Dental Implant Procedure:
Single tooth replacement with a Dental Implant procedure can be separated into two categories.
The first is where there is a bad tooth (the one that needs to be removed) is currently occupying the space where the Dental Implant needs to be placed. The second, is when the space is empty or when the tooth is missing.
In general, and when possible, the best time to place the Dental Implant is at the time the tooth is taken out (AKA immediate dental implant placement). When the tooth is carefully extracted and the site is preserved, placing the Dental Implant the same day has the advantage of decreasing post operative pain, preserving the gums and bone in the area, in addition to decreasing the time a patient needs to go without a tooth.
For cases of Dental Anxiety it may be necessary to have Sedation Dentistry, but it is not required. Anesthesia can be achieved with a local anesthesia just like what is used for a dental filling. Laughing gas aka. NO2 can also be used as a twilight sedative.
In the event the Dental Implant is unable to be placed, due to lack of bone support or a large infection, sometimes the proper clinical decision is to Bone Graft the area (and let the body heal) and delay the placement of the Dental Implant to achieve optimal results. In general, the body can take up to 6 months for this to happen, although it is often times a shorter wait.
Delayed placement, or placing a Dental Implant where there is currently no tooth, is a straightforward procedure.
There are 3 appointments necessary to achieve the full cosmetic result and replace the tooth. The first appointment for a Dental Implant, whether taking the tooth out and placing the implant or simply placing the Dental Implant can be conceptualized as replacing the root of the tooth first. The body is allowed to heal for roughly 2-3 months. During the second appointment, a mold of the surrounding teeth and gums in addition to the Dental Implant is taken for the lab to craft a new crown (the portion of the tooth one sees.) This appointment does not require dental anesthesia. The third and final appointment, roughly 1-2 weeks later, the final Dental Implant Crown is delivered to the patient. The patient’s bite is checked and the esthetics are verified. Some minor adjustments may be necessary but in general, no dental anesthesia is required.
There are also other varieties of the Dental Implant Procedure for other scenarios including replacing multiple teeth at a time or using Dental Implants to secure dentures.