Slow and Staged Dental Implants

Digital implant model

Most of the time my preference is for immediate extraction, implant and bone grafting simultaneously.  In this case it is best to slowly stage each out into separate procedures with some time in between.  This is because the bone loss is so bad it is much more predictable for the bone to be rebuilt with … Read more

Rationale and Costs –Immediate Same Day Extraction and Back Tooth Molar Implant vs.Waiting

Xray of back molar dental implant

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.

Super Wide Diameter Implants (6.0mm and larger)
-reduces or eliminates the need for bone grafting in back tooth extraction sites
-enables proper emergence contour of the final crown  Ramsey Amin Wide immediate dental implant

-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

Less invasive
-Shorter treatment time
-Prevents bone shrinkage.

-Following an extraction, bone width decreases 25%-40% in the first year!

Considerations
-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

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Immediate Front Tooth Dental Implant Example -(Difficult Case)

Front center implant tooth #9

***If you cant see the pictures in your reader, click the link to see this case series*** Here is a great example of a front tooth dental implant with gum shaping. Follow along: My patient from Burbank, California had a "dead" yellow tooth in the front.  It started to twist and move also. The x-ray … Read more