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Tuesday, May 26, 2009

Implants immediate placement

As an Orlando dentist I get many calls weekly about implants. You know implants are the best thing going. If you have lost a tooth you can now have it back with a implant. An implant is a titanium cylinder that is placed below the bone and acts like a root form of a tooth. A major issue with these is the waiting time from the extraction date to when you have a implant placed. I have placed literally thousands of implants now and the best way to do it is have the tooth extracted that needs to come out and the extraction site grafted with bone. Now let the site heal for 4 months before placing the implant. This allows the bone to regenerate and good new bone for the implant. This allows you to place the implant with bone on all sides, which in my oppinon is better than immediate placement.
The advantage of immediate placement is you do not have to wait the extra 4 months for healing. When choosing immediate placement there are a few more risks involved. When taking the tooth out you have to have bone on all 4 sides or it is not a good candidate for immediate placement. You should just graft and wait the 4 months. It is also more costly, because you have to add bone in areas that are not yet healed to give the implant a better chance. With immediate you have a risky situation if it does not integrate and you then have to graft and start all over. You might have a medical situation that leaves you to immediate placement, but all in all I graft my sites 90% of the time and go back in 4 months and place my implant. I have the best success doing it this way. Immediate placement you lack stability and are hoping for integration and that the implant will tighten up in 4 months. I will be happy to answer any of your questions if you ever have this choice.

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Dr. Paul C. Aschacher Lic.# DN10702