Until recently, implantation of teeth immediately after extraction was not carried out. It was necessary to wait until the gum healed a little. However, implantology is now developing very quickly, so at this point in time there are the latest techniques that allow you to solve all problems in one visit to the doctor.
It is worth noting that such techniques can be applied only in some cases. Implantation of teeth immediately after extraction allows you to protect bone tissue from atrophy. The decision regarding the installation of implants is made by the doctor, consulting with the patient, if there are certain indications.
Tooth extraction
In order to carry out implantation correctly and efficiently, a competent tooth extraction is required. It can be done in several different ways. You can shake the tooth with forceps, but this sometimes provokes the breaking off of part of the bone tissue. In this case, it will take at least 2 months topre-treatment before the implant can be placed.
In addition, you can prepare the tooth, separate the roots and remove it from the hole without damaging the edges. This technique is considered more gentle, since after the sanitation of the hole, an implant can be inserted into it immediately.
Main type of implantation
Implantation of teeth immediately after extraction is a modern method of complex restoration of the missing element. This procedure is carried out in one visit to the dentist. Immediate implantation can be instantaneous.
Under it is meant the installation of an implant in the remaining place after the extracted tooth. In this case, the gums are immediately sutured. The crown is placed after healing has taken place. This type of surgery preserves the aesthetics of the smile.
When can implantation
The timing of implantation after tooth extraction largely depends on the general condition of the bone tissue. It is quite possible to carry out this procedure immediately, but first of all, it is worth deciding when it can be done and under what conditions. There are several options for placing an implant, in particular, the procedure is carried out:
- immediately after deletion;
- in a month;
- in six months.
If a tooth is implanted immediately after the removal of the root of the tooth, then this is done in one visit to the dentist. It should be noted that there should be no inflammation in the bone and surrounding tissues. It is allowed to do this when implantation has beenplanned in advance and the patient is not disturbed by anything. In addition, there must be no acute inflammation.
Simultaneous implantation after tooth extraction may be required if there is severe destruction of bone tissue or a crack has formed, but this has not affected the hard tissue in any way.
In addition, the implant can be installed a month after tooth extraction. Such a problem is observed if, after drilling the root part, inflammation appears in the bone tissue and it must first be treated. If the timing of implantation after tooth extraction is extended by a month, then it is worth noting that the tissues should change slightly and there should be no cracks. Estimated implant placement period is extended by 2 months.
In the presence of very complex lesions during root extraction or the presence of granulomas, it is important to determine the time for implantation of teeth after extraction. The installation of an implant is sometimes prescribed after six months. If there are difficulties with the procedure for removing a tooth, various complications and atrophy of the bone tissue may occur. In this case, delayed implantation after tooth extraction is required, since the simultaneous installation of an artificial structure is impossible. In addition, you must first pass the examination.
Simultaneous prosthetics
Many patients are wondering how long to wait after tooth extraction for implantation so that the procedure goes well. With the classical approach, the doctor installs the implant only after the woundheal completely. This period is 2-5 months. During the operation, you again have to make an incision in the gum. Recently, improved types of dental implantation have appeared, in particular, the one-stage method is very popular. It has many advantages, among which should be highlighted:
- bone preservation;
- saving time;
- bite deformity prevention.
In the first year after the tooth extraction procedure, there is a slight atrophy of the bone in which it was previously located. Delayed implantation may require additional bone augmentation.
When the voids in the dentition are not filled for a long time, then the adjacent teeth begin to lean towards them. As a result, bite deformity occurs. This negatively affects the process of chewing food, the oval of the face and the aesthetics of the smile. It can take a lot of time and money to fix this situation.
One-step implantation can save time. From the introduction of an artificial implant to the installation of a permanent crown, it takes about 4-6 months. If the doctor chooses the classical implantation method, then initially you need to wait for the gums to heal, and in case of bone atrophy, undergo an operation to build it up. This whole process takes a very long time.
Benefits of the procedure
This type of implant placement hascertain benefits. Among the main advantages of implantation immediately after tooth extraction are the following:
- several types of surgery can be combined;
- no deficiency of gums and bone tissue;
- affordability;
- it is easier to place the structure in the dentition;
- even a very large implant can be installed;
- high success rate;
- no risk of bone loss.
A big advantage of such a procedure is a high degree of aesthetics, since an empty hole will not remain in the dentition for a long time. During the procedure, it is closed with a temporary artificial crown or a specially selected orthopedic structure.
Flaws of the procedure
Tooth extraction and immediate implant placement is possible only if there are serious indications for this complex operation. However, it is necessary to take into account the existing disadvantages:
- before removing a tooth, you need to undergo a diagnosis;
- with complex extraction, it is impossible to immediately place the implant;
- need a full oral cavity sanitation;
- it is impossible to perform the procedure in the presence of inflammation;
- it is forbidden to carry out the procedure without additional treatment by an orthodontist;
- the success of the performed procedure depends on the design features.
Implantation after extraction of a tooth with a cyst is carried out only after complex treatment, and one-time installation is strictly prohibited. Anotherthe disadvantage is the presence of a high risk of rejection of the applied design. Doctors say that in their practice there are no consequences from such a procedure.
Indications for conduction
When can implantation be done after tooth extraction? This question is of interest to many patients who are indicated for subsequent prosthetics. Implants can be installed simultaneously with removal only for patients over 18 years of age, since bone tissue formation is completed at this age. The main indications for surgery are:
- violation of the integrity of the tooth;
- root damage;
- crown failure in periodontitis;
- periodontitis;
- ineffective periodontitis therapy.
However, even if there are serious indications for implantation immediately after tooth extraction, the final decision is made by the dentist, based on the results of the examination.
Which crowns are used?
When carrying out implantation, a metal pin is required immediately after the procedure for removing the affected tooth. Initially, the dentist must decide whether it is possible to apply a load on the implant. There are two main types of crowns.
For the procedure of express prosthetics, a temporary crown is initially installed on the implant. It closes the formed hole in the same way as the permanent one. However, it is worth noting that it has a smoother surface. This avoidscontact with the opposite tooth, which contributes to faster healing of the wound.
After 8 weeks, the doctor removes the temporary crown and installs a permanent one in its place. After the artificial tooth can fully perform all the functions of the removed one.
Another method of prosthetics involves the urgent use of a permanent implant. In this case, the dentist immediately installs a permanent crown.
It is imperative to choose the right materials for the manufacture of dental crowns. They should not only be reliable and durable, but also have high aesthetic qualities. Before proceeding with the manufacture of the crown, the doctor makes an impression of the patient's teeth.
Dentists recommend using all-ceramic crowns. They are well suited for allergy sufferers, as they do not contain substances that can cause an allergic reaction. Ceramic reflects light like the natural tissues of the tooth, which allows it to look as natural as possible. Recently, zirconium dioxide has become especially popular. It is considered particularly durable, but it reflects light somewhat differently than the previously used cermet, so additional pollination is often used.
Stages of work
Dental implantation after extraction consists of several stages. Before removing a tooth and placing an implant in its place, the dentist examines the general condition of the patient to make sure that such a prosthetic technique is notcontraindicated. Then he selects the most suitable type of replacement.
Tooth extraction and the subsequent installation of an artificial dental implant are two different procedures that the dentist performs one after the other under local anesthesia. If everything goes well, the procedure takes 30-60 minutes. After the implant is installed in the bone tissue, the doctor sutures the gums or installs a special shaper. In some cases, a temporary crown is placed. It generally takes 4-6 months to fully heal.
After a successful engraftment of the implant, the dentist attaches an abutment to it, on which a prefabricated crown is then installed. It is worth remembering that although the materials from which a dental implant is made rarely cause allergies and are rejected by the body, the dentist cannot completely exclude the possibility of such a problem. That is why, as a rule, he does not install a permanent crown immediately, but uses temporary materials for this.
After removing the tooth, the dentist installs special designs. Depending on the characteristics of prosthetics, large implants with a threaded end or small-sized products, but with a stronger and more reliable threaded part that runs along the entire length, can be used.
As dentists say, thanks to this design, there is often enough volume of one's own bone, if its loss is not very large. In addition, the modern implants used can be installed under absolutely anyangle, and not just strictly vertically, as when using the classical technique.
Contraindications
There is no definite answer as to when it is better to carry out implantation, since there are certain indications and contraindications for this procedure. The main contraindications include:
- inflammation, pain, swelling;
- diabetes, bruxism and other diseases;
- soft bone tissue;
- deficiency of own bone tissue requiring replacement;
- no way to guarantee implant stability.
In any case, the dentist will be able to decide exactly when the implant can be placed only after the tooth extraction procedure. There are also general contraindications, in which the installation of the structure is carried out only after consulting narrow specialists.
These include the following ailments and conditions:
- severe illness in the acute stage;
- use of certain medications;
- prolonged stress;
- strong exhaustion of the body;
- pregnancy.
In the presence of inflammatory processes in the mouth, implants are not installed. Such a procedure is possible only after preliminary treatment of existing pathological processes, in particular, such as gingivitis, stomatitis, periodontitis, caries.
What could be the consequences?
The success of one-stage implantation is largely due to the human factor. There are certain negative consequences, to whichmost include rejection of the implant by bone tissue. This can happen as a result of a poorly performed prosthetic procedure. This reaction is due to insufficient experience of the dentist. He may choose the wrong size of the structure or install it incorrectly. If the manipulation is performed incorrectly, there is a risk of infection entering the wound.
If at the stage of preparation for the operation the patient was not diagnosed with chronic diseases, then the probability of rejection of artificial tissues increases. If the patient does not adhere to the doctor's recommendations before the operation and during the recovery period, various complications may occur. The risk of rejection of the installed structure increases significantly with gum injury, as well as inflammation.
Patient testimonials
Implantation immediately after tooth extraction receives a variety of reviews from clients of different dental clinics. Some say that such a procedure does not take very much time and avoids too long therapy before and after. As a result of the procedure, an artificial tooth is almost impossible to distinguish from a real one. This is a huge plus. But it is important to choose a good specialist, then the smile will please, not upset.
However, some patients leave negative feedback about implantation immediately after tooth extraction, as they say that the procedure takes quite a long time, and there is also a risk of inflammation. The disadvantages include the high price requested by manyprivate clinics.
