Delayed Implants

Delayed implants, also known as conventional implants or two-stage implants, are dental implants that are placed after a healing period following tooth extraction. Unlike immediate implants, which are placed immediately after tooth removal, delayed implants involve a waiting period to allow for proper healing of the extraction site and surrounding tissues before implant placement.

What is the procedure for delayed implants?

Delayed implants and its prosthetic restoration require a series of steps:

Consultation

The patient consults the doctor with his problem and his expectations of the prosthesis. A complete examination is carried out that includes dental examination, detailed medical history, and use of X-rays and other imaging techniques to help assess bone density, anatomy, and healing capacity of the patient. During this initial interaction, the patient is explained about the whole procedure, and what he can expect from it.

Tooth Extraction

Based on the treatment planned, single or multiple teeth that are damaged or diseased are extracted, followed by thorough cleaning and debridement of the extraction socket.

Post-extraction Healing Period

The teeth extraction site is left to heal and for any residual infection or inflammation to resolve. It typically lasts several weeks to several months.

Placement of Implants

Following the healing period of the extractions site, the implants/titanium metal posts are surgically placed through flap surgery into the site of missing teeth, ensuring precise positioning and stability.

Implant Healing

A healing period of several months may be needed after the implant placement for the site to heal, and the implant to osseo-integrate with the surrounding tissues.

Prosthetic Restoration

Once the implant site heals, abutments are attached to the implant fixtures and the fabricated bridge/crown is fixed over it.

What are the Advantages of Delayed Implants?

Although delayed implants are time-consuming, they offer several advantages to patients in certain clinical scenarios:

An adequate healing time following the teeth extraction promotes optimal healing of the oral tissues, reducing the risk of complications such as infection and inflammation. In addition, a healing period after the implant fixation ensures that the implants are stable in the jaw, before they are loaded, hence preventing any risk of implant failure.

Delayed implants help preserve the natural architecture of the tooth socket and surrounding bone and soft tissues, ensuring optimal conditions for implant placement and long-term stability.

When treating patients using delayed implants, clinicians have ample time to assess the patient’s oral health, plan the surgical procedure, and address any pre-existing conditions or anatomical challenges before implant placement.

When treating patients using delayed implants, clinicians have ample time to assess the patient’s oral health, plan the surgical procedure, and address any pre-existing conditions or anatomical challenges before implant placement.

What Factors Should be Considered for Delayed Implants?

The clinician should consider the patient’s overall health in mind to determine the healing period required which may increase or decrease the treatment duration.

The patients may need antibiotics during the healing period to prevent infection in the extraction site or the implant fixation site.

The patient may need additional procedures such as bone augmentation or sinus lift to facilitate better implant stability.

The patient should be advised to exercise good oral hygiene during the waiting period, to prevent infection.

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