Full Process Revealed, from Same-Day Implant Consultation

Hello, this is Seoul Centum Dental.

Because many people believe that implants take a long time,

we often receive questions about how long the process takes

and how many visits are required in total.

Depending on the case, it may be possible to have a same-day implant

on the day of the consultation,

so today we would like to introduce this case.

Overall examination and

“I would like a same-day implant if possible.”

This was the request made when scheduling the examination.

The front teeth are highly visible,

and when they are unavoidably lost,

many people want an implant placed as soon as possible.

This is the X-ray taken during the first visit.

Looking first at the condition of the gums,

the gums had receded overall.

(Refer to the line below.)

The recession was greatest around the lower front teeth,

while one of the upper front teeth was missing,

which was unfavorable both functionally and aesthetically.

The upper premolars on both sides each had one tooth that had fractured,

leaving only the roots,

so extraction followed by implant treatment was necessary.

1. Same-Day Implant Treatment Plan

In the case of the upper-left premolar,

the adjacent teeth had already tilted,

so there was a possibility that partial orthodontic treatment or prosthetic dental treatment would be needed

to create space

before placing the implant.

However, taking the patient’s needs into account,

1. Cavity treatment and root canal treatment for three upper molars
2. Extraction of two premolars followed by implant placement
3. Cavity treatment for two lower molars

We established the overall treatment plan as follows.

The patient wanted the front-tooth implant to be completed first

and, as requested initially, wanted a same-day implant,

so the implant placement surgery was performed on the day of the visit.

2. Progress of the Same-Day Implant

This is the X-ray taken after same-day implant placement.

Because there was insufficient jawbone,

bone grafting was performed at the same time.

Since time was needed for the jawbone to form,

we decided to wait approximately five months

before performing the second surgery to expose the implant root

for fabrication of the implant prosthesis.

While waiting for the second surgery,

the patient visited periodically so that we could check the overall condition of the gums

and whether the jawbone was forming properly.

After the gums healed following the first surgery,

we also made a temporary denture

to reduce discomfort in daily life.

3. Second Surgery After the Same-Day Implant

Immediately after the second surgery,

we could see that sufficient jawbone had formed properly.

The healing abutment,

a dental material used to expose the implant root,

was securely attached.

We scheduled restoration with the front-tooth implant prosthesis two weeks later

and proceeded with taking the impression.

The remaining tooth roots were extracted,

and the fixtures were placed.

Bone grafting was also performed on this day,

and we decided to restore the prosthesis three months later.

Usually, the prosthesis is first attached with temporary cement

so that the patient can try using it,

and then it is attached with permanent cement

after about two weeks.

This is the appearance one month after final attachment.

The patient was using it without any problems,

and we also provided overall oral care.

At the next visit,

we scheduled an impression for fabricating the prosthesis

for the right premolar.

We also provided detailed instructions on how to care for it. ^^

These are the before-and-after images of the same-day implant.

The first thing that can be seen is the significant aesthetic improvement.

Compared with the adjacent teeth, you can see that it was restored naturally, like a natural tooth.

The patient is currently receiving regular checkups

while we continue to assist with the remaining treatment.

That concludes today’s case introduction.

Thank you sincerely for reading this long post.

• This post was written in compliance with the Medical Service Act.

• All dental treatments may have side effects, and sufficient consultation with a medical professional is necessary before treatment.