Back molar teeth can have immediate implants! This means that the same day a molar is extracted, an implant can be put in the socket. When it is possible, this saves you money by avoiding the cost of a second procedure or bone graft. Besides cost, it also saves you time because you don’t have to “extract, then let it heal for 2-4 months.” You want your tooth as soon as possible!
In order to do an immediate implant for a back molar tooth a large, wide diameter implant must be used.
-reduces stress delivered to the implant-bone interface as well as throughout the rest of the implant
-Ideal for “rescuing” teeth implants where smaller-diameter implants have failed
-Shorter treatment time
-Prevents bone shrinkage.
-Following an extraction, bone width decreases 25%-40% in the first year!
-Size of tooth being replaced. The average measurements of back teeth indicate use of a 7.0mm implant. Tooth size varies by type of tooth as well as your genetics
-Nerve position is critical
Increased initial stability (tightness when first placed)
-When the diameter of the root is less than that of the implant, the resulting primary stability is greater. This is important for the
long-term of your implant.
-tapered implant body design is suited to the mandible’s morphology and allows placement of a longer implant for greater surface area
-Reduction (or elimination) of the need for bone grafting!
Benefits for the Crown Part of the Implant
-Increased surface area by the use of a big implant
-Reduces the force applied to the implant-bone junction
This in turn, reduces the risk of bone loss and subsequent implant failure
-Reduces the stress delivered to the rest of the implant
-Increases the strength of the implant and reduces risk of fracture
A 7.0mm diameter implant is approximately 16 times stronger than a 3.5mm diameter implant
This is a procedure I have done for 14 years. I say this because it seems to be only recently that others have caught on to this great procedure!
Having a same day molar implant has to be planned very carefully and can be used for 10-30% of situations. Although reducing cost and time is important, safety comes first.
Ramsey A. Amin, D.D.S.
Diplomate of the American Board of Oral Implantology /Implant Dentistry
Fellow of the American Academy of Implant Dentistry