Among the implant technologies that are used in modern dentistry, Immediate Implantation is becoming increasingly popular. Along with this, a growing number of people who are "indifferent" to the procedure - ardent adherents and less optimistic skeptics who consider this approach unreasonably risky. The latter can be justified only by increased love for classical standards, eclipsing the objective advantages of new medical technologies.
What is Implantation with Immediate Load?
Before the development of single-phase implantation, the classical protocol suggested that after implantation into the jawbone of the implant, the engrafting process occurs in complete rest, that is, without a crown. Immediate load means that immediately after installation, the titanium implant is covered with a prosthesis, which immediately connects to the performance of the chewing function. This fact for many is a stumbling block, as there are patients who believe that this can injure the bone and cause the implant to be rejected, worsening its stabilization.
In fact, everything is exactly the opposite: maintaining the amount of bone mass in the human body directly depends on the load that this or that site receives. If a person regularly chews food, the pressure is relatively evenly spread, ensuring the activity of blood flow in each part of the bone. Thus, the tissues get the proper nutrition and gain the volume needed to ensure that the chewing process is correctly and safely for the body. This point explains the so-called Wolff law, which states that bones are able to adapt to the load, become stronger and denser, or, on the contrary, atrophy as a result of the reverse adaptive reaction without load.
It turns out that the immediate load is not only not dangerous, but it is extremely necessary for the fastest rehabilitation after implantation, for effective stabilization and engraftment of the rod.
Other advantages of the method
The above-mentioned advantage of dental implantation with immediate loading is significant, but by no means the only one. Also, arguments for a single-phase protocol can be classified as:
- Minimal degree of traumatic procedure. If we compare the complexity and pain of a classic protocol that requires the detachment of a piece of mucosa, suturing, re-opening the gum to install the abutment, with a single-phase implant installation through a small puncture, there are clear advantages on the side of the latter.
- A reduced list of contraindications is determined by less trauma to the body, which means that some diseases that do not allow for serious surgical interventions (hepatitis C, HIV / AIDS, diabetes) are no longer contraindications.
- Atrophied bone is no longer a problem! Even if the patient has been collecting for five years or more with the spirit (or finances) for implantation, he will not have to undergo an unpleasant and expensive bone grafting procedure. The installation of implants with immediate loading is performed deeper than the classical implants - in the basal layers, where the tissues are not subject to atrophy and are able to provide conditions for stabilization.
- Aesthetic moment - the desire to install the implant is based on the hope to quickly and efficiently restore the missing tooth. The fact that classical implantation does not allow the crown to be installed for another 3-6 months after surgery seriously upsets many patients. Single-phase protocol will allow not only to chew normally, but also to smile openly - after all, the temporary prosthesis will fit organically into the dentition.
How does implantation work with an immediate prosthetic load?
The algorithm of the procedure is as follows:
- Preliminary examination - blood tests, collection of anamnesis, visual examination, determination of the state of oral hygiene, X-rays, optional - orthopantomogram.
- Selection of a single-phase implant for a specific situation (the variety of models of Swiss ROOTT implants in the Roott clinic provides an individual approach to each clinical case).
- Installation of the implant - the patient is injected with an anesthetic, the gum is gently punctured with a special tool, the implant is screwed into the puncture. After installation, the part of the implant overlying the gum is covered with a crown and immediately injected into the bite. In these cases, light prostheses made of metal plastic are used.
- Within 12 months the patient is observed monthly from his implantologist.
- At the end of the indicated period, the temporary plastic prosthesis can be replaced by any permanent choice (cermet, ceramics, zirconium, etc.).