Due to implant material, techniques and technological
developments, the completion time for conventional
dental implants has now been cut short from 8
months to 2 months.
In cases where bone condition and density are
favourable, dental implants can now be embedded
after tooth extraction. Such techniques being
referred to as immediate implants,
one-day implants, single
day implants or same day implants.
This means that the patient have new tooth roots
upon leaving the office.
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Immediate Loaded Implants
In addition, for certain cases,
permanent or temporary prosthetics may be loaded
immediately during the same treatment visit when
the dental implants are surgical placed. This
is know as immediate loaded implants.
The immediate loading of dental implants shortens
the treatment time and makes it possible to give
the patient an esthetic appearance during the
whole treatment period.
New prefabricated components such as ITI
Straumann's implant system as well as Nobel
Biocare's Branemark, Replace Select Straight,
Replace Select Tapered Dental, Nobel Direct, Nobel
Prefect Implant System now enables shorter treatment
time. These prefabricated components are made
to fit practically all types of mandible and enables
adjustments to be made in meeting individual esthetic
and functional needs.
Benefits of Immediate Loaded Implants
- Immediately functioning teeth
- Good esthetic results
- Shorter treatment time with minimized
Immediate Loaded Dental Implants
The treatment procedure and steps for immediate
loaded implants are the same as that for conventional
implants, the main difference being that the temporary
crown or bridge is loaded onto the implants after
its surgical placement.
- First evaluation and x-ray
to determine implant site and bone condition
- Implant site preparation
- Placing the implant and installing
the temporary crowns or bridges
- Placing the permanent crown
Immediate loaded implants does not apply to all
cases and is dependent on the individual's bone
quality and condition.
Following placement of the artificial roots in the
jaw, the bone may be sore and the surrounding gums tender
and swollen. Patients are, however, able to go about
their normal daily activities a day after surgery avoiding
any rigorous physical exercises or activities.
For your immediate loaded implants, the same postcare
instructions apply as that of conventional dental implants.
Dental implants require the same care as real teeth,
including brushing, flossing, and regular dental check-ups.
Inclusion/Exclusion Criteria for Immediate Implants
and Immediate Loaded Implants
Below is a list of some of the inclusion/ exclusion
criteria for immediate implants and immediate loaded
implants. This list is non-exhausive and its feasiblity
is also dependent on the judgement of your implantologist
on an individualized case basis.
- If you have a fractured or decayed
tooth that needs to be extracted, a dental implant
may be placed at the time of the tooth extraction.
However, if your fractured or decayed tooth is infected,
immediate dental implant placement is not advisable.
There should be no apical disorder or inflammation
at the area of the implant site.
- Good bone quality and quantity is
required for immediate implants to be successful,
thus immediate implants and immediate loaded may not
be applicable to all cases. Different bone volume
and density and preparation techniques will influence
the level of stability.
- The patient should be healthy and
compliant with good oral hygiene.
- Other criterias include having good
gingival/ periodontal or periapical status of adjacent
teeth as well as favourable and stable occlusal relationship.
As with any procedure, it is always important to consult
with your dental specialists on whether a particular
treatments such as immediate implant and immediate loaded
implants are suitable for you.
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