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Timeline for Implant Placement: Do I Need to Wait for Complete Healing of the Site?

posted in Surgical Placement of Dental Implants, Immediate Loading, advice

« Cement Retention of Implant Crowns: What Are You Doing? | Custom Vs. Standard Abutments: What is the Difference in the Long Run? »

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Dr. B. asks:
I have a middle-age female patient who had her #7 [maxillary left central incisor] extracted one week ago by another dentist. The extraction was basically atraumatic and went well. The alveolar ridge and buccal plate are intact and the area is healing well. She wants me to place an implant and crown as soon as possible. Can I place the implant now or do I have to wait 2-4 months for complete healing of the site? I will be placing a Nobel Biocare Replace tapered 3.5 x 10 mm and then I will then place a temporary abutment and temporary crown. What is the best possible treatment plan here?

7 Responses to “ Timeline for Implant Placement: Do I Need to Wait for Complete Healing of the Site? ”

• Peter Fairbairn November 30th, 2009

  
  

  If no acute infection or no buccal defect ( if so must graft) place NOW in 2-4 months you will have a big concavity to deal with , up to 50 % of the palato-buccal with can be lost , 50% of that in the first month (Tarnow and Small). As for iimmediate loading beware of protrusive movements ,as this is a referral case to you be careful with taking risks (immediate load).
  Peter

• dr Michal Fidecki December 1st, 2009

  
  

  Don’t you think, that 3,5×10 is too small for central incisor and immediate loading?

  regards
  Michal

• Ghassan December 1st, 2009

  
  

  Iagree with Michal and suggest to wait 4 months at least

• Dr. D. Stall December 1st, 2009

  
  

  Do it now, if no infection, but use a longer implant. I had a similar situation with a new patient having had #4 removed 3 weeks prior to coming to my office. I did the implant the next week. I took the transfer impression today. Just do it.

• dr rabbani December 4th, 2009

  
  

  well its better to do it now but use slightly wider diameter implant as central incisor leaves a wide socket.make your prosthesis in occlusal relief so no masticatory loads can alter the healing.good luck

• dr kurien varghese December 5th, 2009

  
  

  use wider implants and if there is no peri apical infection you can place implants now

• David Levitt December 6th, 2009

  
  

  I assume you mean #7 LATERAL incisor. First use a longer implant. Second do not do the procedure if there was any chronic infection around the extracted tooth as the mature thrombus at 14 days is a wonderful culture medium and you most likely have quite a bacteremia in the area. Why didn’t you just place the implant at time of extraction?

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