When implants are placed at the same time as the tooth is removed such a procedure is known as Immediate Implants Placement. Today this procedure is considered standard as it prevents any change in the shape of bone and gum surrounding the extracted tooth. It is convenient for the patient as it allows the surgical treatment to be completed in one intervention. Only in a few cases, where there is a cyst or abscess in relation to a badly infected tooth, it is better to first remove the infected tooth and allow healing before the implant is placed.
Immediate Loading of Dental Implants
A traditional implant treatment involved multiple appointments with treatment extending from 6 months to 1 year:
- Tooth extraction (wait for 3 months for implant placement).
- Implant placement (if immediate implant, at the same time as of extraction)
- Unloaded healing phase (6 weeks - 6 months)
- Uncovering of implants
- Prosthetic phase (wait for 3-6 months for fusion of implant in bone).
With conventional delayed loading implants patients would have to wait for a long time from the beginning to the end of treatment. Until then the patient had to wear a denture until the implants fused with the bone. With todays new generation immediately loadable “single piece implants” and our technique of “Permanent teeth in 3 Days” patients get their teeth fixed in 3 days.
Advantages of Immediate loading of dental implants:
- Patient gets temporary teeth on the same day and permanent teeth of ceramic or zirconia in 3 days.
- Time saving
- Cost reduction because patient need not come back again after 3 months.
At Dr. Motiwala Dental Clinic & Implant Center, we use single piece implants designed for immediate placement and immediate loading. Having placed more than 18,000 implants with immediate loading, Dr. Motiwala gives a lifetime warranty on his technique “Permanent teeth in 3 Days”.
When an implant is being placed the gum is cut and a gum flap is reflected to expose bone (Fig.1). Flapless implants (Fig.2) need no gum reflection, the Flapless procedure does not disturb the blood supply to the thin fragile bone. The advantages of this procedure are:
- Less surgical time.
- No changes in bone level after implant healing.
- Little bleeding, if any. Patients need not stop Aspirin, Heparin or any other blood thinners; if they are taking any.
- Less postoperative discomfort.