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Immediate Dental Implants

Fastest method for fixing missing tooth

What is an Immediate Dental Implant?

An immediate dental implant is a dental implant that is placed in the jawbone immediately after a dental tooth extraction. It is usually placed at the same visit as the dental extraction but it can be done within two weeks after the dental tooth extraction and still be considered an immediate dental implant. If a crown or dental bridge is placed on an immediate dental implant to restore the tooth, this is considered immediate loading. Immediate loading of an immediate dental implant is the most favorable option for any patient.

What is the Procedure for an Immediate Dental Implant?

     Immediate dental implants are generally necessary due to a non-restorable fracture of a tooth. In some cases, there may be infection associated with the cracked or fractured tooth. The procedure begins with an exam, 2-D and 3-D x-rays. A diagnosis is made and treatment options are discussed. An immediate dental implant is the treatment of choice.

  • Pre-Surgical Appointment – A pre-surgical appointment is made to review the patient’s health condition as well as review all medications. Sedation options are discussed and planned – oral vs. IV sedation. Antibiotics, pain medication, sedatives, anti-inflammatory medicines are prescribed with instructions on how and when to take medications. Sedation and pain medicine are optional and most procedures won’t require pain medicine. Any pre-operative study models that are needed are taken.

  

  • Dental Implant Surgery Day – The patient is generally well sedated with either oral or IV sedation. Just like any other procedure, topical anesthetic is applied prior to local anesthesia administration (i.e. Novocaine). Additional impressions of the teeth are taken if necessary prior to the tooth extraction. The cracked, fractured or hopeless tooth is removed very carefully to minimize any damage to any surrounding bone. The extraction socket is inspected and cleaned carefully to make sure no infected tissue remains. The dental implant site is prepared and the dental implant is placed with a relatively high torque value to ensure initial implant stability. If the torque value is high enough, an immediate dental restoration (crown) may be attached to the dental implant. This is the part you just don’t know until you get there. If the torque value is low, a healing abutment is placed and Plan B is the alternative. Plan B usually means some sort of removable partial, bonded temporary or dental bridge is made to replace the tooth temporarily. Assuming the implant is stable, an abutment is placed and temporary crown is fabricated. Prior to cementing the crown, additional bone grafting may be necessary to fill the voids between the dental implant and the remainder of the extraction socket. In addition, a membrane, soft-tissue graft or platelet graft may be used to protect the bone graft. Finally, the temporary crown is temporarily cemented and adjusted to make sure IT IS NOT TOUCHING ANY OF THE OPPOSING TEETH when you bite and grind. Now you are on your way home to take a nice nap. Patients don’t usually remember much about this visit due to the effects of the sedation medication.

  • Post-Operative Check up – 2 weeks after surgery, patients return for a quick follow-up exam. They also make their appointment to have the permanent restoration fabricated in 14 more weeks. At Thaper Dental with CEREC we have the ability to fabricate the permanent dental implant crown in a single visit.