In today’s case, we discuss the idea of immediate dental implants. Immediate dental implants are placed at the same time as tooth removal. Key criteria are followed when attempting to place immediate dental implants, as the procedure is much more technique-sensitive than traditional dental implant placement.
A traditional dental implant would be placed 3-4 months after removing a tooth and the area heals. With an immediate dental implant, the tooth is removed carefully, and the area is prepared to receive a dental implant simultaneously.
Advantages of an immediate molar implant:
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It fits multi-rooted molar socket and allows for immediate placement following extraction
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Maximizes bone preservation
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Minimizes the need for bone grafting
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Reduces treatment time
The case shown illustrates a dental implant for an upper molar with previous root canal therapy, and unfortunately, the tooth developed a crack. Remember that the anatomy of an upper molar is one of the most complex; these teeth have three individual roots that need to be carefully removed. A dental implant is placed in the center area and can heal for three months. The lab then fabricates a dental implant crown. We use the iTero 3D digital impression system for all crowns fabricated as it is much more accurate in fit at the West Bowmanville Family Dental—the anatomy of an upper molar: 3 individual roots. The dental implant is not placed in the space of one of the roots but rather in the middle area occupied by the roots.
In our office, for back teeth or molars, we use a dental implant that is wider in shape; this allows us to place the implant at the same time as removal of the tooth. This makes each case and area of the mouth unique in treatment options. The advantage of placing a wider implant shape in the area of the back teeth is that these teeth naturally have a broader shape. In trying to recreate what nature gave us, using a dental implant that would conform to the exact shape makes sense.
This will make the area much cleaner in the future. We invite you to our office for a free consultation about dental implants with Dr. Mark Bishara.
