Latest advances

inmediate implants

We define immediate implants to be those implants that are inserted in the same intervention that performs the extraction of the tooth

The objective of this technique is to reduce the waiting time from when the root is extracted to when the implants are inserted.  You do not have to wait the 4 months that were originally given to the bone to regenerate before being able to insert the implants.

The modifications which permit the application of this protocol are based on what we call an atraumatic extraction of the root (with a special osteotome the periodontal ligaments are “cut” to preserve the osseous walls), the use of implants of adequate dimensions and specially treated surfaces, and occasionally the application of osseous regeneration techniques using growth factors or autologous or heterologous bone

In some cases, this can be complemented with immediate upload: in other words, as well as extracting the root and inserting the implants, we can also attach some provisional fixed crowns.  All in the same intervention.

To follow we will show you a case.

The patient had a double root fracture of the two right-hand superior premolars which made their reconstruction not viable.  Once the case had been studied, we concluded that we could extract the roots and insert the two implants at the same time.

The extraction of the two roots was carried out using the atraumatic extraction technique in order to preserve the walls of the bone and in this way make sure there was sufficient bone remaining to guarantee the primary stability of the implants.
Intraoperative radiography showing the premolar alveoli, various teeth and a tooth fixed to a previous implant.
Photographs of the area after the insertion of the two implants: in the first, after the extraction of the roots and the insertion of the implants (you can also see the fibrin gel obtained from the plasma rich in growth factors, a technique explained in another section).  In the second image, the situation after 15 days and in the third, after a month.
Occlusal image of the crowns before closing up the fixation access points	Vestibular view of the crowns.
X-ray image of the implants with their crowns.  In this case, we also performed the “switch platform” technique in order to preserve (as can be seen) the perimplantary osseous crest.