One of the most frequently asked questions is when is the
ideal time to place the implant. This is highly dependent on the initial
situation.
Different situations
Depending on the situation, it is determined when the ideal
time is to implant to place. The most common situations are outlined below.
Immediately after the removal of a tooth or molar
In some cases, placing the implant immediately after an emergency tooth
extraction is desirable. In this way, only one surgical phase is
necessary, and the total duration of the treatment process can be shortened.
Conditions for this are that sufficient bone must be present to be able to
perform this predictably and that any inflammation present can also be
completely removed. Suppose the anatomical volumes are minimal but sufficient
for immediate implantation. In that case, a drilling template can sometimes be
made on the basis of a three-dimensional X-ray scan (actually a reduced CT
scan) and a three-dimensional digital impression of your teeth. In this way, it
is extremely precise in which position the implant is placed so that we have
guaranteed the most favorable starting position.
In some cases, a tooth can even be fabricated directly on it
so that you do not have to function without a removable provision during the healing
period! The implant must integrate into the jawbone for three months before the
final crown can be fabricated.
Three months after the removal of a tooth or molar
If there is not enough bone around the tooth or molar, we
may first extract the tooth or molar, make the wound area completely free of
inflammation and immediately apply bone material to preserve the current
volumes of the bone and gums as much as possible. Usually, after three months,
it is sufficiently hard so that we can then place the implant. Therefore, do
not wait too long to treat a tooth or molar with an infection because this is
at the expense of the bone volume! Also, in this situation, the implant must
integrate well into the jawbone for three months.
Six months after bone building
If the tooth or molar was pulled a long time ago, gums and
bones will shrink. If it is so little that there is too little bone present to
place the implant, in some cases, volume must be restored outside the current
anatomical contours. With this type of regeneration, we allow the bone to heal
longer before we can place the implant. On average, we usually wait six months
before the implant is placed. The minimum period for the implant to integrate
properly is also three months, although, in this situation, there is sometimes
a longer wait before the implant can be loaded with chewing forces.
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