A basic requirement of implant surgery is enough time for adequate bone healing. This is usually from 1 to 6 months.
During this time the implants are usually under the gum tissue (occasionally they are above the gums). During this time the implant is healing in contact with the surrounding bone. A temporary appliance can usually be made which will be functional, comfortable and aesthetic.
After healing of the implant in the bone the prosthetic phase of treatment can be continued. The time of implant restoration depends on your jaw bone quality and quatity. In some cases this can take from a few weeks to a few months.
DO NOT BONE GRAFT
Surgeon: Dr Vo Van Nhan
Patient: a patient 50 year old male was referred to our office for the treatment of his missing teeth. The good healthy, non-smoking patient.
The panoramic radiographic showed some teeth was loss (26, 37, ), 21 with a crown and root canal and some fillings.In addition, 26 was loose so we need to extract it.
In addion, we need to take CT cone beam to evaluate jaw bone density to decide bone graft or not
Based on CT cone beam we decide no bone graft.
- 26 will be removed
- Implant will be placed at site 26, 27, 36, 37
- Treatment plan will be finished around 6 weeks
3 days after extraction the placement of implants were recommend to the patient as the therapy of choice. The implant were placed in an ideal three-dimensional position. The healing cap were inserted at the time.
Crown on the implant
6 weeks after implant placement, the patient return to our office. The healing cap were removed to take copy impression and then 4 days after crown were put on the implants.
The surgical and definitive restoration were performed by DDS, MDS Vo Van Nhan.
BONE GRAFT IS REQUIRED
Surgeon: Dr Vo Van Nhan
Patient: a 40 year old female patient, non-smoker, presented due to accute pain in the molar region of the lower left jaw.
Based on the radiographic in combination with the servere pain, tooth 46 was extracted. This tooth has infection that's why bone loss occure.
Based on this cross -section, this tooth has severe bone loss so we need autogenous bone or bone substitute material.
In this particular case, the distance between the implant and the socket wall is approximate 1mm so that the gap had to be filled with synthetic bone sunstitute material. To prevent synthetic bone sunstitute material, a membrane was installed after the application of the bone substitute.
6 months after implant placement and bone graft, the patient return to our office to continue treatment plan. The flap was reopened to expose implant and a impression was taken for final crown on the implant.
This figure showed both implant and synthetic substitute bone material were well integrated. The patient also want to restore adjacent tooth.