Immediate Placement of Dental Implants
This is a technique where teeth are extracted and implants are placed at the same time.
This has the advantage of reducing the number of surgeries that a patient has to undergo, reduce healing time, time when temporary restorations are worn and therefore treatment time. In addition bone and gum tissue can be maintained and supported which is important particularly at the front of the mouth where aesthetics are important.
However it is also true to say that healing of implants and bodily tissues my be a little less predictable that in the delayed techniques. Success rates for implants are comparable to the non immediate techniques. This Is an established technique. Where anatomy or infections do not facilitate immediate implant placement the extraction site will be allowed to heal prior to implant placement ( post extraction technique).
Post Extraction Dental Implant Placement
This technique is when implants are placed a short time after extraction of teeth usually within a few weeks or months.
This is to allow healing of infections , bone and gum tissue so that an implant may safely be placed into stable tissues that have regenerated to allow implant placement. This is a technique that may patients will undergo. The tissues are assessed prior to implant placement to strike a balance in time and healing. The tissues need to be allowed to heal for long enough so that they are sufficiently healed to allow implant placement but not so long that vital bone and gum tissue that is needed is lost. Gums and bone shrink when teeth are extracted. This is the body’s use it or lose it system ( Disuse atrophy). Another important consideration is that the surgeon may have greater control over the tissues with a superior outcome.
Dental Implant Delayed Placement
This is a technique that many people will undergo where the tooth or teeth have been lost many months or years ago and the tissues are fully healed.
The tissues can be fully assessed and implant placement can proceed in a predictable manner. If sufficient bone levels remain the implants can e be placed in the normal way but if augmentations techniques are required then these can be employed.
The Stages of Delayed Placement of Dental Implants
1. The first stage involving the delayed placement of dental implants starts with the dental surgeon making an incision on the patient’s gums, to provide him with the access to the jaw bone underneath. The dental implant will then be inserted directly into the jawbone, and the incision made on the gums will be closed with stitches. A waiting period of three to six months will be needed, to allow the dental implants enough time to integrate with the surrounding tissue.
2. The second stage of delayed placement of dental implants begins after the healing time has passed. The dental surgeon will then make new incisions on the patient’s gums to gain access to the dental implants underneath. The dental implant will then be attached to an abutment, which will be used as an anchor for the replacement tooth.
Immediate Loading of Dental Implants
This means that the dental implants are brought into function immediately upon being placed. They are able to be take biting forces IE: load straight away. This can be for a single tooth, multiple teeth of full fixed or removable denture cases.
Immediate loading of dental implants removes the need for a long waiting period for a patient to maximize the use of his or her dental implants. Immediate loading of dental implants are ideal solutions to emergency situations when a tooth (or several teeth) is lost, and needs to be replaced in the soonest possible time with a dental implant and a prosthetic tooth. Immediate loading dental implants also provide quick solutions in addressing ill-fitting dentures.
Immediate loading dental implants provide patients with the replacement tooth roots and replacement teeth in a single dental procedure, without the need to wait for three to six months before enjoying improved teeth function and appearance . The instant results that are given by immediate loading dental implants have benefits in terms of function, appearance and self confidence and esteem.
It is usual to have a definitive restoration after the implants are fully integrated although in some removable denture cases the final restoration is fitted at the time of implant placement.
Steps in the Placement of Immediate Loading Dental Implants
A dental surgeon will do the following steps involved in the placement of immediate loading dental implants:
1. Immediate loading dental implants, also called same day implants or mini implants, are small and extremely strong titanium implants that are placed directly into the patient’s jaw bone.
2. The patient’s dentures will be equipped with small metal implant housings made of titanium, which will then be positioned to sit on top of the dental implants.
3. The dental implants are topped with rubber rings, after which the denture is clicked firmly and securely into place over the dental implants. The procedure results to dentures that are still detachable, but are more firmly secured into place.
