Immediate Implants
The opportunity to immediately place an implant and immediately load the dental crown on the implant reduces the number of necessary clinic visits and offers the shortest waiting time until aesthetic and functional rehabilitation.
When faced with a situation that compromises the integrity of your dentition, you need efficient and safe treatments that can be performed in the shortest time possible, with the highest degree of comfort.
The increasing demand from patients for speed has led to the development of immediate dental implant treatment procedures. The removal of the irrecoverable tooth (if necessary), implant placement, and provisional prosthetic restoration are performed in a single stage.
Immediate procedures require fewer interventions and have the great advantage that you no longer have to wait for the implant to osseointegrate to enjoy aesthetic and functional teeth.
This can be particularly beneficial when the tooth to be restored is visible when you smile or if you desire a solution for multiple implant restorations.
The success of this procedure requires very detailed and rigorous planning, as well as advanced and reliable implant systems. These procedures are not possible in all clinical situations, and the implantologist will help you choose the most suitable solution for you.
What is immediate loading?
Immediate loading refers to the placement of a provisional prosthetic restoration on the implant within 24-48 hours after implant insertion. This is only possible if the implant has achieved optimal stability immediately after insertion.
It is also called immediate function because it restores masticatory function and aesthetics, just like a natural tooth. The major advantage is that the waiting time until you can enjoy the dental restoration is much shorter.
To avoid applying excessive forces on the newly placed implant, the provisional crown has certain characteristics; it is made from a more flexible and lighter material. Additionally, it is recommended to maintain a semi-liquid diet in the first days after the intervention.
Immediate implant placement
There are cases where we can place an implant in the same visit in which the irrecoverable natural tooth is extracted. This procedure has existed since the 1970s and has proven to have a high success rate over time. For the treatment to be successful, the international consensus is that the doctor must carefully select patients, prepare the treatment plan thoroughly, and place the dental implant precisely to ensure predictable and aesthetic results.
Final crown on the implant
The treatment is only complete after full healing and integration of the implants, at which point the doctor can place the definitive prosthetic work.
It is crucial for the success of the treatment not to delay this moment, as only the final crown on the implant meets all long-term functional, mechanical, and aesthetic requirements.
The material from which the final crown is made ensures:
- long-term bio-integration at the gingival level
- efficiency and resistance to the forces exerted on the teeth during mastication
- support for neighboring teeth and long-term health of the jawbone support
- long-term size, color, and aesthetic appearance
Immediate loading implants are a solution that provides a high degree of patient satisfaction.
Benefits of immediate loading implants
Loading the provisional dental crown on the same day as the implantation leads to a much shorter treatment plan duration and significantly less time spent with a gap in the dentition.
Moreover, compared to conventional dental implant treatments, premium immediate loading implants reduce the need for bone grafts in individuals with reduced bone availability.
They offer a simplified surgical workflow, performing two procedures in a single surgical intervention.
The healing period is significantly reduced from 6-8 weeks with conventional systems to 3-4 weeks.
Immediate loading is also successfully performed in protocols with multiple implants.
More details
Technologies used in immediate loading dental implant treatment
Immediate loading implant treatment requires close collaboration between the surgeon, prosthodontist, and dental technician to ensure the treatment plan is efficiently staged.
DENT ESTET clinics have implemented digital workflows from the information collection phase, continuing through the treatment planning stages, including collaboration with the Aspen dental laboratory. Digital technologies enable cost-effective protocols and improve patient satisfaction.
Investigations and dental imaging
CBCT computed tomography
- Ensures accurate diagnosis with minimal radiation exposure
- Provides the doctor with detailed information for implant intervention planning
Trios 3Shape® Real Color digital intraoral scanner
- Increases comfort in taking dental impressions
- Offers predictability through 3D simulation in the natural colors of teeth and gums
- Helps validate the diagnosis and guide treatment
Planning and design
3Shape Implant Studio® digital guidance software
- Allows pre-visualization of the result before the intervention
- Offers superior precision
- Much faster postoperative healing compared to classic implant insertion
Digital Smile Design®
- Innovative technology that offers treatment predictability and involves patients in choosing the design of their future smile
- Creates a simulation of patients' smiles in harmony with facial proportions, offering personalized results
During the intervention
The Wand® digital anesthesia
- High degree of comfort compared to classic anesthesia
- Reduces patient anxiety
Endoret PRGF® Centrifuge
- Stimulates much faster tissue regeneration
- 100% biocompatible treatment
- The procedure is safe and comfortable for the patient
Advanced immediate loading implant systems
Straumann® BLX-SLActive dental implant
Straumann® Roxolid SLActive dental implant
Nobel Speedy™ dental implant
Prosthetic restoration
Osstell Beacon® Device
- Evaluates the implant's osseointegration capacity in seconds
- Determines the appropriate time for loading the prosthetic work
- Is a fast and completely non-invasive procedure
Prosthetic work performed in the ASPEN digital dental laboratory
- Integrated dental laboratory at international standards
- Offers highly advanced aesthetic prosthetic solutions
- The digital CAD-CAM technique combines with the final imprint of ceramic artisans
"A clinically proven dental implant system based on rigorous research is necessary for the predictability and long-term success of immediate placement and loading procedures, such as Straumann BLX or Nobel Active or Speedy. These types of implants are suitable for immediate oral rehabilitation protocols needed by patients facing edentulism. These implants are suitable for all types of bone tissue and are extremely versatile in different clinical situations." – Dr. Alice Gavrilescu, specialist in dental-alveolar surgery
Frequently asked questions
Will I have to stay with a gap in my dentition until I receive the dental crown?
Fortunately, immediate loading treatment is the perfect solution for this need. It offers a provisional prosthetic work immediately after implant placement, so you do not have to stay with a missing space on the dental arch until the gum heals and the implant integrates.
When is the treatment plan completed?
The dental implant treatment plan is completed when the doctor places the final crown on the implant. This moment depends on the implant's bone integration and complete gum healing.
How do I know when to come for placing the definitive crown?
It is important to maintain communication with the coordinating doctor, who will indicate the time of the control visit, generally after 4-6 months from when you received the implants.
What happens if I delay the placement of the definitive crown?
It is crucial for the success of the treatment to follow the coordinating doctor's instructions, who will determine the optimal time for loading the definitive crown. Delaying this treatment stage entails a series of consequences and can compromise therapeutic success.
How can we ensure the longevity of the implant?
Maintenance of the work is necessary to ensure long-term enjoyment of the implant treatment results.
After completing the treatment plan, it is important to keep in touch with the coordinating doctor and return to the clinic for regular prophylaxis sessions and recommended check-ups. The implant and prosthetic restoration require special attention, including professional cleaning, radiological evaluation, and periodic checking of certain system components.
Your doctor will also instruct you on how to maintain good dental hygiene at home.
Treatment stages
Consultation and examination
The dentist will evaluate your dental and medical history, clarify your expectations, and explain the different treatment options. For the success of an immediate treatment procedure, it is vital that the dental implant is securely stabilized in the bone immediately after insertion.
Clinical evaluation, planning, and restoration
The dentist will conduct a detailed clinical evaluation.
X-rays and CBCT scans indicate if you are a suitable candidate for the immediate treatment protocol. These methods determine the bone quality and if you have enough bone tissue to securely anchor the implant in the jaw. Otherwise, a standard approach may be used as the preferred treatment.
Digital scans provide an accurate 3D image of the mouth. The dentist uses the data to plan the exact position of the implant. The dental laboratory uses the data to fabricate the provisional prosthetic restoration before surgery.
Tooth extraction, implant insertion, and restoration
On the day of the surgery, the dentist will perform 3 or 4 stages in one session:
- If necessary, the irrecoverable tooth to be replaced will be extracted.
- The implant will be positioned either in an already healed space or in the place of the recent extraction.
- In the case of a recent extraction, bone grafting may be necessary.
- The dentist immediately fixes the crown, bridge, or new provisional prosthesis on the implant, which the dental laboratory has previously created. This stage is important for the aesthetic aspect as well as for preserving the contour of the gum during its healing.
As a result, you will have a functional tooth or set of teeth that look and feel natural. However, the implant or implants need to heal. The healing duration depends on the individual situation.
You will receive detailed instructions on what to do and what to avoid immediately after surgery. For example:
- Apply cold compresses to the cheek. These will prevent bleeding and swelling.
- Avoid hot foods and drinks as they can cause unwanted bleeding. Prefer cold foods and drinks.
- Avoid chewing hard foods on the side where the implant is located.
- Take prescribed medications as recommended.
- Use mouthwash carefully and brush the surrounding area very gently.
During the healing phase, it is best to consume only soft, easy-to-chew foods and avoid alcoholic drinks and smoking. Your dentist will instruct you on what to do, what to avoid, and for how long.
Post-surgical consultation
About two weeks after the surgery, you will return to the dentist for a check-up.
Impression taking and fabrication of the final prosthetic restoration
After a few months, the implant and surrounding tissues are ready to receive the final prosthesis.
A new impression will be taken, either digitally or with impression material. The dental laboratory will use the data to create the new final prosthesis that perfectly fits the healed gum contours.
Replacement of the provisional prosthesis and fixing of the final prosthetic restoration
The dentist will remove the temporary prosthetic restoration and will fix the respective final crown, bridge, or prosthesis made of durable material on the implant or implants. The dentist will make the necessary adjustments to ensure comfortable, functional, and aesthetic occlusion as expected.
From now on, you can eat, smile, and laugh again without any additional worries.
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