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Complete Tooth Replacement with implants in a Single Appointment
Description
The technique consists of extracting a hopeless tooth, placing an implant and a temporary crown in a single appointment, see newsletter Oct 2003.
Benefits for the patient: Single atraumatic surgery, no need to use removable appliances (Flipper), excellent post-surgical evolution (Minimal discomfort and no swelling), minimal risk of implant loss, complete preservation of the esthetic and reduced overall cost.
Case: A 28 year old female patient developed an unrestorable carious lesion on the left central. The tooth was extracted and immediately replaced with an implant. A temporary crown was placed the day of the surgery and maintained for 6 months. At that time, a final crown was fabricated. The final results show excellent tissue preservation including gum tissue and alveolar bone.
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Fractured tooth before surgery |
Rx of fractured tooth |
Final Rx of the implant
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Final photograph of the case.
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Length
Average 2 hours or more
Cases are followed closely for 6 months prior to final crown placement
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After surgery
Temporary soreness, minimal gum tissue brushing, no face swelling.
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Recovery
Back to work: next day
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Risk
Implant loss due to early loading ( biting on the implant too soon). Infection could appear if the extracted tooth was severely infected or antibiotics are not taken as recommended. Slight gum recession is commonly (0.5-1 mm) depending on local trauma.
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Results
Very predictable. Dental implants are a permanent solution. They do not need to be removed at a later time unless problems appear.
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Patient Status
Outpatient. Not need to go to a hospital
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Anesthesia
Local without any need for IV sedation. Oral sedation can be used ocaccionally.