Discussions on Immediate Loading

Can I place the implant now or do I have to wait 2-4 months for complete healing of the site?

Tooth #8 was treated with a root canal, post and crown and has fractured vertically. The tooth needs to be extracted and replaced with an implant. I’d like to do immediate placement.

I have treatment planned a mandibular first molar for extraction and immediate replacement with a wide platform implant. After extracting the tooth, exactly where in the socket should I place the implant?

Has anybody here bought the book Immediate Loading of Dental Implants?

I extracted the maxillary right canine and central incisor and placed 2 immediate dental implants. The lateral incisor was already missing…I decided to do stage-2 today uncover on the spot and I laid a flap to discover that the implant in the canine position is completely dehisced on the buccal…

I have a patient with severe periodontal disease. I will extract maxillary first premolar to first premolar and place implants at that time. What is the best implant system to use?

Is immediate loading a possibility in a case like mine or would a more conservative approach be preferable?

There is plenty of bone distally to place an implant, Can the surgical extraction be done at the same time as preparing the implant site and placing the implant?

I’m wondering about Proximators, these look like undersized elevators with small tips and are supposed to be useful for atraumatically extracting teeth.

Should I bury the implants and do a two-stage procedure or should I place transmucosal healing caps for a single stage procedure?

As fixture design and surface coating have evolved, osseointegration periods have shortened considerably.

This is the first case I have done where I placed the dental implant on the day I extracted the tooth. This was in #14 area (Maxillary Left First Molar).

Does the recent negative study of Nobel Biocare’s Teeth-In-Hour dental implant protocol merely reflect on Nobel or does this study call into question the reliability of Immediate Loading methods in general?

I did my first extraction and immediate dental implant placement case on tooth #15. It was a broken down, non-restorable tooth with no apparent periapical infection present.

In this exclusive interview, Michael Sonick, DDS, Diplomate of the American Board of Periodontology, shares his views on Implant Education, Immediate Extraction, Implant Complications, and much more. This is Part I of a two-part interview.

The bottom line here is that after 2-years in the posterior mandible, there was basically no difference between the dental implants which had a 3-month osseointegration followed by restoration versus immediate loading of the dental implants!

I am considering an immediate placement of a one-piece dental implant-abutment at the time of extraction to replace an anterior tooth.

So, I am wondering what the current thinking is on this subject ? What determinants of osseointegration “success” do you use and why? Thanks.

Joel, a dentist from Rochester, asks:I am doing an immediate insertion maxillary complete denture after extracting several non-restorable teeth with periapical infections.

I have discussed a number of dental implant cases where I want to do a one-piece, single stage, immediate provisionalization at the time of tooth extaction in the anterior aesthetic zone.

It seems like immediate loading is becoming the gold standard in dental implant placement and restoration.

The adoption of immediate functional loading (IFL) has been sluggish because of practitioners’ fears of implant complications and failure.

However, recent CAT Scan shows total failure of the graft in the rear and success in the front. The doctor wants to place dental implants in the front and use a fixed denture.

One of the aspects of the one-piece dental implant – abutment units is that the dental implants have to be loaded immediately after placement.

No matter how carefully we discuss the dental implant procedure with a patient, sometimes a patient has “buyers remorse” after the surgery.