Immediate Dental Implantation

Immediate, or simultaneous, dental implantation is the placement of an implant into the socket of a freshly extracted tooth. Thus, in a single appointment, the patient has the damaged tooth removed and an implant placed.
Tooth extraction always involves bone trauma. If an implant is not placed at that very moment, healing will occur. Then, after healing, the doctor will need to inflict a new controlled trauma to the bone during implant placement.

At “Osadchiy’s Dentistry,” we believe it is better to overlay trauma upon trauma. This does not mean that an immediate implant will deepen or worsen the trauma. Human physiology is designed so that the body barely notices such a procedure, especially when non-aggressive implants are used. Immediate dental implantation does not affect the physiological process of bone healing.

Quite often, patients at various clinics in Ukraine make decisions about dental services based on price. However, the cost of immediate dental implantation in this case is not a determining factor, since it does not exceed the cost of delayed implantation.

Of course, immediate implantation has its pros and cons. By “cons” we mean not the drawbacks of the technology, but rather the impossibility of applying it in certain cases.

Tooth extraction with immediate implantation is contraindicated in cases of:

• traumatic tooth extraction;
• extraction of a tooth with a cyst;
• extraction of a tooth from severely damaged bone.

The key contraindication that makes immediate implant placement impossible is cysts or cystogranulomas of significant size. During the extraction of teeth whose roots are affected by cysts, what forms is not just a physiological socket, but a hole of very large diameter and depth. As a rule, in such cases the bone is also affected, so there is simply not enough bone material for the implant, and it is necessary to wait for recovery.

Sometimes a cyst affects only one root of the tooth; in such a case, tooth extraction with immediate implantation is possible – the implant is placed in the position of the healthy root.

Tooth extraction with immediate implantation has the following advantages:

• minimisation of bone trauma;
• faster rehabilitation;
• fewer doctor visits;
• less anaesthesia required.

Immediate implant placement is the optimal and correct decision, which we insist on in cases where there are no contraindications.

If at the current moment the patient is not mentally ready for implantation or the decisive factor turns out to be the price, immediate implantation will not be performed. Many patients in such cases decide to postpone the extraction of the damaged tooth. However, this is wrong – even if the affected tooth does not hurt or cause discomfort, it must be extracted, because otherwise it will continue to destroy the bone, and further prosthetics will be greatly complicated.

Immediate implantation of front teeth and molars is no different. Immediate implantation of a front tooth is associated with the aesthetic appearance of the smile, so the problem must be resolved quickly. Waiting for healing when we can place an implant immediately makes no sense.

Another question is: should a one-stage implantation be performed in this case? Immediate implantation with instant loading is not recommended; we prefer safer and less risky techniques. That is, first the implant (artificial tooth root) is placed, and after the bone heals around the implant (21–60 days), an abutment and crown are placed on it. During the healing period, we provide the patient with a temporary structure that serves an exclusively aesthetic function.

When all teeth need to be extracted, immediate implantation is indicated. Not performing it immediately only prolongs the rehabilitation process and brings no benefit. The standard recommendation is: one extracted tooth – one implant. However, for cost-saving purposes, 4 to 10 implants can be placed on one jaw.

Immediate implantation of all teeth at our clinic is also performed in two stages. In the first stage (surgical), the teeth are extracted and implants are placed; if necessary, the patient receives temporary prosthetics. In the second stage (prosthetic), dental crowns and/or bridges are placed. Our clinic’s philosophy is to achieve a long-term result without risks. And one-stage implantation always carries risks, especially when it comes to implantation on an entire jaw.

If a patient needs immediate dental implantation, the price is formed according to a very simple principle: the cost of extraction plus the cost of implantation. The patient incurs no additional expenses; moreover, the total cost may even be slightly lower, as less anaesthesia will be used. Immediate and delayed dental implantation cost the same. Immediate implantation is available at many clinics in Kyiv, including “Osadchiy’s Dentistry.” By contacting us, you can be confident both in the quality and in the fact that we will not allow you to risk your health, even if you really want to.