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Immediate Dental Implants
 | 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.
 | 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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