https://vancouverdentalimplant.com/
Immediate Implant Placement with Continued High Success
The time factor involved in conventional implant treatment can be quite frustrating for patients with a missing tooth or teeth. Getting a dental implant traditionally involves waiting several months for the extracted tooth socket to heal before an implant is placed. Immediate implant placement allows the implant to be inserted immediately into the tooth socket after an extraction, eliminating extended wait times. This provides patients with faster results and improved comfort, reducing reliance on removable partial or complete dentures in the interim.
 
Success Rates for Immediately Placed Implants Remain High with Precautions
As a professional dentist at Vancouver Dental Implant Center describes, despite the faster timeline, immediate implant success rates remain high with proper patient selection and technique. However, implants placed in infected tooth sockets have up to 5 times greater failure rate. Thus, confirming a non-infected extraction site and utilizing antibiotic treatment helps prevent implant failure. Strict attention to atraumatic tooth removal and socket preservation also boosts success. Factors like avoiding overheating bone during drilling and achieving primary implant stability with good initial bone contact ensure osseointegration into the socket walls.
Immediate Loading of Implants Depends on Multiple Treatment Factors
In some cases, a prosthetic tooth can be provided immediately in conjunction with immediate implant placement, known as “immediate loading”. This depends on various factors like bone density at the implant site, avoidance of functional loading forces by the patient post-surgery, use of multiple splinted implants rather than a single implant, and precise fit of the final prosthesis. Computer-guided surgical stents and digital scans also enhance precision. Strict protocols on occlusion help prevent excessive force. With attention to guidelines, success rates for immediately loaded implants can be greater than 90% in lower jaw sites.
Optimal Patient Selection Criteria Lead to Greater Success
Careful pre-operative assessment of the patient leads to long-lasting results. The patient should have adequate bone width and height dimensions at the site, as well as dense medullary bone in the jaw, not presenting metabolic illnesses affecting healing like osteoporosis or diabetes. An allergy to implant metals should not be present, while non-smokers form a more ideal implant candidate group. Younger patients and those desiring shorter treatment periods are also good candidates. Sites with a history of trauma or endodontic infections are usually excluded from immediate implant protocols but may utilize socket grafting initially before later placement.  
 
Awareness of Potential Complications Optimizes Surgical and Restorative Outcomes
A basic risk in immediate implant placement is the failure of the implant to integrate, often connected to micromovement or infection. Other issues like poor positioning of implants related to obscured visibility of anatomic landmarks in fresh extraction sites also occur. To prevent these issues, utilizing surgical guides, flapless protocols, and prophylactic antibiotics helps greatly. Exploring patient complaints like persistent pain or paresthesia via radiologic assessment for causes like nerve impingement also optimizes outcomes. Restoratively, utilizing custom abutments and indirect rather than direct crown placements early on reduces mechanical and esthetic issues. Thus, awareness and prevention of surgical and prosthetic complications via proper diagnostics boost results.