Immediate implant placement post extraction advice

Q. My question is about immediate post-extraction implant placement. I have had a crown on 1 upper front tooth for 18yrs recently the post broke and according to my dentist the post is too short for another crown. I am contemplating various options to replace the crown,one of them being a titanium implant.I have already had X rays, blood tests etc…to assess suitability to implant. I am in favour of an immediate post extraction implant placement which i mentioned to my dentist,he stated it was a “possibility” but would not elaborate. I am aware you cannot answer what would be best in MY case but i would be grateful for some general info on potential dangers/difficulties of immediate post extraction implant. I am 65 yrs old with no major health problems. I have had a successful hip replacement (titanium) a few years back.Many thanks for your advice. Regards. F

A. Hi many thanks for your enquiry, the main points to look at when contemplating whether or not to perform an immediate placement dental implant are the following:

1: is there a lot of palatal thickness of bone as this is the bone which is generally drilled to house the implant.

2: is there any infection around the root, as if this is the case it is not a wise move to place a dental implant into an area where there is still some infection.

3: there is good evidence that the rate of success is of immediate placement implants is reduced.

But i do a lot immediate placement implants and generally when you are fit and well with no infections around the root they work and help to maintain the bone in the area and more importantly the gum tissue. So if possible i feel is the best way to do implants. Hope this makes sense and if you require any further information please email back.

Dr Kailesh Solanki Kissdental – UK Practice of the Year 2007 157 Woodsend Road, Flixton, Manchester, M41 8GN.2 New Street, Altrincham, Cheshire, WA14 2QS. 13 Stanley Street, Manchester, M8 8SH. Web: www.kissdental.co.uk Tel: 0161 748 5250 View My Profile Dr Solanki

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