Gangdong-gu Implant Duration: Why Does It Differ from Person to Person? The Crucial Difference Between Immediate and Delayed Placement

Hello.

I am the director of Seoul Vardi Dental Clinic.

When it comes to implant surgery,

how long does it take?

One of the most common questions

patients ask when they visit the dental clinic

is the implant treatment period.

They often wonder whether the implant can be placed right after tooth extraction,

or whether they need to wait for a long time.

Today, I will explain in detail the difference between immediate placement,

which is done on the same day the tooth is extracted,

and delayed placement,

which is performed after waiting for the gum bone to heal,

through real patient cases.

What is the difference between delayed placement and immediate placement? Gangdong-gu Implant Duration: Why Does It Differ from Person to Person? The Crucial Difference Between Immediate and Delayed Placement

To put it simply, it is similar to checking the condition of the ground

when building a house.

1. Immediate placement

When there is no inflammation in the extraction site

and the surrounding bone is strong,

this is the method of placing the implant at the same time as the tooth extraction.

It has the advantage of significantly shortening the overall treatment period.

2. Delayed placement

This is chosen when there is severe inflammation at the root tip

and the surrounding bone has been greatly resorbed.

First, the inflammation is removed,

and we either wait for the bone to fill in,

or strengthen the foundation through bone grafting

before placing the implant.

[Case 1] A delayed placement case that required waiting because the bone had resorbed Gangdong-gu Implant Duration: Why Does It Differ from Person to Person? The Crucial Difference Between Immediate and Delayed Placement

Let's take a look at the photos of a patient who underwent delayed placement.

If you look at the right lower back molar area (#47),

the root tip appears black, right?

Inflammation developed at the root tip, and as a result of that inflammation,

the bone resorbed and appears black.

The denser the gum bone,

the whiter it appears,

and when the bone resorbs due to inflammation

and the density decreases, it looks black like this.

Shall we look at the 3D CT?

The area marked in red is the inferior alveolar nerve,

a major nerve responsible for sensation in the lower jaw,

and the yellow area is the space where the bone has been resorbed

due to inflammation.

The most important thing when placing an implant

is to avoid this nerve and place it safely.

If we were to place it immediately in this condition,

the implant root would not be properly fixed in the empty space

where the bone has resorbed.

Also, for the implant to gain support,

a bone length of at least 7–8 mm must be secured,

and in the photo, the distance from the resorbed area to the nerve

is almost touching.

In such cases, forcing an immediate placement can increase the risk

of accidentally affecting the nerve.

So in cases like this,

we first wait for the bone to recover strongly,

and then place the implant once the bone has been stably regenerated.

After removing the inflammation and performing bone grafting,

we waited about two months for the bone to harden firmly.

Once we confirmed that the gum bone had formed stably,

it was placed safely while avoiding the inferior alveolar nerve.

It would be nice to place the restoration right away in this state,

but we need to wait safely until the implant and bone have integrated.

Two months after placement, we confirmed that the implant and bone had

fused completely into one,

and successfully completed the restoration as well.

[Case 2] An immediate placement case where same-day placement was possible Gangdong-gu Implant Duration: Why Does It Differ from Person to Person? The Crucial Difference Between Immediate and Delayed Placement

Now let’s look at the opposite case, where immediate placement was possible.

If you look at the left lower molar (#36),

one side of the root is broken off.

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The white structure above the broken root

is a post, called a "post."

It is a post placed to support the restoration

when the crown of the tooth has been severely damaged,

which also means the tooth had become quite weak.

In the end, the patient came to the clinic because the root also broke

while eating hard food.

Let's take a look at the CT.

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Did you notice the difference compared with the patient shown earlier?

The inferior alveolar nerve is marked with a red circle.

The bone between this nerve and the root tip is clearly well filled in

and has a white, high-density appearance, right?

In this patient, there was no inflammation at the root tip,

and because only the root had fractured due to weakness of the tooth itself,

the surrounding bone remained very healthy.

When the foundation is this strong,

the implant can be placed immediately on the day of extraction.

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Thanks to this, the treatment period could be greatly shortened.

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We placed the implant on the day of extraction,

waited about two months for it to integrate well with the bone,

and then took impressions and completed the restoration.

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From extraction to the completion of the final tooth,

it took exactly two months.

When it comes to implants, stability is more important than speed. Gangdong-gu Implant Duration: Why Does It Differ from Person to Person? The Crucial Difference Between Immediate and Delayed Placement

As you saw in the two cases,

whether an implant can be placed right away depends on

the patient’s gum bone condition and whether inflammation is present.

Everyone wants to finish quickly,

but just as building a house too hastily on weak ground can cause major problems later,

the same applies to implants.

If there is not enough bone, waiting is necessary,

and if the bone is strong, immediate placement can help restore function quickly.

If you are wondering whether your current gum bone condition is suitable

for immediate implant placement,

or whether it requires more waiting,

please feel free to come in for a consultation anytime.

We will help you find the safest and most accurate path for your situation.

Thank you.^^

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Gangdong-gu Implant Duration: Why Does It Differ from Person to Person? The Crucial Difference Between Immediate and Delayed Placement

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02-481-4278

| This post was written directly by Seoul Vardi Dental Clinic for the purpose of providing medical information in compliance with Article 56, Paragraph 1 of the Medical Service Act. The provided information is recommended for reference only, and for symptom assessment and accurate management methods, please visit a medical institution and receive guidance from medical professionals. All procedures/surgeries performed at the dental clinic may involve risks depending on the individual (inflammation, bleeding, swelling, etc.). Please make decisions after sufficient consultation with the medical staff in advance. The treatment cases in this post were photographed with the consent of patients who completed treatment at our clinic, and the before and after photos were taken under the same conditions. |