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3D Dental & Implant Clinic

Teeth-In-A-Day

Teeth-In-A-Day Treatments

‘Teeth-in-A-Day’ is a treatment approach that consists of extraction (removal) of teeth, followed by immediate placement of dental implants, and then immediate delivery of the temporary teeth, all on the same day, providing you with the benefits of immediate function and aesthetics. Our current technology and techniques makes this a reality in today’s dentistry. Patients can come in the office with no teeth or failing teeth that have to be extracted and leave with dental implants and tooth. If teeth have already been extracted previously, then implants are placed routinely and restored with teeth on the same day also.

Teeth-in-A-Day begins with design and fabrication of a transitional teeth by a Prosthodontist (whether in a single crown, bridge, or complete set of teeth) and a CBCT based computer-assisted treatment planning. Following teeth removal/extractions, the dental implants are placed as per the planning followed by restoration of the missing teeth site with transitional teeth on the dental implant by Prosthodontist.

Teeth-in-A-Day treatment, while possible in very selective cases and attractive, has become a widely used marketing tool to attract patients. Unfortunately there is a lot of misleading information and it is advisable for patients to consult the specialist mainly an experienced Prosthodontist & Implantologist then take a second opinion too before going for the same day tooth treatment option. You can ask Dr. Harendra shahi Prosthodontist & Implantologist and expertise of this field regarding tooth in a day at 3D Dental Implant Clinic, Kalikapur, embypass-Anwar-sah connector. Immediate implant placement shortens the overall treatment time and consolidates your procedures into one. We offer Teeth-in-a-Day treatments but only to patients who meet strict criteria. Violation of such criteria significantly increases complications and failure rate.

Teeth-in-A-Day may be a treatment option in the following scenarios:

  1. Single extractions or missing tooth
  2. Multiple extractions or missing teeth
  3. Complete extractions or missing teeth

Am I a Candidate for Same-Day-Teeth?

  • Tooth in a day treatment or immediate implants are highly selective. most predictable when they are placed in single rooted teeth. These include incisors, canines, and some premolars of upper & lower jaw. They should be avoided in the back teeth (molars) due to the risk of increased complications and failure.
  • The bone surrounding the extracted tooth or missing teeth site which will support the implant must be intact with no major bone loss or defects. In this case, it is best to graft the site, restore the bone and place the implant, but no tooth on same day. Once the graft has healed teeth will be placed.
  • There should be no infection or pus present at the site. Placement of implants in a site with infection has high failure rates and will not heal properly.

    • Teeth-in-A-Day May be Considered If:

  • Implants are placed in single rooted teeth immediately following extraction
  • There is no infection
  • There is adequate bone present at the site
  • The implants can be placed with good stability

    • Teeth-in-a-Day should be Avoided If:

  • The extracted sites planned for immediate implant are molars (with some exceptions)
  • There is significant infection
  • There is significant deficiency of bone
  • The implants cannot be held tightly in the bone because of the wide diameter of the extracted teeth
  • The implants are unstable for any reason

Immediate Implants

Immediate implants refer to the condition where implants are placed immediately following teeth extraction. This approach is highly selective and successful ONLY if it is done at the right site by a Prosthodontist & Implantologist with certain conditions.

    Immediate Implants may be Considered If:

  • They are placed in single rooted teeth. These include incisors, canines, and some premolars of upper & lower jaw. They should be avoided in the back teeth (molars) due to the risk of increased complications and failure.
  • The existing bone is relatively healthy and abundant. The bone surrounding the extracted tooth or missing teeth site which will support the implant must be intact with no major bone loss or defects. In this case, it is best to graft the site, restore the bone and place the implant, but no tooth on same day. Once the graft has healed teeth will be placed.
  • There is no infection or pus present. . Placement of implants in a site with infection has high failure rates and will not heal properly
  • The diameter of the extracted tooth is relatively smaller than the implant being used. This is important, because proper implant healing requires direct contact between the implant and bone and good stability. If the implant is loose in the extracted site, it will fail.

Immediate Restorations

Immediate restorations refer to the situation in which a temporary tooth/teeth in the form of a single crown, bridge, or denture are placed on implants on the same day. Obviously, the advantage of this treatment is a patient having teeth right away, supported by the implants, providing them with good aesthetics and perhaps function and avoiding use of other forms of temporary teeth such as a removable teeth or denture/flipper. But it is important to realize that immediate restorations, while successful, is highly selective ,should only be considered in certain situations or condition of the mouth, that best judge by a Prosthodontist Otherwise, they will result in implant failure and loss.

The general principles for immediate restorations are as follows:

  • On the day of implant placement the Prosthodontist will decide whether the implant is stable enough for restoration on the same day or not. If not appropriate, then the implant should be allowed to heal first and with the restoration placed at a later time.
  • Immediate restorations are most predictable when they are placed as multi-unit bridges or dentures on several implants.
  • In the case of single implants, the temporary tooth/crown should be placed with caution and if possible, bonded to adjacent teeth for additional support. The key is to avoid excessive forces on the implant during its healing. Again best decided by Prosthodontist only because they are specialized in detecting the bitting pattern & bitting load on individual teeth.
  • The implants must be very stable in the bone. If the bone is soft or implants are not very stable, then placement of immediate restoration can cause them to fail.
  • The immediate restoration is for the most part for cosmetic purposes. Patients must adhere to a very soft diet during healing and avoid excessive forces on the implants and its restorations. The restorations should clear the bite, so that they do not touch the opposing teeth. This will be explained well by Prosthodontist.
  • Once the immediate temporary restoration is placed, it should be left alone during the entire healing phase (3-6 months). Any manipulation during early phases of healing will result in failure and loss of the implants. When appropriate, the temporary restorations may be adjusted as needed to help shape the surrounding gum tissue for a better aesthetic and functional result.

In summary, immediate restorations may be placed if:

  • Implants have great stability (tight in bone)
  • There are multiple implants being splinted together during healing
  • Biting pressure can be avoided during the healing phase
  • The restoration is used mostly for cosmetic purposes and not to chew
  • Implants are given adequate healing time before being manipulated

Treatment Stages and Process

The Teeth-In-A-Day treatment is highly specialized therefore strongly recommended to visit an experienced Prosthodontist & Implantologist - Expertize in replacement of missing teeth by different methods including dental implant. The treatment sequence is:

  1. The Prosthodontist completes clinical evaluation of your mouth, including the condition jaw bone & concerned teeth and if required takes impressions for study models and design, as well as assess the bite and aesthetic requirements. In case of all missing teeth an interim denture is then fabricated and tried in the patient for proper fit and assure patient is happy with its aesthetics and design.
  2. On the same visit we make impressions of patient teeth & gum tissue for study models and prosthesis design, as well as to assess the bite and aesthetic requirement.
  3. Then a specialized 3D x-ray of the jaw required to be done (CBCT-cone beam CT) to assess quality and quantity of bone and to design the final treatment planning.
  4. The Prosthodontist then uses the CBCT for a 3-dimensional computer assisted planning in the computer model of patient’s jaw bone.
  5. The Prosthodontist places the dental implants according to the available jaw bone or immediately after removal of teeth with optimal precision and accuracy.
  6. With Teeth-In-A-Day concept, the Prosthodontist will immediately restores the implants with a temporary fixed set of teeth. The bite is adjusted and patient goes home with fixed teeth supported by the implants.
  7. The implants are allowed to heal for 3-4 months before fabrication of the final teeth.
  8. Then final impressions will be made to fabricates the final fixed teeth/prosthesis. The bite is adjusted and the new teeth are checked for overall comfort, function, and aesthetics by Prosthodontist.

When immediate implant restoration is not possible or recommended, then the implants are allowed to heal for 3-4 months before final teeth are made. Patient continues using the transitional denture in the interim.

I WANT TO KNOW MY TREATMENT OPTIONS

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1094, Purbachal Main Road,1st Floor, EM-bypass-Anwar Sah Connector, Beside Raipur Electronics, Kalikapur, Kolkata -700 078, West Bengal, India

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