Immediate implant and tooth placement has become very popular in the present time especially in cases of missing or damaged front tooth. With ever increasing aesthetic demands of the patients, traditional protocol of 3 to 4 months of healing time is a big drawback in implant placement in front region of the mouth. Taking into account the final prosthesis , patients frequently are required to wait for almost 6 months for replacement of tooth.
Thus attempts to shorten the overall length of treatment period have been made by early or immediate loading of implants following placement and immediate placement in fresh extraction sockets.
This concept of immediate implant loading or TOOTH IN A DAY has become popular due to less trauma, reduction in overall treatment time, decrease in hard and soft tissue restoration, increase in patient's aesthetic demands and finally increased psychological benefit for the patient.
Immediate implants require meticulous clinical and radiographical planning of the implant site. Comprehensive assessment of implant placement site with pre- operative prediction of tooth position, shape, form, gingival bio type and finally implant position & angulation is done.
Surgeons may wish to load the implant site on the day of surgery or after 2 weeks with a temporary tooth. Final prosthesis can be delivered at a later stage. Initial stability of the implant is very essential for immediate loading with a tooth after implant placement.
Dental implants that are immediately placed and loaded into carefully selected extraction site have higher survival rate.