Immediate dental implantation + Provisionalization

Immediate Load Implant Criteria

To do an immediate load implant, certain criteria have to be met. There has to be adequate bone, a large enough implant needs to be placed, and the implant once placed has to be able to resist at least 40 ncm of force.The temporary crown has to be adjusted so that no forces are placed on it during function. Meeting these criteria allows the bone to grow around the implant (osseointegration). After a period of nine weeks a permanent crown can placed.The following picture sequence demonstrates an ideal situation for an immediate load implant or what I call a Vanity Crown because the patient refused to go out in public with a missing tooth. A template was made of the tooth prior to removing the fractured root so as to facilitate fabrication of a temporary crown. An important factor in this procedure is to carefully remove the tooth without removing any bone in the process [Atrumatic extraction- detail see another blog a + b].

Clinical procedures: (78 y/o male pt' , AMI twice - Surgery/Restorative procedures by Dr. Perio)

1. Preparation of Implant Socket
2. Socket Drilling
3. Precision Implant Placement
4. Abutment insertion
5. Temporary Crown
6. X ray confirm

@For a complete step-by-step guide, download the Restorative Guide PDF.

Immediate Restoration Technique (Download from Zimmer Dental Co;.)
In a case with a failing tooth, perform an atraumatic extraction. Prepare surgical site according to the drilling sequence. Place the implant and select the appropriate abutment. Prepare extraorally and seat on implant with hex tool. Fabricate provisional prosthesis chairside and check occlusion to confirm no occlusal contacts are present. Cement in place using temporary cement. After the healing period, record full-arch impression and fabricate final restoration.
Immediate Provisional Restoration Presurgical (248k) Last updated: July 1, 2002

Immediate Provisional Restoration (328k) Last updated: July 1, 2002