Immediate Function & Immediate Implants : Functional & Aesthetic Teeth In One TreatmentSession   

Immediate Function     

Historically,  dental implants havebeen associated with a time consuming surgical  procedure. Dental implantsolutions have revolutionised this, by  providing beautiful, natural lookingteeth, from the very moment they  are placed.

Thebenefits of Immediate Function are:

Itis now possible to go from suffering from tooth loss to having functional andesthetic teeth in one treatment session.

Theprocedure  is clinically documented by several independent studies, covering  alloral regions, showing high success rates. The single most important  factor forthe success is the unique implant surface found in dental  implants (eg., TiUnite® of Biocare dentalimplants.)

Someimplants contains a biomaterial with better ability tomaintain primary stability while shortening healing times. It enhances the rateof osseointegration, which supports ImmediateFunction™ and makes it possible for a wider range of indications.

Inmy opinion, the new and unique grooved threads in Nobel Biocaredental implants may also greatly enhance the effectiveness of treatment.  

ImmediateFunction may be applied in various clinical situations on a case-by-case basis: 

1. Fully edentulous (missing)     upper or lower jaw
2. Partially missing teeth
3. Single missing tooth

Inaddition, the procedure may also be applied in situations requiring teethremoval and immediate implantation.     

Immediate DentalImplants

Apatient  presenting with a fractured or decayed tooth/ root that needs to  beextracted can opt to have a dental implant placed at the time of the  toothextraction. However, if there is infection associated with the  fractured ordecayed tooth, immediate dental implant placement is not  advisable. 

Dentalimplants  inserted in fresh tooth sockets just or immediately after  toothextraction are called 'immediate' implants. 'Immediate-delayed'  implants arethose implants placed after weeks up to about a couple of  months to allow forsoft and hard tissue healing. 'Delayed' implants are  those placed thereafter inpartially or completely healed bone.

Thebiologic healing response after tooth extraction is resorptivein  nature. The resultant decrease in alveolar ridge volume and a  deformation ofalveolar ridge contour will preclude optimum implant  placement and restorativeaesthetics.

Byoffering  immediate implants on a case-by-case basis, we can avoid  situationswhereby extensive soft and hard tissue grafting is required  prior to implantplacement. This translates into less surgery, less  trauma and less cost to thepatient.

The  obviousadvantages of immediate implants are that treatment time can be  shortened andthat bone height might be maintained thus possibly  improving the aestheticresults. This is especially critical in the  anterior aesthetic zone of themouth. Immediate implant placement atthe time of extraction of a non-infected tooth can shorten overall treatmenttime by 2 to 6 months.

Anew  dental implant system is planned for release soon and may be able  toenhance the effectiveness of immediate dental implantation.

Advantages of immediate implants

Theconcept of “Less is More”  is patient-centricsimplification and aims to simplify treatment for the  patient seeking dentalimplant treatment. Less surgery means lesser time  spent on treatment andfollow-up visits, thus leading to less extensive  and less expensive treatment.All these would in turn translate to more  affordable implant therapy, morepatient acceptance and more treatment  satisfaction. To offer immediate dentalimplants in daily implant  practice is patient-centric simplification therapy.

In summary, the advantages ofimmediate implants include:

1. Fewer surgical sessions
2. Elimination of the waiting     period for socket healin
3. Shortened edentulous time     period

( No edentulous period if ImmediateFunction is applied )

4. Reduced overall cost
5. Preservation of bone height     and width.

( Especially critical in anterioraesthetic zone )

Althoughimmediate implantation is more demanding both surgically and prosthetically  compared to the conventional placementtechnique, the advantages make it  very appealing to patients who are in need ofboth extractions and  implant therapy.

CASE ONE

1.Decayedroot of lower right lateral incisor extracted   

2.ImmediateTemporary Abutment from Nobel Biocare 

3.NobelReplace Select Dental Implant and Immediate Temporary Abutmentin place

4. Implantsupports bone and temporary crown supports soft tissue   

5.Functionaland esthetic tooth in one treatment session