Immediately-Loaded Dental Implants

Dental implant offers the most cost-effective and long-term solution for replacement of missing teeth with high average life expectancy, providing the patient with the best sense of security and well-being.

Oral health and oral health care are very important to maintain proper mastication, phonation, digestion, appearance, and psychological well-being.

The loss of one or more teeth due to any reason may adversely affect the oral health with an affected appearance being the most serious consequence for the patient.

Tooth loss contributes to loss of confidence, avoidance of laughing in public, especially when anterior teeth are missing.

Most advanced way to replace missing teeth is dental implant which is designed to replicate the natural tooth root and crown of the natural tooth.

Dental implants have many benefits. One of the most important is replacing a broken or damaged tooth that can no longer be restored.

Dentists in India are encouraging patients to get implants as the first option for replacement of their missing teeth. This is because, dental implants-

a) The only replacement that stabilize the underlying bone
b) Are most conservative as adjacent teeth are not touched
c) Are almost one time solution for missing teeth

It can take between 3 to 12 months to complete the conventional dental implant treatment, with potentially multiple trips to the dentist required for various elements of the process

Immediate implant placement is a revolutionary restorative procedure where an implant is placed at the same time as the natural tooth is extracted within the same appointment.

The advantage of immediate placed implants is the shortened treatment time.  Bone height will also be maintained thus improving implant bone support and aesthetic results.

With this revolutionary procedure, dentists in dental clinics in Delhi ensure that patients never go without teeth and are able to carry on with their lives as normal.

However, the conventional procedure for implant placement involves extraction of offending tooth, waiting 2–4 months for extraction socket to heal, before receiving a dental implant, and again waiting for 3–6 months for integration of implant with surrounding bone. After this procedure also, another surgery is necessary to expose the implant and to place a prosthetic abutment.

Taking into consideration the prosthetic treatment, the patient will have to wait up to 8–12 months for a lost tooth to be replaced.

Because of these shortcomings related to conventional procedure, strategies were developed to substantially shorten the entire treatment by placement of implant immediately after extraction of tooth followed by immediate loading of implant.

Thanks to the constantly advancing field of restorative dentistry, waiting until the extraction site heals is no longer necessary in certain cases.

Dental bone is naturally pre-programmed to fill an extraction socket, so by placing the dental implant immediately following extraction, the implant is simultaneously anchored with the bone and healed into the socket from this natural healing process.

In the modern era, immediate implant concept is gaining popularity for replacing missing teeth.

Careful patient screening and selection are required when an immediate implant placement with immediate loading procedure is a treatment consideration.

The concept of immediate implant loading has recently become popular due to less trauma, reduction in overall treatment time, decrease in hard and soft tissue resorption, increase in patient’s acceptance, aesthetics, along with better function, and has a psychological benefit also.

Immediate implant placement is most commonly indicated when tooth extraction is due to trauma, root fracture, root resorption, root perforation, endodontic lesion and if bony walls are still intact.

Contraindications includes presence of any active infection, insufficient bone (<3 mm) beyond the tooth socket apex for initial implant stability and wide and/or long gum recession.

Dental implants that are immediately placed and loaded into carefully selected extraction socket have high survival rates comparable to implant placed in healed site.

Nowadays immediate loading is becoming far more common. Dental implant specialists in Delhi are doing a very efficient job of doing the replacement of missing teeth with dental implants especially immediate implants.

Patients with enough bone quantity and quality are great candidates for immediate placement and loading because of anticipated implant initial stability assuming that they would be compliant with postoperative instructions.

Proper post-operative care and diet will ensure successful healing. Patients are instructed to not bite down on the newly implanted tooth for 3-4 months.

Benefits

• Reduced treatment time
• Only one surgical procedure is required
• Better aesthetic results are achieved regarding the gum tissue

Drawbacks

• The technique is only suitable in specific situations- As same day implants are not appropriate for all patients and cases.
• The implant surgeon has to be skilled and experienced-Same day implants cannot be performed by anyone. The surgeon has to be experienced and skillful enough to accurately place the dental implant so that chances any risk is eliminated.

Patients want to be treated in an efficient and expedient manner and with as little pain and discomfort as possible. When seeking a solution; they want safe and effective treatment that can be performed in the shortest possible time.

Visit your dentist to consult if your tooth’s condition qualifies as a candidate for this convenient, less invasive, and time efficient treatment.

Posted by- Dr Shriya