Immediate Dental
Immediate dental implant (Teeth-in-a-day)
One-day teeth, same-day smile or immediate implant methods are a sign of the times. In recent years, technological advances have transformed dentistry. The reliability of osseointegration (migration of bone cells) has prompted researchers to look to the future of oral rehabilitation and develop it further. This new concept in dentistry was born with the aim of showing patients the precision, comfort and aesthetic consistency of fixed dental treatment. Immediate loading treatment (or “teeth in a day”) consists of fixing crowns or a temporary bridge on the titanium post after its insertion into the bone. These immediate loading prostheses are temporary and must be replaced by fixed prostheses a few months later.
How is the Teeth in a day / immediate dental implant procedure carried out?
Immediate implant
The immediate implant loading procedure is very similar to the conventional implant protocol. It is performed under local anesthesia in a properly sterilized clinical environment. Your success is directly linked to good planning. There is a CT review that provides life-size images and allows for three-dimensional assessment after tomographic sections. Drilling templates are prepared to facilitate controlled insertion of the implant. Planning will reduce the number of human errors. Immediate Loading or “Teeth in a Day” Implants are fabricated with ideal properties of length, diameter and spatial inclination based on the structure of the alveolar ridge, making them a valuable tool. The main difference between immediate implants and conventional implants is that with immediate implants, the teeth are fixed and the person treated immediately sees an aesthetic change. The crown or dentures are adjusted so that no pressure is created. The function is aesthetic and not functional.
Teeth set the same day
How the procedure is performed depends on the number of missing teeth. In simple cases, it can take up to an hour, while in people without teeth or in complex cases, it can take around eight hours. The patient comes to the clinic in the morning and after a few hours his teeth are repaired. During these few hours, teeth are evaluated, wax models are created, colors and desired size are selected, and the operationtakes place.
Benefits and Risks of Immediate Implants
Benefits of Teeth in a Day / Immediate Implant Implants
Time saving:
This technique allows rapid replacement of teeth. With the traditional method, there is a waiting period during which osseointegration (fusion between the bone and the implant) occurs. It can take between two and four months before the final prostheses can be adjusted. A temporary crown is fixed on an implant for immediate postoperative loading, and the patient does not need to wear a removable prosthesis.
Individual surgery: In the traditional method, the gingival line is reshaped with a gingival shaper. In the case of immediately loaded implants, the temporary crown conforms to the gingival margin, leading to better aesthetic results. The patient should come to the clinic less often.Avoid showing missing teeth and feeling the discomfort of removable prostheses: implants immediately placed replace missing teeth. Thus, the treated mouth no longer looks toothless and the patient no longer has difficulty adapting to removable prostheses. Psychological problems caused by missing teeth will disappear.
Risks associated with immediate dental implants
Rejection: There is a 2% risk of rejection in all surgical procedures, whether for conventional implants or for immediate loading implants. This can happen if the bone cells do not adhere to the implant or if the gums are inflamed, for example. Improper Pressure: The implant should not be pressured or improperly pressured. It is important that you remain calm during the osseointegration phase.
Candidates for immediate dental implant
Healthy non-smokers/oral hygiene patients. Diseases such as bruxism (teeth grinding) and osteoporosis are not compatible with this treatment. The dentist evaluates the essential criteria to determine whether or not the patient is a good candidate for immediate implant loading treatment. Several favorable factors plead in favor of immediate loading of the implants, in particular the primary stability of the implants, which must be greater than 35 or 40 Ncm. This primary stability is very important and influences the design of the implant, the surgical technique and the type of bone. The bone must be of sufficient density and quality
Immediate implant loading protocols
A missing tooth: The space is filled with an implant and a temporary fixed crown on the same day. Several teeth are missing: Several implants and crowns or temporary bridges are placed according to the needs of oral rehabilitation. Totally toothless: Four implants are placed in the lower jaws and five or six in the upper jaw. They are fixed by an acrylic resin prosthesis.
