Typically immediate implants can be done for almost any tooth from the middle bicuspid area forward. I also place immediate implants into the molar areas when the situation is just right. This can save you money and time if the dental implants can be placed at the same time the teeth are extracted.
The bone of the extraction socket needs to be mostly intact with bone around. Often times the thin outer wall of bone is lost due to infection or inflammation. If the bone is missing, or the implant diameter is smaller than your extracted tooth socket, a bone graft may be needed to fill the void.
The images below are from an immediate implant I did last week on a patient from Burbank. The crown broke off her tooth with a root canal so she had a big gap in her smile from the side.
Last month, a referring dentist also from Burbank sent his patient to see me for potential of a same day immediate extraction dental implant. He told me that the tooth had been broken for a few months and was now hurting. After examining him, the delay caused the entire outer wall of bone to be missing on his front and center tooth. In his particular case, I recommended that he not do the extraction and implant on the same day.
Every situation is extremely unique so a careful examination, diagnosis and treatment plan is crucial.
Another excellent situation for immediate dental implants are when all of your teeth need to be extracted on the upper or the lower. Most often, if all of your teeth need to be extracted, the immediate dental implants can be placed AND temporary teeth placed on the same day! Even when I have a patient that travels from out of state to Burbank, I try to give them their new teeth or temporaries on the same day of the surgery.
Immediate dental implants do not always get immediate same day temporaries. This depends on many factors such as the location of your implant, whether a bone graft was done, and the initial stability of the implant. Immediate dental implants are not for the novice dental implant dentist, but rather by someone who is highly experienced in implant dentistry.
A discussion about “plan B” should always be discussed if the dental implant can’t be placed even though it was planned to. In my Burbank office, going home without a front tooth is not an option!
Ramsey A. Amin, D.D.S.
Diplomate of the American Board of Oral Implantology /Implant Dentistry
Fellow of the American Academy of Implant Dentistry