University of Minnesota at that time. He found he had a strong interest and ability in dental implants and orthodontics while at the University of Minnesota. During his studies there he accepted a Health Professional Scholarship from the United States Army where he received advanced training at Tripler Army Medical Center from 1995-1997 on Oahu over a period of 2 years. He specifically worked side by side with a gifted team of oral surgeons and an orthodontist that ran the US Army residency training program. After 4 years he graduated from the University of Minnesota with Honors, and in 1997 accepted an officers commission in the Army where he requested his initial duty station to be in Germany. He was granted his wish and was again allowed to train with a group or oral surgeons, orthodontist, and a board certified prosthodontist. He continued his advanced training for 2 years in Germany and then moved back to the US where he worked in a clinic in Lousiana with 26 other dentists. Upon completion of his military tour and honorable discharge Dr. Brower moved to the midwest with his wife Peggy and their family to pursue larger family and settle down into private practice. Dr. Brower's advanced training allows him to perform many procedures that other general dentists have not received the training to perform in office which gives patients great comfort when considering being "referred out" when something needs to be done. By allowing one practitioner to see all aspects of the same case and not having each piece looked at by someone different over a wide range of times amazing results can be achieved. In no other way can multiple specialty procedures be combined into one appointment as you can see from the photos of our wonderful patients on the site.Dr. Brower began restoring and placing implants in 1997 and continues to be heavily involved in the forefront of implant therapy in the U.S. He has placed and restored over 8,000 dental implants since 1997 and helped develop two independent dental implant lines for manufacturers. He teaches live surgery courses in his offices with doctors coming from all over the world to see him perform live surgery multiple times per year.

He has lectured and taught dental implantology internationally and been a keynote speaker at the University of California San Diego where he was filmed for international training of other dentists. His implant videos can be see on the dentinal tubules network which is the largest depository of dental knowledge on the planet.

Dr. Brower is faculty for the International Academy of Dental Implants and a featured keynote speaker in China where implant dentistry is fast becoming something every dental practitioner there performs.He also teaches orthodontics (braces) and publishes/lectures for the American Orthodontic Society. He runs dental forums for orthodontics and dental implants and moderates the conversations of hundreds of dentists every day.He is an American Dental Association accredited and approved continuing education lecturer, and has continuing education available through www.dentaltown.com which is the worlds largest gathering of dentists on the current state of implant prosthetics in the 21st century.