Ever wondered if there could be any material of which dental implant could be made and used in deciduous dentition, which would eventually resorb as the permanent tooth is erupting under it!!!
So many patients with partial or full anodontia, and many more conditions, can benefit from it. I know the idea seems very vague and impossible as of today, but any body having any ideas that can be refined and improvised so that one day in near future it might be possible...
Exactly my point. The implant which could resorb by the erupting permanent teeth and will eventually erupt in its place. So many young patients with partial or full anodontia might get great help in initial years of development of eating, speech and social development.
I think the resorption of the deciduous teeth is due to the eruption pressure created by then in a permanent teeth below it , so creating such a co-ordiantion for resorption is difficult, but a programmed resorption of a polymer (hard) can be developed which could Resorb the material with sustained resorption .
From what we have today, polyglycolic acid would be the material that would best fullfil the properties, although still very far from the ideal material necessary for that, as the degradation of the material would occur by hydrolysis (not by pressure of a underneath erupting permanent tooth) and would begin immediately after implantation, although very slowly. The polymer is completely resorbed by the organism in a time frame of four to six months. It is used, among other things, to manufacture absorbable sutures (Vicryl is an example) and absorbable miniplates, that some advocate for the use in osteosynthesis of fractures in some bones in children.
Yes, may be polyglycolic containing micro pearls will make up the body of that resorbable implant. Pressure from erupting underlying tooth will burst these pearls and that part will resorb with hydrolysis keeping other part intact.
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