Missing Tooth

Immediate Dental Implants: What Are They?

Implant dentistry is a safe, predictable method for replacing missing teeth. "Immediate dental implants" or the placement of tooth implants at the time of extraction is a great method of implant placement. This method can be considered when a single upper front tooth is traumatized, when one or two teeth have advanced decay, or when the remaining roots are too short to support a crown. The purpose of this method of tooth replacement is to maintain as much bone volume as possible. This means preserving bone height and width. The benefits to the patient after restoration of dental implants are a beautiful, natural-looking tooth without cutting down healthy adjacent teeth and being able to eat in comfort without the fear of having the tooth loosen or fall out.

An implant dentist can easily determine if a person is a candidate for the immediate dental implants method of replacing missing teeth. They will examine the teeth adjacent to the involved tooth for periodontal disease and take a traditional dental X-ray. Impressions of the teeth will aid in determining one's prognosis. Additional X-rays may be necessary to determine the exact bone width and height, as well as the root position.

Implant placement is performed with local anesthesia. The remaining root is removed and the gum tissue is gently displaced from the surrounding tissue. The dental implant site is prepared with small drills. Special equipment is used to gently place the tooth implant into the prepared site, after which the gums are replaced over the implant with sutures. A temporary tooth replacement is placed in the space where the tooth was removed. Post-operative discomfort is minimal. The sutures are removed in a week, and oral hygiene is resumed.

In the upper jaw, bone grows and adheres to the tooth implant within five to six months, while the immediate dental implants in the lower jaw require three to four months for proper bone formation. After healing, there is a series of visits when an implant dentist will make a tooth that will be attached to the implant. Within a few weeks after receiving the implant-supported crown, patients consider the restoration as their own tooth, rather than an implant.

Implants require good oral hygiene, dental maintenance, and periodic evaluation by a dentist. For further information regarding placement of tooth implants at the time of extraction, look in PubMed, searching the following key words: placement of implants at time of extraction, dental implants, immediate implants.

By William Becker, DDS

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.

How The Success Rate Is Related To Possible Dental Implant Complications

The endosseous system of dental implants, currently the most popular system used in dentistry today, has been utilized to replace missing teeth for over thirty years. Dental implants are very successful. Dental implants are made of titanium, an inert metal that bonds with the bone and forms a very tight union. Dental implants have a 90% to 95% success rate and once placed and restored, can last for an indefinite amount of time.

Although rare, dental implant complications do occur. If the bond between the dental implant and the bone breaks, or the dental implant itself breaks, it may have to be removed. If so, it may be possible to replace the failed dental implant, either at the same time or after doing a bone grafting procedure.

There are two main reasons for dental implant complications are:

1. Infection of the implant surface can result in disintegration of the bond between the implant and the bone. Eventually, the dental implant may have to be removed. To avoid infection at the time of dental implant placement, sterile operating techniques are recommended and most implant surgeons prescribe antibiotics after surgical implant placement.
   The oral bacteria that causes periodontal disease can also affect implants. Around implants, this infection is called peri-implantitis. Just as with the natural teeth, meticulous oral hygiene that includes brushing and flossing, combined with periodic professional cleanings are critical to prevent peri-implantitis.
2. Excessive loading: If the forces on the dental implants are too strong or not in the right direction, the implant components can break or the bond between the implant and the bone can disintegrate. The bite on an dental implant has to be properly designed.

There are certain risk factors that may increase the risk of dental implant complications. Smoking, for example, halves the success rate of dental implants and is the number one risk factor for dental implant complications.

Also, persons that have a diminished healing ability such as people with uncontrolled diabetes may have an increased risk for dental implant complications. To reduce the risk of dental implant complications, and to prevent serious health complications from surgery, a thorough medical evaluation is required before dental implant treatment.

To reduce the risk of dental implant complications, make sure that the dentist that places the dental implants and the one that restores the dental crown on the dental implant have plenty of experience with dental implant procedures.

The success of dental implant treatment is dependent on the expertise of the dental team and the patient's ability to control plaque. With proper dental implant design and follow-up maintenance, you could enjoy the benefits of dental implant treatment for a lifetime.

By Laura Minsk, DMD

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.