Immediate implants are dental implants that are placed directly after a tooth is extracted. This type of implantological procedure has many advantages compared to delayed implant placement. If the conditions are suitable, immediate implant placement should be preferred over delayed implant placement.
As for delayed implant placement, the tooth is extracted during the first appointment and the implant is placed a few months later. This means there are two surgical procedures needed.
Dr. Josephine Phillips is a highly experienced specialist for immediate implant placement of ceramic implants.
Complex cases, for example with less bone following bone loss, can usually be solved without bone grafting/bone augmentation.
The Practice for Biological Dentistry is here to assist you.
Advantages of immediate implants
- There is no need for a second surgical procedure, so the patient is subjected to less stress overall. Patients perceive immediate implants as much more pleasant compared to having the tooth removed first and placing the implants months later.
- When a tooth is extracted, the jaw bone and mucosa slowly recede. This leads to bone resporption. By placing an implant, the tissue can be stabilized and bone resorption does not occur.
- After tooth removal, the bone wound is ideally set for bone healing. This is a natural biological reaction after tooth loss. By placing the implant at this exact moment, you get ideal bone healing and thus implant healing.
- After tooth loss, the bone would have to heal to be the exact size of the lost tooth. The entire cavity between the bone walls should be completely filled by the new bone. In immediate implant placement, a large part of the cavity in the bone is filled immediately, leaving only smaller gaps between the bone and the implant. Consequently, the jawbone requires much less effort to completely remodel the defect into fresh bone.
- After surgery, the patient does not have to go home with a tooth gap or dental prosthesis, but receives a fixed provisional after implant placement. This is particularly important in the visible, aesthetic zone.
- Since a second procedure is not necessary, the treatment is completed significantly faster. After surgery, the patient receives a fixed dental prosthesis without having many appointments.
Gentle and atraumatic tooth extraction
Unnecessary compression and damaging of the bone and gums should be avoided.
This ensures that an implant with sufficient length and width can be selected. In addition, atraumatic surgical techniques help avoid unpleasant swelling and pain after the operation.
Prerequisites for immediate implant placement
- Immediate implant placement requires greater surgical skill and experience.
- Careful removal of the tooth without unnecessary trauma.
- Inflammation and foreign bodies under the tooth must be completely cleaned and and the wound thoroughly disinfected.
- After the tooth has been removed, the existing bone must be ideally utilized for the implantation.
- The residual bone should ensure sufficient primary stability of the implant. If there is too little bone (in height and width), a two-stage procedure should be preferred.
Disadvantages of immediate implants
- If the extracted tooth is more voluminous than the placed implant, a gap will remain between the mucosa and the implant body immediately after implant placement. This gap is closed by the growing gum which attaches to the implant. This process usually takes one to two weeks. In the case of a late implantation, there is no space between the mucosa and the tooth. To compensate for this disadvantage, we use A-PRF membranes, which completely fill this cavity and improve wound healing.
- In general, both immediate and delayed implants should not be loaded during the first few months. In the case of immediate implants, this is even more decisive and should therefore should be considered.
Immediate implant with ceramic implants
To best meet the requirements of immediate implant placement, we use ceramic implants from various manufacturers. This way we can offer the optimal result for our patients.
FAQ about: Immediate implants
When are immediate implants not suitable?
If there is not enough bone after tooth extraction, immediate implants should not be placed because they will not be stabilised. This is the case if there is only two to three mm of vertical residual bone. In particular, when large inflammation at the root apex are present, there is usually a reduced bone height.
In the case of general diseases such as osteoporosis or tumor diseases, implants should be considered very carefully.
Is the prognosis of immediate implants poorer?
Provided the dentist is experienced and all important factors are observed, the healing prognosis is comparable to that of delayed implantation.
Can provisionals be placed on immediate implants?
Yes, this is particularly recommended in the anterior region. To avoid excessive load on the implants, the provisionals (temporaries) are also connected to the neighboring teeth. After about 3 months, the provisionals are replaced by ceramic crowns.
Can immediate implants be placed in patients with periodontitis?
Before immediate implantation, periodontitis is treated and the oral bacterial flora is improved. This way, immediate implants made of ceramic can be placed after periodontitis has healed.
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