Immediate versus delayed implants – the big decision!
Dr Imi Nasser shares invaluable insights and practical guidance for mastering both immediate and delayed implant placement protocols.
As a dental professional and educator, I completely believe in the power of collaboration, continuous learning and patient-centric approaches to help us improve and advance our techniques.As a result, throughout my implant journey, I aim to share invaluable insights and practical guidance for mastering both immediate and delayed implant placement protocols.
My focus is to bridge the gap between implant surgery and aesthetic restorative dentistry whilst concentrate on surgical precision and aesthetic harmony. Essentially, each patient must receive personalised care tailored to their unique needs and desires.
Immediate implant placement
In today’s era of instant fulfilment, patients demand swift solutions for their dental needs. Removable solutions such as dentures are often met with hesitation, as individuals seek more immediate replacements.
Advancements in techniques, drills and implant design have propelled us towards embracing immediate implant placement as a standard practice. This evolution has reached remarkable heights, with procedures involving the extraction of all teeth followed by immediate implant placement and provision of a restoration on the very same day. This represents a monumental advancement in dental implant procedures, providing timely solutions for cases such as fractured teeth or compromised dentition.
My approach generally begins with meticulous assessment and advanced imaging techniques, including Cone Beam Computed Tomography (CBCT), to evaluate bone density and soft tissue conditions. In a recent case involving a fractured central incisor, I leveraged precise surgical techniques and customised implant selection to achieve optimal outcomes. Through meticulous planning and execution, I demonstrated the feasibility of immediate placement, capitalising on favourable bone density and soft tissue conditions.
Tips for successful immediate implant placement
- Optimal bone assessment: Utilising CBCT imaging enables accurate evaluation of bone density and morphology, guiding implant placement with precision.
- Surgical precision: Meticulous techniques for osteotomy preparation and implant placement are imperative for ensuring optimal stability and long-term success.
- Soft tissue management: Prioritising soft tissue augmentation using innovative materials such as NovaMatrix™ promotes favourable aesthetic outcomes and enhances long-term stability.
- Innovative materials: Exploring novel biomaterials like NovaMatrix™ offers opportunities for enhanced tissue regeneration and dimensional stability, contributing to improved patient outcomes.
Delayed implant placement
While immediate placement addresses certain clinical scenarios, delayed implant placement remains a valuable strategy in cases where immediate placement is not advisable. I would like to stress the importance of preserving socket dimensions and promoting bone regeneration through socket preservation techniques. By maintaining optimal conditions for future implant placement, delayed procedures ensure successful integration and long-term stability. Tailored treatment planning, considering factors such as bone quality, soft tissue health, and treatment goals, is paramount in achieving predictable outcomes.
Practical tips for delayed implant placement
- Socket preservation: Employing techniques to maintain bone volume and preserve socket dimensions lays the groundwork for successful delayed implant placement.
- Patient-specific planning: Customising treatment plans to individual patient needs enhances treatment predictability, considering bone quality, soft tissue health, and treatment timeline.
- CBCT-guided surgery: Utilising CBCT-guided surgical stents enhances precision during implant placement procedures, ensuring accurate placement and optimal outcomes.
Mastering immediate and delayed implant placement
To master immediate and delayed implant placement represents a convergence of clinical expertise, innovative techniques and patient-centred care. By embracing advancements in technology and strategic treatment protocols, dentists can elevate the standard of care in implant dentistry, ensuring functional restoration and aesthetic satisfaction for their patients.
I hope my insights serve as a beacon for those seeking to enhance their implant placement techniques and deliver exceptional care in their practice. Through collaboration, continuous learning, and a steadfast commitment to excellence, dental professionals can drive transformative change in dentistry, shaping a future defined by superior patient outcomes and ensuring clinical success. Furthermore, by sharing knowledge, embracing advancements, and prioritising patient-centric care, it’s possible for dental professionals to navigate the complexities of immediate and delayed implant placement with confidence and proficiency.
