Below is a list of some of the inclusion/ exclusion criteria for immediate implants and immediate loaded implants. This list is non-exhausive and whether these two types of implant treatment protocol is feasible for you is dependent on the judgement of your implantologist on an individualized case basis.

1. 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, same day implants is not advised. There should be no apical disorder or inflammation at the area of the implant site.
2. Good bone quality and quantity is required for one day implants to be successful, thus it may not be applicable to all cases. Different bone volume and density and preparation techniques will influence the level of stability.  If you require major bone grafts, immediate and immediate load implants will not be suited for you.
3. The patient should be healthy and compliant with good oral hygiene.
4. 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.

The immediate implant procedure is similar for a single missing tooth and multiple missing teeth. Below outlines what you may expect:

1. Prepration on first evaluation and x-ray :
   • A panoramic x-ray, CBCT scan and oral examination is done to determine implant site and bone condition.
   • Your dentist diagnoses if immediate implant is suited for you.
2. Tooth implant site preparation and first stage implant placement
   • If immediate implant is appropriate and confirmed for you, your dentist can start the tooth removal and immediate implant placement during the same consult visit or during a planned next appointment visit
   • On the day of surgery, your teeth is extracted and the bone around site is re-checked. If bone appears insufficient, bonegrafts may be added during this stage.
   • The dental implant post body is placed immediately after teeth is removed and your bone prepared.
   • The soft tissue is stitched with a healing abutment that covers the implant site.
3. Healing Process – Osseointegration 
   • You may be re-called for seven to fourteen days after surgery to re-check your implant site and remove sutures.
   • The implant is left normally left to integrate with your jaw bone for conventional implant protocol. A healing period of about 2 to 6 months is left.
   • If immediate-loaded implant can proceed, during the same visit surgical visit or a few days after during a next visit, your dentist takes another panoramic x-ray film to check the implant post positioning. An impression is also then taken to make your new prostheses,
4. Second stage attachment of abutment and prostheses 
   • After delivery of prostheses, the abutment and prostheses is attached to your implant post.
   • Re-check and adjustments and post care is provided to you. 

Conclusion to Immediate Implants

Immediate implants refers teeth removal and having an implant post on during the same surgical visit. Unlike in conventional implants, there is no healing period after teeth extraction. It is also known as same day implants and speeds up treatment timings. This implant treatment procedure is used for selective cases with sufficient bone and there is no existing infection in the area. 

For immediate implants, your dentist may recommend specified dental implant systems range for active surfaces implants to allow for faster osseointegration. Goto dedicated website all about Bangkok Dental Implants.