Dental Services : Dental Implants : Immediate Implants (One Day Implants)

Immediate Implants

Immediate implants is also sometime known as one day implants, single day implants or same day implants. For cases where bone condition and density are favorable, implants can be embedded immediately after tooth extraction. This means that you have new tooth roots upon leaving the office.

immediate implant

Same Day and One day Implants

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Stages for Immediate Implants

The immediate implant step applies when you still  have an existing tooth that needs extraction. In immediate implant protocols, the poor prognoses tooth is removed and the implant post is placed during the same surgical visit. Therefore stage 1 and 2 is done together. If already have a missing gap, one day implant or same day implant does not apply to you because stage 1 is skipped.

Stage 1

Implant Site Preparation
  • Tooth extraction
  • Bone grafting

Stage 2

Implant Post Surgical Insertion

Stage 1

Prosthetics Placed On Implant Post
  • crowns
  • bridge
  • hybrid bridge
  • dentures

Having immediate implants does not necessarily mean that your treatment procedure is completed in one go. Whether prosthetics on implant (stage 3) may be done during the same period is dependent if an immediate-load implant is advisable for your case. If otherwise, after stage 2, the implant post is left to heal or osseo-integrate for about 2 to 6 months before stage 3 is started as done in conventional implant protocols.

Due to dental implant material, techniques and developments, the completion time for one day implants has now been cut short from more than 8 months to just 2 months.

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Benefits of Immediate Implants

  1. One day implant is less invasive and reduces discomfort. When your existing tooth is extracted, the implant post is placed during the same surgical visit when gums and bones are only opened. This means that 1 relative to 2 separate surgical visits is made. 
  2. Same day implant provides for shorter treatment time and less visits to your dentist.

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Inclusion/Exclusion Criteria for Immediate Implants

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.

Procedure for Immediate Treatment

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. 

Dental Implant Systems for Immediate Implants

Same day implants are treated only for selected case without contraindications. You should always consult with an experienced and qualified implantologist if immediate implants is suited for you.

Certain ranges within each implant systems may be specifically recommended for one day or same day implants. These implant range within the brands of implant has special properties that improves success rates and reduces implant risks :

  1. Straumann SLActive, Straumann Roxolid SLActive
  2. Schilli Implantology Circle

At BIDC, we choose only premium implant systems from Switzerland, Sweden and USA for its established reputation and clinical reliability. It is especially important for international patients so that local implantologists in their home country can provide post care and maintenance on their return. 

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Implant Brands & Systems

Case Indications for Dental Implants

Single Missing Tooth
implant crown

Single implant post with crown

Several Missing Teeth
implant bridge

Several implants with dental bridges over implants or implant crowns in multiple locations

All Missing Teeth
implant bridges

Edentulous jaw with prostheses over implants

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.

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