Duration: 6 minutes, 23 seconds

Author: Dr. Stavros Pelekanos

Immediate Single Implant Placement and Loading After Extraction

Immediate Single Implant Placement and Loading After Extraction

The Extraction and Immediate Implant Placement

In this video, we will demonstrate the extraction of a fractured root of an upper premolar and the immediate placement of a nanotite implant. This technique offers several advantages by reducing treatment time and preserving the surrounding bone structure.

Assessing the Socket and Surrounding Bone

Before proceeding with the implant placement, the socket is carefully cleaned to ensure the removal of any debris or infection. Additionally, bone sounding is performed to assess the condition of the surrounding bone and evaluate its suitability for immediate implant placement.

Drilling and Implant Placement

A gradual approach is taken during the drilling process to minimize any damage to the labial bone. A 3mm spiral drill is used for the final drilling, ensuring that the labial bone remains intact. This technique helps to preserve the aesthetic appearance of the final restoration.

A nanotite implant with a diameter of 4mm and a length of 13mm is then carefully placed into the prepared socket. The neck of the implant is positioned 5mm below the gingival margin to allow for proper emergence profile and optimal aesthetic outcomes.

The Provisional Restoration

Following the implant placement, a provisional restoration is fabricated and inserted. This temporary solution ensures proper function and aesthetics during the healing period. It also supports the surrounding soft tissues and helps to maintain the natural contour of the gingiva.

Final Restoration and Conclusion

After four months of healing, the implant is fully integrated with the surrounding bone and ready for the final restoration. At this stage, a permanent crown or bridge can be fabricated and placed on the implant to restore the full function and appearance of the missing tooth.

In conclusion, immediate single implant placement and loading after extraction offers a time-efficient and esthetically pleasing solution for patients requiring tooth replacement. By following proper techniques and protocols, clinicians can achieve successful outcomes while preserving the surrounding bone and soft tissues.


1. Is immediate implant placement suitable for all patients?

Immediate implant placement may not be suitable for all patients, especially those with compromised bone quality or infection. A thorough examination and evaluation by a dental professional is necessary to determine the appropriateness of this treatment option.

2. How long does the healing period usually last?

The healing period after immediate implant placement typically lasts around four months. During this time, the implant integrates with the surrounding bone, ensuring a stable foundation for the final restoration.

3. Can a temporary restoration be customized to match the patient’s natural teeth?

Yes, a temporary restoration can be customized to closely match the color and shape of the patient’s natural teeth. This helps to maintain a natural appearance during the healing period.

4. Is the final restoration as durable as a natural tooth?

The final restoration, usually made from high-quality materials such as porcelain or zirconia, can provide durability similar to a natural tooth. With proper care and maintenance, the restored tooth can last for many years.

5. Are there any potential risks or complications associated with immediate implant placement?

As with any surgical procedure, there are potential risks and complications associated with immediate implant placement. These can include infection, implant failure, nerve damage, and aesthetic issues. However, with proper planning and execution, the incidence of complications can be minimized.

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