When titanium fixtures are inserted in the jawbone, the process of osseointegration begins, whereby living bone adheres to the implants. It is a biological process and as such takes approximately 2 to 4 months to occur. In the past, we would wait for the implants to osseo-integrate before commencing the restorative process of teeth replacement.
However, given the right conditions, a refined treatment protocol and suitable fixtures such as the ones that we use at Centre for Aesthetic & Implant Dentistry, it is possible to connect the teeth at the same time or within days from the surgery. We still need to respect the biological process and timing of osseointegration, – we do this by controlling the pressures with a softer diet during this period. Nevertheless, in such cases both function and aesthetics can be restored with immediate tooth/teeth replacement.
Immediate Placement VS Immediate Loading
Whether undertaking single tooth replacement or multiple teeth replacement with dental implants in our Melbourne clinic, whenever there are teeth to extract, it is often advantageous to place the fixtures at the time of extraction so as to allow improved control of the resorption that typically occurs subsequently. This is called Immediate Placement.
The connection of the teeth to the implants is referred to as ‘loading’, and when this occurs immediately after placement of the implants, it is known as Immediate Loading.
The decision to undertake immediate placement and /or immediate loading depends on a number of parameters that are taken into account in the treatment planning stage.