Same-day implants, also known as immediate load dental implants, refer to the placement of temporary teeth either simultaneously or in close proximity to implant surgery, typically within 24-48 hours. These temporary teeth remain in place during the healing period, after which they are replaced with permanent ones. Often marketed as “teeth in a day” or “same day implants,” this approach caters to the immediate gratification needs of dental patients.
Traditional implants vs immediate load implants
In contrast to delayed-load or traditional implants, which undergo a healing period of 3 to 6 months before receiving the implant crown, denture, or bridge, immediate load dental implants prioritize quicker results. Healing time and osseointegration, the fusion of the implant to the jaw bone ensuring firm implant post placement, are pivotal for both immediate and traditional implants.
Although immediate load implants involve provisional teeth for aesthetic purposes during the healing phase, these replacements are non-functional and are kept out of occlusion with the opposing side of the mouth. Functional load can be achieved through procedures like the all-on-4, where implants are rigidly secured within the jawbone.
Advantages of the same day implants
Advantages of immediate load dental implants include reduced treatment time, a single surgical procedure, and immediate aesthetic function. However, successful implementation requires meeting specific prerequisites:
- Sufficient quality and quantity of bone: Adequate bone support is crucial for implant success, necessitating bone grafts if needed.
- Suitable initial stability of the implants: Ensuring stability during placement is essential for success.
- Soft tissue health: Sufficient tissue around the implant is required for a natural look, and gum tissue grafts can be performed if necessary.
- Implant size, design, type: Proper implant size and positioning contribute to success.
- Occlusion: Managing occlusal forces is vital to prevent implant overstress and failure.
To mitigate common risks associated with same-day implants, certain precautions must be taken:
- Avoid disturbing implants during osseointegration: Preventing disturbance during the healing period is crucial to success.
- Maintain gum health and oral hygiene: Infection can lead to implant failure, emphasizing the importance of oral hygiene.
- Ensure patient compliance: Following dietary restrictions and instructions is critical to success.
While the immediate load dental procedure itself is not highly complex, meticulous pre-planning and patient screening are essential. Success depends on determining patient eligibility, taking necessary measures by both the dentist and the patient, and adhering to post-procedural instructions. With proper planning and commitment, immediate load implants can be a successful solution.
