Immediate dental implantation

The author of the article:

Anastasia Vorontsova

Immediate dental implantation involves implant placement immediately after tooth extraction.

Thus, the patient passes the implantation period and the recovery period is shortened.

When carrying out simultaneous implantation, you will have to visit a doctor no more than three times.

During the first visit, the doctor takes a mold in order to make a temporary crown.

At the second visit, an implant is installed and a temporary crown is attached.

In the third visit - a temporary crown is replaced with a permanent one.

The method of simultaneous implantation is the most gentle way to remove the tooth and install the implant.

During the operation, a recess is made in the root hole into which the implant is implanted. Then a temporary crown is fixed on it.

Indications

Before simultaneous implantation, a complete examination of the patient's oral cavity (teeth, gums, jaws) is carried out, the presence of caries, infections, and inflammatory diseases is revealed. If necessary, a rehabilitation of the oral cavity is carried out.

Implant Implant Immediately shown in the following cases:

The need to remove a badly damaged tooth.
Tooth injury with deep penetration under the gum tissue.
If tooth prosthetics is not possible.
If urgent restoration of the front teeth is required.
Diseases of the gums and teeth, in which tooth extraction is necessary.

To conduct the operation, the following requirements must be observed:

The lack of large-scale destruction of bone tissue around the tooth.
The presence of healthy soft gum tissue around the extracted tooth.
A sufficient amount of bone tissue.
No inflammation at the apex of the root of the extracted tooth.
Preservation of the interroot septum (if the removed tooth is multirooted).
The absence of atrophic changes in bone tissue.

Contraindications

Immediate implant prosthetics, like any surgical intervention, has contraindications. Some of them may be of a relative nature, and after conducting therapeutic measures, there will be no obstacles to the implantation.

Circumstances making implantation impossible:

Atrophy of the alveolar processes and bone tissue.
Allergy to pain medication.
Periodontal disease, periodontitis.
Osteoporosis disease.
With reduced immunity.
If there is a wide hole after tooth extraction, if the implant placement cannot be tight.
Disease of the blood and blood-forming organs.
Mental illness.
The presence of cancer.
Diabetes mellitus.
Endocrine diseases.
Connective tissue diseases.
AIDS, sexually transmitted diseases.
Complicated tuberculosis.
Increased tonus of chewing muscles.

Relative contraindications for implantation:

Inflammatory processes of the jaw bones.
Lack of oral hygiene.
The presence of pregnancy.
Caries, the presence of decayed teeth.
The presence in the area of implant placement of the focus of inflammation.
Around the tooth there is a strong destruction of bone tissue.
Periodontal disease.
The presence of tartar.
Multi-rooted teeth.
Articular arthrosoarthritis.
Smoking, alcohol intoxication, drug addiction.

Contraindications may be local and general. General contraindications are an obstacle to implantation, because they can cause serious complications.

These include:

Cachexia (general exhaustion).
If the patient has been stressed for a long time.
Taking antidepressants and drugs that affect blood coagulation.
The presence of chronic somatic diseases (cardiovascular, bronchial asthma, etc.)
Small gap to the maxillary and nasal sinuses.

Temporary contraindications preclude implantation until they are eliminated:

During pregnancy.
After undergoing radiation therapy.
The disease proceeds in an acute stage.
At the stage of rehabilitation and recovery of the body.
With alcohol addiction.
Addiction to drugs.

Video: “Installation of the implant”

Difference from classical implantation

Features	Classic	Momentary
Traumatism	More traumatic	Less traumatic
The number of surgical interventions	Two	One
The number of postoperative periods	Two	One
The period from tooth extraction to implant placement	From 1.5 months	At one appointment with a doctor
Bone loss	Is present	Is absent
Duration of implant engraftment	2 - 4 months	About 4 months
Setting a temporary crown	After implant engraftment	Within 2 to 4 days. Maybe on the same day.
The psychological attitude of the patient	Less comfortable	More comfortable

Due to the fact that after tooth extraction, bone loss due to lack of load is inevitable, it is important to urgently resolve the issue of implantation.

Stages of the operation

The procedure is carried out during one doctor's appointment.

Preparatory. Examination and rehabilitation of the patient's oral cavity. Identification of indications and contraindications for the operation. Selection of implants. Taking casts for temporary construction.

Tooth extraction and implant placement. The procedure is performed using anesthesia. Fixing a temporary crown on an implant.

Prosthetics with permanent dental crowns.

Benefits

Reduce treatment time.
Reducing trauma.
Possibility of loading on an installed crown.
Reducing the frequency of complications and recovery time.
Less expensive type of implantation.
The lack of a psychological complex of toothlessness.
Long service life (from 20 years and more).
Restoration of aesthetics on the day of tooth extraction.
Immediate implantation is more comfortable for the patient.
Preservation of natural gingival contours.
Lack of incision of the gums.
For surgery, smaller volumes of anesthetics are used.

The disadvantage of simultaneous implantation is a fairly large amount of time spent on the day of surgery and the high cost of services.

Prosthetics technology

Photo: Implantation after tooth extraction

Implantation immediately after tooth extraction

Today, there are implants that are installed in the hole of the tooth immediately after its removal. Such an implant quickly takes root.

The upper part of the implant rises above the level of the gums, making it possible to install a dental crown on the same day.

Implantation in the absence of a large number of teeth
Photo: Implantation in the absence of several teeth

In the absence of the entire dentition or several teeth in a row in a row, simultaneous implantation is possible.

In this case, basal implantation is used, which becomes possible even with a minimum amount of bone tissue.

Thanks to the installation of implants in its deepest layers, the fixation of structures is characterized by high stability.

With basal implantation, the implants installed rise above the gum surface and allow the fixation of dentures. The installation of artificial teeth is necessary to create a chewing load on the jaw bones, which contributes to their natural restoration.

Implantation with mini implants

Mini implants are smaller than conventional ones. Their advantage is that they can be installed by almost everyone (they have very few contraindications). The cost of mini-implants is much lower than conventional ones and it takes one day to install them. Immediately after their installation, dental crowns are put on, with which it is possible to chew food on the same day.

The disadvantage of such designs is that they can only be used to maintain a removable denture.

Reviews

The convenience of simultaneous implantation is difficult to evaluate. If a person is forced to communicate with people for a long time, do business, conduct social activities, then it is very inconvenient for him to remain without a tooth for a long time.

Feedback from people who have used this service:

I had two teeth removed and implants installed, and on top - temporary crowns. The operation was postponed normally. At first it was painful to chew, but after a while it became easier. Four months later, ceramic-metal crowns were placed. Now I feel wonderful and very pleased with my new teeth.

Three years ago I installed 3 implants. Implant rejection has begun, it has gone into inflammation, the periosteum is dissolved, they say that the process is irreversible, at best, it will last another year.

A tooth was removed on the lower jaw and an implant was immediately placed. They did everything within one day, the implant quickly took root, after which they established a permanent crown.

Did the implantation. The operation suffered easily. She did not feel pain during the operation, but experienced psychological discomfort. After implantation, tightness, a slight swelling, and soreness appeared. Saw painkillers. It was terrible even to brush my teeth.

Three years ago I had an implant immediately after the extraction of three teeth. The operation and the postoperative period were painless, but for some time there was a slight swelling, which quickly passed. The quality of life improved in just one day.

Decided to carry out implantation for more than five years. The operation did not last long and was performed under local anesthesia. They opened the gum and installed four implants. After surgery, there was pain, as after tooth extraction. I drank painkillers at night and slept calmly all night. The next day there were no discomfort. A week later, the stitches were removed. The impressions of the procedure are quite positive.

Price comparison

The cost of implants depends on the country of manufacture, the composition of the material. In different clinics, the price of a simultaneous implantation service depends not only on the cost of implants, but also on the qualifications of the medical staff, the cost of the material from which the temporary crown is made, and other services.

Service	Cost, rub.)
Implant + work + ceramic-metal crown	24000
Plastic surgery of one alveolar bone	19000
Implant placement surgery (Israel)	35000
Implant placement (manufactured by Switzerland)	59000
The use of an osteoplastic membrane during surgery	6500
The operation to install the implant "Replace"	26500
Ankilos implant placement	22000
Implant (Korea) + installation operation	15000
Installation of mini - implants (4 pcs.)	26000
Bone grafting	10500
Bone block transplant	22000
Removal of a tooth	900