Immediate & Delayed Placement - WMC Action News 5 - Memphis, Tennessee

Immediate & Delayed Placement

The Surgical Procedure
Since every patient has different surgical needs, there are two types of surgical placement. In some cases the bone is of proper contour, quantity and quality. If this is the case then a single surgical procedure is used to place the implant. If the bone contour, quantity and quality are deficient then two surgical procedures are used to build the appropriate level of bone and place the implant.

Stage I - Single Surgical Procedure / Immediate Placement
Using the most recent advances in dental implant technology, the surgeon is able to place single stage implants. These implants do not require a second procedure to uncover them, but do require a minimum of six weeks of healing time before artificial teeth are placed. There are even situations where the implants can be placed at the same time as a tooth extraction, immediate placement - further minimizing the number of surgical procedures. Advances in dental implant technology have made it possible, in select cases, to extract teeth and place implants with crowns at one visit. This procedure, called "immediate loading," greatly simplifies the surgical process.

Stage II - Two Surgical Procedures / Delayed Placement
Delayed placement of implants occurs when there is poor quality and quantity of bone or missing bone after an extraction. This lack of adequate bone is unsuitable for placement of dental implants and thus delays implant placement. In the past these patients would not have been considered as candidates for placement of dental implants.

Today, we have the ability to grow bone where needed. This not only gives us the opportunity to place implants of proper length and width, it also gives us a chance to restore functionality and aesthetic appearance.

In Two Stage surgeries the implants are first placed within your jawbone. Generally, additional surgical procedures are performed to assure proper placement and adequate bone support. The implants are allowed to heal for up to three to six months beneath the surface of the gums. During this time the bone grows to the implant and integrates with the implant. While the healing stage is continuing, you will wear a temporary prosthesis, be able to eat a soft diet and have a normal appearance.

After the jawbone has bonded to the implant, the second phase begins. The surgeon will uncover the implants and join small abutment attachments to them. These attachments protrude through the gums. When the artificial teeth are placed, these attachments will not be seen. The entire procedure usually takes four to six months. Most patients experience minimal disruption in their daily life.

Who actually performs the implant placement?
The Dental Implant Aesthetic Center implants are a team effort between an Oral and Maxillofacial Surgeon and a Prosthodontist. The surgeon performs the actual implant surgery, initial tooth extractions, and bone grafting if necessary. The prosthodontist will then fit and make the temporary and permanent restorations necessary to complete the transformation.

What types of prostheses are available?
A single tooth prosthesis is a crown that can be either screwed or cemented on the implant abutment. It is used to replace one missing tooth and may be fabricated as a complete ceramic abutment and crown or a metal abutment with a metal substructure porcelain crown. A partial prosthesis, also known as a fixed bridge, can replace two or more teeth and may require only two or three implants. A complete dental prosthesis can be fixed or removable that replaces the missing teeth in your upper or lower jaw. The number of implants varies depending upon which type of complete prosthesis (removable or fixed) is recommended. A removable prosthesis (over denture) attaches to a bar or locator attachments, whereas a fixed prosthesis is permanent and removable only by the dentist.

The surgeon performs in-office implant surgery in the Dental Implant Aesthetic Center's hospital-style operating suite, thus optimizing the level of sterility. Inpatient hospital implant surgery is for patients who have special medical or anesthetic needs or for those who need extensive bone grafting from the jaw, hip or tibia.

Why dental implants?
Once you learn about dental implants, you finally realize there is a way to improve your life. When you lose several teeth - whether it's a new situation or something you have lived with for years - chances are you have never become fully accustomed to losing such a vital part of yourself.

Dental implants can be your doorway to renewed self-confidence and peace of mind.

A Swedish scientist and orthopedic surgeon, Dr. Per-Ingvar Branemark, developed this concept for oral rehabilitation more than thirty-five years ago. With his pioneering research, Dr. Branemark opened the door to a lifetime of renewed comfort and self-confidence for millions of individuals facing the frustration and embarrassment of tooth loss.

Why would you select dental implants over more traditional types of restorations?
There are several reasons: Why sacrifice the structure of surrounding good teeth to bridge a space? In addition, removing a denture or a "partial" at night may be inconvenient, not to mention that dentures that slip can be uncomfortable and rather embarrassing.

Are you a candidate for dental implants?
If you are considering implants, your mouth must be examined thoroughly and your medical and dental history reviewed. If your mouth is not ideal for implants, ways of improving outcome, such as bone grafting, may be recommended.

What type of anesthesia is used?
The majority of dental implants and bone grafts can be performed in the office under local anesthesia, with or without general anesthesia.

Do Implants need special care?
Once the implants are in place, they will serve you well for many years if you take care of them and keep your mouth healthy. This means taking the time for good oral hygiene (brushing and flossing) and keeping regular appointments with your dental specialists.

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