Our Summary

This research paper discusses the findings of a dental workshop that reviewed four different studies, all looking at the impact of when dental implants are placed and loaded. The first study reviewed looked at how the timing of these procedures affected the success of implants supporting fixed partial dentures. The second study focused on how the timing impacted the aesthetic results of single-tooth implants. The third study reviewed the long-term results of single tooth implants in the upper jaw, based on when they were placed and loaded. Lastly, the fourth study looked at how patients perceived the timing of these procedures.

The group found that implants had high survival rates, regardless of when they were placed or loaded. However, they concluded that more research is needed to provide detailed guidelines on the timing of these procedures.

FAQs

  1. What aspects of dental implants did the four studies in the workshop focus on?
  2. Did the timing of placement and loading of implants affect their success rates according to the research findings?
  3. What was the conclusion of the workshop regarding the impact of timing on the success of dental implants?

Doctor’s Tip

One helpful tip a doctor might tell a patient about dental implant surgery is to follow post-operative care instructions carefully to ensure proper healing and success of the implant. This may include avoiding hard or sticky foods, practicing good oral hygiene, and attending follow-up appointments with the dentist. It is also important to inform the dentist of any discomfort or issues that arise during the healing process.

Suitable For

In general, dental implant surgery is recommended for patients who have missing teeth and are in good overall health. Some specific types of patients who may benefit from dental implant surgery include:

  1. Patients with missing teeth: Dental implants are a popular treatment option for patients who have one or more missing teeth. Implants can provide a permanent solution for replacing missing teeth, improving the function and aesthetics of the patient’s smile.

  2. Patients with good oral health: Patients who have good oral health are typically good candidates for dental implant surgery. This includes patients who have healthy gums and enough bone structure to support the implant.

  3. Patients with sufficient bone density: In order for dental implants to be successful, patients need to have enough bone density in the jaw to support the implant. If a patient does not have enough bone density, they may require a bone graft before undergoing implant surgery.

  4. Patients who do not smoke: Smoking can negatively impact the success of dental implant surgery, as it can interfere with the healing process. Patients who smoke may be advised to quit before undergoing implant surgery.

  5. Patients with realistic expectations: It is important for patients to have realistic expectations about the outcomes of dental implant surgery. While implants can provide a long-lasting solution for missing teeth, they may not be suitable for everyone.

Overall, dental implant surgery can be a beneficial treatment option for patients who have missing teeth and are in good overall health. However, it is important for patients to consult with a qualified dentist or oral surgeon to determine if they are a suitable candidate for implant surgery.

Timeline

Before dental implant surgery:

  1. Initial consultation with a dentist or oral surgeon to discuss treatment options and determine if dental implants are the best solution for the patient’s needs.
  2. Pre-operative assessment and preparation, which may include dental X-rays, impressions, and a treatment plan.
  3. Placement of the dental implant into the jawbone during a surgical procedure, which may require local anesthesia or sedation.
  4. Healing period of several months to allow the implant to fuse with the surrounding bone (osseointegration).
  5. Placement of a temporary crown or restoration during the healing period, if necessary.

After dental implant surgery:

  1. Follow-up appointments with the dentist or oral surgeon to monitor healing and ensure the implant is integrating properly.
  2. Placement of the permanent crown or restoration onto the implant once osseointegration is complete.
  3. Regular dental check-ups and maintenance to ensure the longevity and health of the implant.
  4. Proper oral hygiene practices, including brushing, flossing, and regular dental cleanings, to prevent infection and maintain the implant’s stability.
  5. Ongoing communication with the dental team to address any concerns or complications that may arise post-surgery.

What to Ask Your Doctor

  1. What is the success rate of dental implants in general, and how does the timing of placement and loading affect this success rate?
  2. Are there any specific factors that may affect the timing of dental implant surgery, such as bone density or overall oral health?
  3. What are the potential risks and complications associated with dental implant surgery, and how do these risks vary depending on the timing of the procedure?
  4. How long is the recovery process following dental implant surgery, and does the timing of the procedure impact the length of this recovery period?
  5. How will the timing of dental implant surgery impact the overall aesthetic results of the procedure, especially in terms of single-tooth implants or fixed partial dentures?
  6. Are there any specific guidelines or recommendations for when dental implants should be placed and loaded, based on the findings of recent studies or clinical experience?
  7. What are the long-term outcomes and success rates of dental implants based on the timing of placement and loading, particularly in the upper jaw?
  8. How do patients typically perceive the timing of dental implant surgery, and are there any common concerns or misconceptions that should be addressed?
  9. Are there any alternative treatment options to dental implants that may be considered based on the timing of the procedure or specific patient needs?
  10. What post-operative care and maintenance measures should be followed after dental implant surgery, and how does the timing of the procedure impact these recommendations?

Reference

Authors: Donos N, Asche NV, Akbar AN, Francisco H, Gonzales O, Gotfredsen K, Haas R, Happe A, Leow N, Navarro JM, Ornekol T, Payer M, Renouard F, Schliephake H. Journal: Clin Oral Implants Res. 2021 Oct;32 Suppl 21:85-92. doi: 10.1111/clr.13809. PMID: 34642977