[Health Column] 🦷 "How many months do I have to wait after a tooth extraction?" Everything about 'Immediate Implants,' implanted on the same day of extraction!

 

 

Hello! I am Sang Jin-kyu, Chief Director of Seoul Plant Dental Clinic (Student Board Certified Oral and Maxillofacial Surgeon). 👨‍⚕️

 

There is a question I hear most often when I meet patients who need tooth extraction in the clinic. It is... How many months do I have to wait for my gums to fully heal after a tooth extraction? It's a question mixed with worry. 😢

 

In the past, it was considered normal to wait 3 to 6 months after a tooth extraction, but recently 'Immediate implant' placed on the same day of extraction It is being actively utilized. I will pinpoint the key points regarding whether this method is right for you and what the pros and cons are. ✨

 

1️⃣ What exactly is an immediate implant?

It is a procedure in which an implant is immediately placed in the same spot on the very day the problematic tooth is extracted.

existing Delayed implantation After extracting the tooth, a long time was waited for the bone and gums to recover before the implant was placed separately. On the other hand, immediate implantation does not allow a separate healing period between extraction and placement.

 

Thanks to that, the extraction site had Utilizing the original bone shape and gum condition as is Yes, it has the feature of allowing the implant to be placed immediately in a very good position. 👏

 

You're familiar with situations like this, aren't you?

"I don't even have time to go to the dentist, so the mere thought of having to have surgery again a few months after a tooth extraction is dreadful..." Many of you probably say this, right? Immediate implantation can be a reliable solution to relieve this hassle. 😎

🙋‍♂️ One-line advice from the Director

Since it utilizes the natural healing power immediately after tooth extraction, it can be a very efficient method if the conditions are right. 🦷

 

2️⃣ What are the benefits of immediate implants?

It drastically reduces the overall treatment period and helps prevent alveolar bone resorption.

The biggest advantage is The fact that the overall treatment period is shortened 🏃‍♂️ Since tooth extraction and implant surgery are completed in a single day without separate procedures, the number of dental visits is drastically reduced, and the psychological burden of the surgery is also significantly lowered.

 

Furthermore, since the implant is placed while the bone shape remains intact immediately after extraction, it progresses naturally over time. It can reduce alveolar bone (gum bone) resorption to some extent. That is also a big advantage. 🌟

 

📊 Clinical Evidence

According to several clinical studies, when conditions are right, immediate implants placed at the extraction site 1-year survival rate of 95% or higher You can expect stable results, sufficient to be reported as such. 📈

 

3️⃣ Are there any precautions or side effects?

⚠️ There may be a risk of failure if it is difficult to secure initial fixation or if gum inflammation is severe.

You might think, "Then isn't it best to plant it on the same day no matter what?" but you absolutely must not push yourself to do it. 🙅‍♂️

 

Immediately after tooth extraction, the bone has not yet fully filled in, so it holds the implant firmly to prevent it from wobbling. Initial fixation (primary stability) Securing it requires much more meticulous and precise diagnosis and technology. 🛠️

 

In particular, the reason for the extraction Chronic inflammation or severe periodontal disease (gum disease) If that is the case, an infection may remain in the bone, and forcibly implanting it in this state increases the risk of failure. 😭 In fact, some large-scale meta-analysis studies have reported that the risk of failure for immediate implantation is slightly higher than for delayed implantation, so caution is required.

 

🙋‍♂️ One-line advice from the Director

Being 'fast' is not the only advantage. Checking whether the environment inside your gums is safe is the first step. 🔍

 

4️⃣ Who would benefit from receiving this, and who should avoid it?

It is recommended for those with sufficient gum bone and no inflammation, but should be avoided if you have severe inflammation or diabetes.

✅ Those who should consider immediate implantation	⚠️ Those considering delayed implantation or bone grafting first
Those without acute infection or suppurative (pus) inflammation at the extraction site	When acute inflammation around the teeth has spread severely
Those with sufficient quantity and quality of remaining alveolar bone even after tooth extraction	In cases where a significant amount of gum bone has already eroded and been lost
People in good overall health	Cases where bone fusion is unfavorable due to frequent smoking or diabetes

📌 This kind of comparison is unnecessary

There is absolutely no need to make comparisons by saying, "My friend said they had it implanted right after the extraction." Just as everyone has different fingerprints, their oral health conditions are completely different, so, I choose a customized approach, just like wearing clothes that fit my condition perfectly. Doing so is the correct answer. 👔

 

 

5️⃣ Useful tips to know before you start

Accurate diagnosis through precision CT scanning and selecting an implant system suited to my condition are key.

If you want a safe and successful immediate implant, before surgery High-precision CT scan You must thoroughly check the bone condition of the extraction site in three dimensions. 🖥️ Also, you must communicate sufficiently with the experienced medical staff in charge. 🤝

 

Also, depending on the design or surface treatment method of the implant A product designed to be more suitable for immediate implantation There is a separate case. When visiting the dentist What criteria does this hospital use to select the immediate implant system? Asking confidently is also a smart approach. 😎

 

❓ The Most Frequently Asked Questions FAQ

Q1. Is immediate implantation more painful?

 

A. Since extraction and implantation are performed simultaneously, the scope of the surgery on the day of the operation may appear slightly larger. However, the procedure involves one surgery for extraction and another surgery a few months later for implantation. Two Pains Compared to that, overall pain and burden are often actually reduced. However, pain sensitivity varies from person to person. 🙏

 

Q2. If I have immediate implantation, can I chew food right away on the same day?

 

A. You seem to be greatly misunderstanding, Immediate implantation class Immediate load (chewing immediately) It is a completely different concept. While temporary prostheses are attached on the same day only in special cases where initial fixation is perfectly secured, in most cases, the bone and implant have firmly bonded. Bone union period We will complete the final prosthesis after waiting. Please be patient just a little longer. 😉

 

Q3. Is immediate implantation possible at all local dental clinics?

 

A. It is true that this is a common procedure performed in many dental clinics these days. However, since it requires a keen diagnosis of the minute bone conditions at the extraction site and the establishment of unwavering fixation within the empty space, The proficiency and clinical experience of medical staff make a big difference This is a delicate procedure. Please be sure to verify the relevant experience during the consultation. 👨‍⚕️

 

Q4. How does the success rate compare to the existing method?

 

A. If the gum and bone conditions are optimal and highly suitable, it is reported that there is no significant difference in short-term survival rates compared to conventional delayed implantation. 📊 However, depending on the oral condition or research data, there are cases where the risk of failure with immediate implantation appears slightly higher. Rather than determining which is unconditionally better, Choose a customized method that is safe for my oral condition You must do it to avoid failure. 👍

 

🎯 Conclusion: 'Safety' comes before 'speed'.

🔹 Immediate implant placement is a useful option for busy modern people, shortening treatment time and reducing the number of surgeries. 😉

 

🔹 Precisely analyzing the inflammatory status of the extraction site and the quantity and quality of the remaining bone is the key to success. 🔑

 

🔸 One-size-fits-all treatment is strictly prohibited. For safe and long-lasting implants, please ensure you undergo a precise diagnosis of your oral condition and make a decision after in-depth consultation with medical professionals. 🩺

 

The key to a successful implant is not speed, but durability that lasts a lifetime. 🦷✨

 

 

 

 

 

 

 

 

 

 

Seoul Plant Dental Clinic

Chief Director Sang Jin-gyu

 

Oral and Maxillofacial Surgeon Certified by the Ministry of Health and Welfare

Certified by the Korean Association of Maxillofacial Plastic and Reconstructive Surgery

Completed training at the Dental Education Institute, Seoul National University Graduate School of Dentistry

International Congress of Implantologists (ICOI) Fellow

Awarded the Grand Prize by the Korean Association of Oral and Maxillofacial Surgeons

Korean Dental Association Outstanding Dentist Award

Full member of the International Association of Orthopedic Bone Fusion (AO) and the Association of Craniofacial Meridians (AOCMF).

Korean Academy of Geriatric Dentistry Award for Geriatric Oral Care Specialists

Specializing in immediate placement, immediate loading, and flapless implants