Immediate loaded / Single day implants – a Royal replacement for your missing tooth.

Are you worried about losing your tooth? Immediate loaded/single day implants offer you a good solution. They are very commonly used to replace front teeth, immediately after extraction. Missing a front tooth can be very embarrassing for a patient. Immediate loaded implants pave the pathway for an aesthetically pleasant appearance, thereby imparting a classic and confident smile.

What are immediate loaded implants or single day implants?

These same day implants are implanted immediately following an extraction, into the fresh socket. Many at times they are loaded with the crown so as to give a pleasing appearance. Since the bone has to be formed around the new implant, it is very much mandatory to keep the area free of chewing forces for many weeks together. Disturbing them with masticatory forces, do not allow the implant to become stable in the socket. This is one common reason, as to why the front tooth is often chosen for this royal replacement.

In cases where an upper or lower jaw has to be replaced with dentures, all on four implants are loaded and a denture is made to fit over them. Due to different bio-mechanics, mild chewing forces can be well tolerated by the implants. Gone are the days when patients wear full removable or partial dentures. Multiple implant replacements help them have dentures fixed to their bones and function normally.

Who are ideal patients for immediate loaded implants?

• Young & healthy patients
• Patients who are non-smokers
• Non-diabetic
• Good periodontal status with healthy bone that can grow well

As such there is no absolute contra-indication to immediate loading implants. The patients has to be chosen on a case by case basis. He or She should not have any aggravating factors that will lead to an implant failure.

Surgical Procedure for Single day Implants

With the use of advanced 3D computed tomography and imaging techniques it is easy for the surgeon to have a detailed information of the surgical site. The width, depth and texture of bone in the implant site with other necessary details are studied using the CBCT software. This study enables surgeons to make a preliminary simulation of how implants can be placed in the jaw bone, with practically zero margin of error.

Immediate implants are done following extraction of a tooth, and this has to be decided by your dentist after careful assessment. Implants are rendered by dentists who are well trained in implantalogy. An oral surgeon, prosthodontist and a periodontist together will form a good team to work on implants more precisely. It involves placing a pre designed, measured metal part inside the jaw bone on the extraction site and the counterpart or the crown abutment is fixed to it. That helps to perform normal functions of a tooth. Bone remodelling and augmentation has to be followed up to observe adaptation of the new implant to the extraction site. Very minimal chewing forces has to be given for few months to aid in bone formation in the extraction site.

Benefits of these implants and their success rates.

These implants are advantageous over the conservative ones in terms of waiting period. Conservative implants needs about 3-5 months for the bone to be formed. After that, loading and abutment placement will take another 1-2 months. There is not only a prolonged waiting period, but at the same time there is some amount of bone resorption or loss that occurs during that period. The success rates are no different from the conservative implants, when the suitability is accessed properly and prognosis is well determined for the patient. Any compromise in the periodontal (gums and bone) status, will very likely make the implant unstable in the socket and lead to failure.

The whole process of extracting a tooth and placing an immediate loading implant will take about two hours. Extraction of tooth is an invasive procedure, but loading an implant is relatively simpler. Depending upon the location and extensive procedure performed, the patient can expect to have some swelling and pain in that region for a few days to a week or so.

It is advisable to have a follow up after a week of the procedure with your oral surgeon. Regular follow ups and visits are necessary so as to maintain proper periodontal health, and at the same time to check if the implants are well in their place and fused well with the bone.

Today, dental implants help us for a comfortable life style. They are designed in such a way that they mimic the functions of the natural tooth very closely. They enable the patients to eat normally and speak clearly. Patients with dental implants get their smiles restored with confidence, imparting a very enriching experience .They not only help them to restore their lost smiles but also ensures beautiful smiles for a lasting impression.