Dr. M. Forest Butler, Periodontics, Dental Implants

320 Killian Hill Rd., Lilburn, Ga., 30047  

Phone: 770-921-3555   

E-Mail:     mfbutler@aol.com

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Immediate Dental Implants

 

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Immediate dental implants allow you to continue your quality of life uninterrupted.  Often front teeth are broken in accidents, fractured, cracked, or just fail due to recurrent endodontic pathology.   We extract the failed tooth and remove any associated pathology, and place the implant immediately.  We then place the abutment portion of the implant and cement a temporary crown into place, maintaining your natural appearance.

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Immediate implants can be placed at the time of extraction of back teeth as well (molars, bicuspids).  This avoids waiting for several months for a second surgery.  In many cases, temporary crowns can be placed on these implants as well, if there is an esthetic concern.

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Immediate implants mature simultaneously with the healing extraction socket and are ready to restore permanently in about four months.

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Replacing a failed tooth with an implant has some major advantages over the previous established procedure of placing a bridge on the adjacent teeth to replace the missing tooth. 

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Foremost is eliminating the need to grind down the perfectly good adjacent teeth to serve as support teeth for the bridge.   Grinding down the adjacent teeth to serve as abutments increases the risk for pulp or nerve exposure, increasing the chance for tooth loss, or at the very least, sensitivity and predisposition to recurrent decay.  With an implant placed only where the missing or failed tooth exists, the adjacent teeth are not touched and are not required to support the missing crown.

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Almost as important, very little recession of the gum occurs when an implant is placed immediately into the extraction socket, which would certainly occur otherwise.  This is because the bone formally surrounding the tooth remains if an implant is placed, but resorbs (atrophies) significantly if not, producing a very real esthetic challenge should a bridge be placed.

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In this image the implant has been placed into the existing extraction socket, gently and firmly.  We would then place an extension above the gum (abutment), attaching into the implant for a secure and permanent replacement for the failed tooth, and simultaneously place an esthetic temporary crown.  The bone and gum do not recede or atrophy significantly, as a result, but regenerate to grow to the implant.

 

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Interestingly, it is rare to have a report of discomfort, and even then is minimal.  Most of the time these procedures can be performed with oral medications and local numbing with anesthetics.  The permanent crown is cemented into place after four months healing with little fuss.

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Copyright © 1998 Dr. M. Forest Butler, Periodontics, Dental Implants
Last modified: February 26, 2007