Dental implant: same day as extraction?

mike004

A crown on one of my back teeth has snapped off and is beyond repair. After discussion with my dentist, I have decided on a single dental implant.
Cost will be about £2k, done by a local clinic. They have been recommended by a family member, so are not cowboys.

Question: The local clinic will be extracting the remnants of the tooth (I expect it may need some scalpel work!) My dentist has referred me to the clinic.
Is it likely that the clinic can insert the implant screw at the same time as the extraction? I have read that this is a preferred procedure, rather than starting on the implant some time after extraction.

wangdoodle

I had to have the tooth remnant surgically extracted and the implantologist will see me in 3 months for follow up. He said he prefers not to place the implant at the same time as it increases the rate of failure.

mike004

wangdoodle wrote: »

I had to have the tooth remnant surgically extracted and the implantologist will see me in 3 months for follow up. He said he prefers not to place the implant at the same time as it increases the rate of failure.

Thanks for that. I was wondering whether to ask about "same day" implants either before, or as soon as, I get my extraction appointment date.

brook2jack

The failure rates for same day implants is higher than for conventional implants.

If a root or tooth is not infected placing the implant at the same time may be a good idea as it conserves bone but the implant is left to heal before the tooth part is placed. In other words the implant is left flat to the gum with a healing cap on.

However if the root or tooth has infection it is better to remove and let it heal.

mike004

My dentist thought that the X-ray may indicate some slight infection.
So it's probably best if I get the tooth whipped out and start on the implant procedure at a later date.

izzybella16

May be a good idea to get it filled with bone material

wangdoodle

Do you mean a bone graft? I've been advised that this would be done once the extraction site is healed, if necessary.

brook2jack

Quite. Your implantologist will be best placed to decide if, and when bone augmentation should be done and what material would be best.

izzybella16

If you allow the extraction site to heal and the bone shrinks, you will face a further 6 month wait for the bone augmentation to heal before the implant is placed. Filling the extraction site will prevent this.

wangdoodle

Thanks for your concern izzybella.

Do you have a lot of experience placing dental implants?

I do trust my implantologist. He has been placing implants for 10 years with a 97% success rate. He also teaches and mentors at the Royal College of Surgeons, and is an examiner for candidates sitting their Diploma in Restorative Dentistry, so I think he knows what he is doing.

Could you show me the relevant research please? I am keen to do anything I can to ensure the best chance of a successful outcome.

brook2jack

Excellent research wangdoodle you have chosen well.
Very sensibly you are taking an experienced clinicians advice rather than a random unqualified person on the internet with a hazy grasp of dentistry.