Immediate Implantation

“Implants in one day“ sounds good. Immediate implants are inserted into the empty pocket immediately after the extraction of the damaged tooth. In most cases, a special screw thread which can be screwed into the bone promptly and firmly is employed for this purpose. In contrast to the late implantation procedure, pain and swelling should be fairly limited in this case; skin and soft tissue are hardly affected (this is also referred to as “minimally invasive“). The immediate implant is equipped with a provisional, loadable crown (or bridge) immediately. Two to three months later, after the implant has healed completely, the crown (or bridge) is replaced by the permanent denture.

This technique enables you to save a lot of time as the follow-up appointment for uncovering can be omitted. Treatment time is shortened and therefore costs are reduced. Also, patients suffer less pain. But may this type of procedure have its drawbacks as well?

For one thing, it is important to understand that immediate implantation is only practicable in a small number of cases. Bone material needs to be available in sufficient quantities, since otherwise, the screw thread will not hold, the necessary stability is not guaranteed, and a long-term loss of the implant may be the consequence. Therefore, your dentist must examine the quality of your jaw bone and your gums extensively before moving on to recommending an immediate implant on this basis. In many cases, however, bone augmentation must be performed first. Also, it is important to refrain from immediate implantations whenever the gums or bone are inflamed (which is frequently the case).   

If none of these negative basic conditions apply, however, an immediate implantation can certainly be advised. For instance, following an accident involving an anterior tooth, this technique can deliver a quick restoration of the patient’s visual appearance. This way, the patient can save themself time and pain and, in addition, is not obliged to adjust their dietary habits. Your dentist will be happy to advise you in terms of immediate implantations and their feasibility in your case.