Immediate start up

Why such a short waiting period?

From the very beginning, the time factor has been one of the biggest constraints when it comes to implantology. In 1965, Professor Brånemark established a bone healing time (period between the implant placement and the prosthesis insertion) of 3 to 6 months. This time frame has several disadvantages and can sometimes be a contraindication to an implant insertion, even though it often proves to be the best solution.

How does it work?

In some cases, an implant that sits very firmly in the bone can immediately be fitted with a prosthesis.

For a better understanding, it is interesting to take an example from a different medical discipline than ours. When you have a forearm fracture, the surgeon uses pins and casts your arm. From this point on, you are advised against carrying heavy loads or doing sports that could mobilise the bone fragments. However, if you are skilled, you can continue to write and use your arm to get dressed.... The stress on the healing bone is very low compared to the mechanical stability provided by the cast and pins.

Using this principle, it is possible to fit implants immediately. Provided that the mechanical stability of the implants is already very good when inserted, we can immediately fit them with crowns, as long as they do not come into contact with the other jaw's teeth.

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Factors to be taken into account

Two main categories of indications need to be considered:

  • Only a few teeth are missing: if only a few teeth (from1 to 3) are missing and the bone is dense enough to place implants with proper stability, it may be possible to immediately fit a provisional crown or bridge in subocclusion, avoiding contact with the other jaw's teeth. After a period of 4 to 6 months, the final crown or bridge is placed.
  • All teeth are missing: Provided there is enough bone to place enough implants (4 to 6 in the lower jaw and 6 to 8 in the upper jaw), a temporary bridge made of resin can be placed immediately.

It is not possible to establish protocols for immediate insertion or usage for patients with:

  • Overly porous bone. This can be determined with the help of a CT scan.
  • Insufficient bone material. A panoramic X-ray may be sufficient to identify this.
  • A poorly recovering bone (smokers with more than 15 cigarettes per day, insufficiently stable diabetes, patients who have been irradiated).
  • Inadequate hygiene.
  • It is important that you maintain a very good oral hygiene for the first weeks after the implants have been fitted.
  • It is very important that you do not eat hard food with the provisionally fitted crown or bridge for at least two months, as well as avoiding heavy chewing and biting.
  • You should be reasonably flexible and not hesitate to contact your care team should you experience any discomfort or pain.

Ask for a pre-implant examination

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