Immediate implantation

Pradinis > Dental implants and implantation > Immediate implantation

Vienmomentė implantacija 1

Immediate implantation is a surgery when implant is placed immediately after tooth extraction.

For a long time, it was thought that after a tooth extraction, you should wait 2-6 months to allow the bone to heal before placing a dental implant. Most doctors still think the same way today. I confess that I was one of them. It seemed to me that by trying to speed up the biological processes, we were reducing safety, i.e. we were increasing the risk of the implant failing to heal, and in the aesthetic area, we were risking the loss of the natural gingival contour.

Whereas before I almost never placed an implant immediately after a tooth extraction, today I almost always do. What has changed?

Let’s start with the fact that 15 years ago we were very cautious. For example, we used to wait 6 months after a tooth implant, whereas today the safe timeframe is 3 to 4 months, and in some cases even 1.5 months. The shortest implant used to be 8 mm, whereas now it is 4 mm. The minimum number of implants for a non-removable prosthesis in a edentulous jaw was 6, whereas today it is 4 (all on 4). These are just a few examples.

In the long term, I have found that by placing the implant immediately after the straightening, not only do we not increase the risk of the implant failing, but we can also more easily maintain the natural contour of the gums against the artificial tooth. In addition, we save time, reduce the number of procedures and thus the cost.

Vienmomentė implantacija 2

First example

Lower or upper single-rooted premolar is going to be extracted. Immediate implantation is almost always possible in such cases.

Second example

Single-moment implantation in the molars.

It is rarely used by many due to a lack of conviction and surgical skills.

Patients benefit particularly from it. Removing a molar tooth often brings back unpleasant memories, both because of the difficulty of the extraction and the painful healing.

  • By combining tooth extraction with implant placement, we eliminate one unpleasant procedure.
  • By “plugging” the alveolus of the extracted tooth with the implant as a “stopper”, we significantly reduce the risk of subgingival pain and complications.
  • There are no cuts or stitches.
  • We preserve the natural relief of the gums and bone, which tends to deteriorate after molar extraction.
  • Savings between 2 and 6 months.
  • The future crown on an implant is usually very similar to the natural tooth.
  • Always a cheaper alternative than the two-stage methodology.

26 extraction of a molar tooth with implantation and final prosthesis with CEREK zirconia ceramic crown

26,27 extraction of molars with implants and final prosthesis after 4 months

46d. straightening, cyst removal and implantation together. 3 months later final prosthesis CEREK

36d Single-moment implantation and prosthesis after 3 months CEREK

Third example

Single-moment implantation in the aesthetic zone (front teeth area)
With the right assessment of each individual case, such implants can be particularly useful in restoring a natural smile. Therefore, under no circumstances should you have the front tooth removed if you are planning to have an implant there. It doesn’t matter if only the root is left, if the tooth is painful, if it is broken, if it is abscessed through the gums, etc. The right solution is almost always a CLEANING ALONG WITH IMPLANTATION.
If we don’t do this, the alternative, delayed implantation, can be much more costly due to the loss of bone and soft tissue, which is particularly important in the visible area.

Removal of tooth 11 with implant placement and subsequent prosthesis

Another very important factor is the temporary crown on the implant. But can we always put it on? We can if we achieve good initial stability of the implant. However, the risk that the patient may bump something hard during the first month and dislodge the implant is still considerable.

Therefore, planning for a single-moment implant needs to be done individually and responsibly.

Advantages of single-moment implantation

  • Time-saving
  • Less traumatic
  • Proper implant positioning

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D. K.

Google Review left 2023-09-28

I have been visiting Pilėnė for many years. Only the best marks to all the doctors for the quality of their work, thanks to them the fear of dental treatment is reduced, they work gently and the nurses are always supportive. A special hangover for the hygienist Jūrate. Thorough, kind, never in a hurry and always pleasant.

My heartfelt recommendation

I. D.

Google Review left 2022-03-02

I would like to thank orthodontist Živilė and her assistant very much for their excellent work and for giving me a smile.I had been having dental complexes for 15 years, and now I can smile with confidence. Questions were always answered during the visit, including quick replies by email. I really recommend it, the visits are short but everything is done precisely. Good luck with your smiles 🙂