Timing of Dental Implant Placement after Extraction

If you have got an extraction done or are thinking of the same, then this article is for you.  After the removal of tooth the bone in that region undergoes changes and resorbtion. In this first year itself around 50% of the alveolar bone will resorb. And, in the subsequent years the rate of resorption is also higher than that of the natural tooth area. Get to know more about dental implant solution.

So now, the question comes is, when to actually place an implant. There are many studies now internationally established regarding the timing of dental implant placement after extractions. 

To summarise, the dental implants are can be placed:

  1. Immediately after extraction
  2. Within one week of extraction
  3. After complete regeneration of bone i.e. around 3-6 months after extraction.
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Timing of Dental Implant Placement After Extraction is Immediate!

After the removal of the tooth the body heals the cavity from which the tooth is removed. To heal, there are many natural growth factors present in the blood which increases the speed of bone formations. During this time if an implant is placed then the advantage of the natural healing process can be made. This thought was then tested and proved to be true in most cases hence, immediate implant placement after extraction became an established technique in the early 2000’s.

Timing of Dental Implant

More than the timing of placement of implant, it is the force or torque of the placement. The implant should be placed at around 35 to 55 N-cm torque and a minimum of 3 mm of the natural bone should be engaged. A dental surgeon would sometimes also take help of the internal side wall of the cavity to provide additional support. 3D X-rays and CAD-CAM technology help in getting a more predictable treatment outcome. If the above technicals are met then the implant can be placed immediately. 

Now, once the implant is placed, when should the teeth be placed over them? 

In most cases the teeth can be placed immediately over the dental implant. But in cases where the support is clinically found to be weaker then the operating doctor may suggest options like splinting with the help of neighboring teeth or not loading the teeth immediately but placing the crown below the natural plane bite or using SAPteeth TM. SAPTeeth TM are shockabsorble permanent restorations which reduce the load on the dental implant by 24 to 149 times when compared with other conventional crown materials like zirconia, ceramic and metal. 

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