Dental implants after tooth extraction

Date: 31/05/2018 / Author: Ms Trúc

Dental Implant - What is the best time for dental implant after tooth extraction? According to The consensus conference 2008 held in Germany, time for implant placement after tooth extraction is divided into four categories: immidiate implant placement at the same time with tooth extraction; Early implant placement, usually 4 weeks to 8 weeks after tooth extraction; implant placement after partial healing, usually 12 weeks to 16 weeks; delayed implant placement 6 months after tooth extraction .

 The case should implant implant

 Dental implants in Nhan Tam - 5 stars


The results and methods may vary depending on the individual's condition

 Type 1: implant placement at the same time with extraction.

 Type 2: implant prematurely, usually after tooth extraction 4 weeks to 8 weeks.

 Type 3: implant prematurely after partial healing, usually 12 weeks to 16 weeks.

Type 4: delayed implant placement, after 6 months tooth extraction.

  Each type has its own advantages and disadvantages.

Because the implant is placed right after the tooth extraction, it is not necessary to open the gums again (the flap).

The hard plate pushes the implant out.

Patients with thin gum tissue.

Loss of soft tissue due to healing sinking.

Doctors lack skills and expertise.

 Shorten the treatment time but the cases meet the ideal clinical conditions to achieve aesthetic when applying type I:

The outer bone is intact and thick.

 Type of thick gum tissue.

There is no infection at the implant site.

Laughing low: when the patient laughs do not see much exposed gums.

Patients with no risk factors such as: no smoking, no alcohol, ...

According to Dr. Vo Van Nhan: Since implant placement is aesthetic dental area (front teeth), after implantation, temporary teeth are attached so that patients do not empty the teeth. However, temporary teeth will not touch the joint with the lower teeth.

After 3 months, temporary teeth are replaced with porcelain teeth on the implant, finishing the treatment.

 Implantation soon after tooth extraction from 4 weeks to 8 weeks is:

Increased horn tissue from 3mm to 5mm, which helps to seal the wound easily, thus eliminating the risk of acute or chronic infection.

According to Buser D 2008, 2009, type 2 less gum than type 1.

Because of these advantages, type 2 is widely prescribed for cosmetic areas such as the incisors.

However, during healing from 4 weeks to 8 weeks, the bones were slightly diffused on the outside, the width of the alveoli and the bones of the bones were unchanged.

Dr. Vo Van Nhan and the team implant dental implants

The results and methods may vary depending on the individual's physical condition

 Class 2 clinical use:

Female patients suffering from accident, fracture of the incisors and soft tissue lesions on upper lip and chin. After examining the wound condition, we decided to proceed with implant treatment after the patient was injured for 8 weeks.

Implant implants are performed quickly and patients have temporary teeth after surgery for a few days. However, this is a temporary tooth that does not touch the teeth with the lower teeth. This temporary tooth will be replaced by permanent fixation after 4 months.

cay-ghep-implant-dental-post-grape-2Note: The effect of treatment depends on the person's physiology

The results and methods may vary depending on the individual's condition

Four months later, the gums were fully healed and the implants had the time needed to achieve the desired bone integration results. This is the appropriate time for the final restoration of the implant.

Future implants that need only a few bone grafts or in some cases do not require bone grafting so the healing time is shortened and the cost of treatment is reduced. Implant implants of type 3 are therefore assigned to the aesthetic area such as the front teeth. However, this technique also applies to the position after extraction of the lower jaw if the bone width is more than 8mm. 
Although the bone has partially healed but the bone is intact, the large toothed tooth achieves the initial stability of the implant, which is also a challenge for the treating physician.

 Class 3 clinical use:

Doctor: Dr. Vo Van Nhan

40-year-old female patient lost teeth in the lower jaw due to infection. After extracting and treating the infection, we decided to implant the implant 4 months after the extraction.

Through the panorex film, we immediately identified the tooth infection, the appearance of tooth decay causing teeth to shake, the first solution is to extract the teeth, scrape clean infection to prevent more serious bone loss makes it difficult to work. Restoration of the teeth later.

Four months after the extraction, the gums and alveolar bone heal partially. This is one of the factors that help increase the initial stability of the implant. In this case, although the bone has healed in part but the tooth width is still large, during implant transplant we perform artificial bone graft.

Immediately after the implants implantation, we take x-rays to check the position and direction of implant inserts to ensure high success rates.

Note: The effect of treatment depends on the person's physiology

The results and methods may vary depending on the individual's condition

Four months later implants were implanted, bones developed and integrated well with implants. This is a good time to do implant restoration. This stage is a mild surgery to reveal the implant, preparing for the final restoration.

At this stage, we are going to implement an equally important technique to regenerate the gums to achieve the highest results, which is the technique of creating aesthetic gums. However, this technique is very compact, mainly based on the technique of the doctor.

Immediately after fixation on the implant, we conducted a panorex film to determine the tightness of the dental implant and dental implant because this job can not be determined with the naked eye. Clotting helps to restore the chewing function and prevent implant inflammation caused by insufficiency.

Implant for patients, especially patients aged 18 to 20 years. This situation is also applicable to patients who can not implant implants soon after extraction for personal reasons.

However, the major disadvantage of waiting for healing after 6 months or longer is that the width of the bone crease is less than 6 mm. This risk is higher in maxillary incisors as well as in small molars. Therefore, implant implants after tooth extraction for 6 months or more may require bone graft. In addition, waiting too long to make this treatment process is not a priority choice of patients.

 Clinical grade 4:

Doctor: Dr. Vo Van Nhan

Female patient wearing removable dentures over 5 years due to loss of front teeth in an accident. Over the past 5 years, many times patients are confused when the dentures are out while working with customers as well as colleagues so patients come to us with the desire to have permanent dentures to be more confident. in communication and improve chewing function.

After performing the three-dimensional CT scan and imaging examinations as well as conducting pre-operative oral hygiene and some tests to assess the general health of the patients, we proceed with the procedure. implant implants with bone graft.

The implant and bone grafting process takes about half an hour with the help of a cardiologist who monitors the patient's blood pressure. This is not a complicated case. During implant placement, x-ray examination of the direction and position is always taken into account as we do not allow any negligence. To complete the surgery, we used a diaphragm to fix the graft and finally wound the wound. 
During the final implant restoration, the patient can re-use the old disassembled dentures or use new temporary teeth provided by our lab.

Note: The effect of treatment depends on the person's physiology

The results and methods may vary depending on the individual's condition

After the time needed to implant the bone (in this case 3 months), the implant is exposed for final restoration. This stage goes smoothly and quickly. At the time of implant disclosure, we performed a technique to help create a natural gingival papilla such as not missing teeth.

The most aesthetic porcelain teeth today because the gingival border is not blackened over time, the high biometric compatibility should be very suitable for aesthetic areas such as the front teeth.

Before attaching the implant to the implant, the rib test was performed with great care of the x-ray film because then we confirmed the ribs closely.

Implants implanted at the same time as tooth extraction help shorten treatment time and achieve aestheticism if properly indicated. However, the disadvantage of first-line treatment is that it causes gum recession.


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