Dental Implant treatment has come on leaps and bounds in the last few years, and one well advertised kind of treatment shines out as its usually the favorite choice for people looking to replace missing teeth. This treatment option has been called many things, like teeth in a day, same day teeth, immediate placement and immediate loading of dental implants.
In a nutshell, this means you can have a tooth (or several teeth) removed, dental implant placed, and new teeth placed in one session. For patients looking to replace hopeless teeth, this means less appointments, less injections, less time off work – all good things! But is it the best way of doing things?
Explaining the Terminology & Treatment
So the traditional way of having dental implants treatment is:
- Take out hopeless tooth
- Let the area heal (3+ months)
- If bone grafting is needed, add it at this stage and 3-6 months for healing
- Place the implant(s) and let them heal (3+ months)
- Place the bridge or crowns (or whatever it is) on the healed implants
This way is a little long winded, but is probably the most safe way of doing things, and this is why:
Chances are that if you have a hopeless tooth, then there is some element of infection around the tooth. This could be gum disease, a crack down the tooth or a failing root canal treatment.
If you remove the tooth (the source of the infection), then within a short time, the infection will disappear, and leave a nice clean bit of bone in which you can place a nice clean implant!
If you have an implant placed on the same day as having a tooth out, the your dentist should do his or her best to clean the area where the infection is, but it will never be 100% sterile, so you are putting an implant into a position where there is some bacteria – theoretically putting the implant at long term risk.
One important factor when we place implants is the “primary stability.” This basically means – The implant should be firm when its placed into the bone. How firm it is will depend on factors like – Type of bone (top jaw bone is softer than bottom jaw), size of hole prepared for the implant the bigger the hole, then looser the implant, and amount of bone around the implant.
Now, if you have just taken a tooth out, you already have a hole in the bone, and we cannot make this hole to measure the implant size, and it is almost always much bigger than we need it to be. So now, you have a hole that is too big, and there is little bone surrounding the implant. This means that if there is a biting force on the implant, its going to be easier to dislodge the implant, and lose the primary stability – This will almost always lead to an implant failure!
More predictable gum position
If you are having 1-2 implants, and immediately placing them, then you will probably lose at least 1mm of gum height, leaving a slightly longer tooth. It is very difficult to predict how much gum will be lost, and its easier to predict if you do it in stages.
This is especially important for front teeth, in people who show a lot of gum when they talk and smile.
So is “Teeth in a Day” a bad idea?
No, not at all, I personally carry this treatment out, and so far, its always been successful! (I am sure I will have a failure at some point, everyone does!)
Its important to understand that the whole idea of immediately placed implants came about to satisfy patients needs, and dentists know there is more that can go wrong with them. Many patients are happy with this, and depending on the case, this may or may not be a good option – only an experienced dentist will be able to advise you on this.
The biggest risks to dental implants are biting forces that can loosen the implant, one neat way to reduce these is to stick all the implants together. This can only really be done if you have about 4 implants (minimum), to replace a full set of teeth. The teeth are solid, and because they are holding all the implants together, the normal biting forces are very unlikely to dislodge single implants. It is also therefore possible to take out all of someones teeth (when its uneconomical to try to save them), place the implants, and give them fixed teeth all in one day. This is a truly life changing treatment and although it sounds drastic, it is highly successful.
What no one tells you about Teeth in a Day
The title of this treatment is a little deceptive, it suggests that in one appointment, everything can be completed. This is not the case, on the day of surgery, you will get temporary teeth, these teeth do look very nice, but they are only designed to last you about 6 months. within that time, once the implants have fully healed, you will be upgraded to the final teeth, which look better and last longer. The process of upgrading is easy, and does not involve any surgery – but there may be a few appointments needed. Really, this treatment should be called “teeth in a few days!”
If you would like a free guide about dental implants, and restoring your teeth, please drop me some information with the form below and I’ll get something posted out to you.