iStomatolog > Dental implants > Immediate implantation in Kyiv

Immediate dental implantation in Kyiv

What does "immediate implantation" mean?

Immediate implantation - is the placement of an intraosseous titanium implant immediately after tooth extraction in a single visit.. Two complex procedures are performed almost simultaneously, significantly reducing the healing time and the possibility of further prosthesis. One of the main conditions determining the possibility of performing implantation in a single visit is gentle (atraumatic) tooth extraction. Another important factor that allows for immediate implantation is the presence of sufficient dense bone without pronounced signs of atrophy or inflammation.

When is immediate implantation possible?

The decision on the possibility of immediate implantation is based on high-precision diagnostics. The basis for obtaining reliable information is computed tomography, on the basis of which a three-dimensional image is formed.

Based on their own experience and taking into account the requirements of international protocols, our specialists have identified several key factors on the basis of which a positive decision on the possibility of immediate implantation is made:

  • absence of inflammation in the acute stage and neoplasms in the area of implant placement;
  • sufficient volume of bone tissue;
  • sufficient thickness of the mucous membrane of the gum;
  • satisfactory condition of teeth and gums.

Conditions for immediate implantation

absence of acute inflammatory processes in the bone tissue and gums in the area of the tooth to be extracted

dense bone tissue with preservation of the external cortical plate

thick biotype of the gums (characterized by a high collagen content and a wide alveolar ridge)

absence of infectious diseases in the oral cavity (e.g. herpes)

absence of inflammatory processes in the gums and bone tissue of the jaws in the acute period (or period of exacerbation)

Important! If a dentist determines the presence of periodontal problems (periodontitis, periodontosis, gingivitis) or the presence of foci of chronic infection (overhanging edges of fillings and crowns, deep carious lesions), a preliminary course of treatment will be necessary. The success of osseointegration largely depends on the observance of oral hygiene requirements and the state of immunity. It is better to undergo a therapeutic course before immediate implantation than to experience complications after implant and prosthetic procedures.

Contraindications for immediate implantation

Immediate implantation cannot be performed during an acute purulent inflammation in the area of the tooth or in the oral cavity (exacerbation of periodontitis). It is necessary to stabilize the inflammatory process beforehand and only then plan surgical intervention. Immediate implantation is also not recommended in case of insufficient volume of bone tissue (for example, in the case of atrophy of the alveolar process due to periodontosis), the presence of a tooth cyst, or a violation of the integrity of the cortical plate.

Relative contraindications include:

  • blood diseases and disorders of hematopoietic organs;
  • persistent hypertension;
  • post-heart attack and post-stroke periods;
  • extensive surgical interventions within the last 6 months;
  • oncological diseases at the stage of radiation or chemotherapy;
  • autoimmune diseases;
  • as well as during pregnancy and lactation.

After stabilization of the underlying disease and appointment of supportive therapy, immediate implantation becomes possible.

Types of immediate dental implantation

Single-stage dental implantation in Kyiv can be performed as a one-stage or two-stage procedure. The choice of technique depends on a number of factors that are important for a successful and long-lasting result.

Immediate One-stage implantation

This involves the removal of the tooth and immediate placement of the implant with immediate loading, i.e., the manufacture of a temporary crown without the necessary temporary gap for the implant to fully heal and integrate into the bone. In one visit, the tooth is removed, the implant is installed, and the crown is placed. It is most often performed for front teeth in the smile line, but can also be performed in lateral areas.

Immediate two-stage implantation

This involves at least 3 stages with temporary gaps. In the first stage, the tooth is removed and the implant is placed immediately. In the second stage, after complete integration of the implant into the bone, a gum margin former is placed for a period of 2 to 7 days. In the third stage, the abutment and crown are fixed. This type of implantation is more preferable and is used more often.

Stages of single-stage (immediate) implantation at iStomatolog in Kyiv

1 Stage

Planning

Selection of the implant system and its size. Clarification of the need for additional manipulations: bone tissue augmentation, gum plastic surgery, sinus lift, alveolar process correction, and others.
2 Stage

Implantation

Under local anesthesia, the tooth is removed and the implant is placed.
3 Stage

Fixation of a temporary prosthesis

For one-stage single-stage implantation, a temporary crown is installed on the implant in one visit.
4 Stage

Placement of a gum margin former after 2-6 months

Placement of a gum margin former can be performed at Stage 2.
5 Stage

Scanning and manufacturing of a permanent crown on the implant after 1-5 days

Scanning and milling of the crown on the implant in one visit. Fixation of the crown by screw fixation method or manufacture of a cemented crown.

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    Advantages of single-stage implantation performed at iStomatolog in Kyiv

    • Preservation of maximum volume of bone tissue and gum tissue
    • Formation of a natural contour of the tooth neck with preservation of the gum papilla
    • One surgical intervention instead of two
    • Restoration of function and aesthetics twice as fast
    • Minimum discomfort and pain
    • Financial savings

    Important note! When performing single-stage implantation combined with one-stage fabrication of a temporary crown (usually for front teeth), the structure serves only an aesthetic function and does not have any functional value. This provides optimal conditions for implant integration while maintaining patient comfort.

    Who is eligible for single-stage implantation?

    Single-stage implantation can be performed at any age, with the main requirement being the absence of acute inflammatory processes that can negatively affect the implant integration. During one surgical intervention, multiple teeth can be extracted, followed by implant placement.

    In younger patients, the most common reasons for single-stage implantation are tooth trauma or complicated endodontic treatment of root canals. In older patients, root fragments of destroyed or untreated teeth are extracted, which are mobile due to periodontal disease, followed by implant placement and prosthetics using the All-on-4 or All-on-6 system for fully edentulous jaws. Thus, during single-stage implantation, it is possible to place the optimal number of implants for the full restoration of function and aesthetics of the dental arches.

    Features of tooth extraction before immediate implantation

    Installing an implant on the same day as tooth extraction is the ideal option, as it allows for maximum preservation of the bone tissue level and natural gum contour in the area of the removed tooth. Additionally, healing time is shortened by at least 2-4 months, allowing for quicker restoration of function and aesthetics. For the patient, a pleasant bonus is the performance of only one surgical procedure instead of two, resulting in a reduction in the total cost (at iStomatolog, tooth extraction during immediate implantation is performed for free). In the case of immediate implantation in the front area (front teeth), it is possible to create a temporary crown on a temporary abutment in a one-stage process.

    To enable immediate implant placement, a gentle and highly precise tooth extraction technique is necessary. Rough extraction from the socket or unjustified physical force application may cause damage to the bone and gum contour, resulting in bone regeneration with significant deformation. In such cases, simultaneous bone grafting and implant placement, or gum contouring before crown placement may be necessary, leading to additional patient costs and potentially increasing implant osseointegration time.

    In the lateral areas, the tooth should be carefully divided into several parts in the area where the roots are joined together. In the lower jaw (when working with molars), there are two such parts, and in the upper jaw, there are three (depending on the number of roots). With the correct anesthesia, the procedure should not cause pain or discomfort. Each individual root is extracted from the socket, and tissue integrity is maximally preserved (the socket walls and interdental septum are not damaged, which allows for the complete preservation of the volume of bone tissue).

    The cost of single-stage implantation at iStomatolog in Kyiv

    The cost of single-stage implantation is primarily determined by the price of the chosen implant system and type of crown. Choosing the most expensive implant or crown is not always justified, as a high cost does not guarantee 100% success of the implant. A competent approach to planning single-stage implantation and adherence to postoperative recommendations are fundamental for achieving a durable result with the necessary functional and aesthetic characteristics.

    To get more detailed information or make an appointment, please fill out the online form on the website of the iStomatolog dental center or contact us at the following phone numbers:

    067 502 8 999, 093 502 8 999.

    Full Price list of dental clinic services is available at the following link 

    FAQ

    The cost of dental implant installation (excluding the cost of the implant crown) directly depends on several factors and ranges from 300 up to 700 euro. The cost of implant installation depends on the following factors: the implant system used (leading implant manufacturers strictly adhere to all production standards, from the quality of the titanium to the precision of thread application and product sterility, and they also provide a warranty for their products - accordingly, the cost will be higher. Examples include Straumann, Megagen, Nobel, Ankylos, MIS); the equipment used for implant installation (implants can be installed on a regular dental chair, but the use of special equipment such as a physiodispenser allows for safe installation without risking injury or overheating of bone tissue); the need for additional procedures (sinus lifting, bone grafting, gum plastic surgery, etc.); and the dentist's qualifications.
    Dental implants do not pose any danger to the patient's health. They do not affect the functioning of the organs and systems of the human body. The implant material is biologically inert and biocompatible.
    "Turnkey" implantation means that the patient receives a new tooth in place of the missing one that corresponds to the functional and aesthetic characteristics of the lost tooth. The stages of turnkey implantation include implant placement, abutment and crown installation. Additional procedures such as tooth extraction, bone and gum plastic surgery, and sinus lifting may also be included.
    The installation of the implant itself takes about 10 minutes. The total duration of a visit for the installation of one implant is about 30 minutes and includes: pre-implantation preparation of the patient, anesthesia, implant placement, stitching, post-implantation manipulations, and recommendations. The duration may be increased if additional procedures are required, such as tooth extraction, bone and gum plastic surgery, sinus lifting, etc. The necessity for these procedures is determined by the doctor and agreed upon with the patient.
    When the implant is placed in the location of a long-removed tooth without additional manipulations with bone or gum tissue, pain is absent or insignificant in the first few days and does not require painkillers. Pain after dental implant surgery is mild, easily eliminated by painkillers, and may be present for 1-3 days. In case of significant intervention on bone tissue and gums or the installation of a large number of implants, pain may be present for up to 5-7 days (by the 7th day, it usually subsides).
    The integration (osseointegration) of the implant takes from 1 to 6 months depending on the initial situation, implant system, type of bone, jaw on which the implantation was performed, accompanying operations on the bone and soft tissues. On average, this is 2-3 months for the lower jaw and 4-6 months for the upper jaw. However, the patient does not feel the implant integration process, and it is more correct to speak of the healing time of the gum in the implant placement area, which is about 7-10 days (actually until the stitches are removed).
    Immediate implantation in Kyiv

    Article author:

    Olena Daynetska, chief Doctor of iStomatolog Dental Center

    During a consultation at iStomatolog dental clinic, you have the opportunity to receive digital and video diagnostics, a detailed treatment plan, as well as the overall cost of all stages of treatment.

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    Срочно нужно было получить квалифицированную помощь из-за травмы ребёнка, обратилась в эту клинику и не пожалела. Доктор Дышловая Ирина Сергеевна - и по телефону, и на консультации, и при лечении была максимально профессиональна. На рецепции девочки приятные. Вобщем, рекомендасьон 👌🏻
    С 2007 года iStomatolog наша семейная стоматология. Почему? Потому что кто лучше делает своё дело, если оно семейное и уже в третьем поколении. Я пришёл по рекомендации моего друга Антона на приём к Ларисе Викторовне. Она сказала мне сразу: «я не вырву не одного зуба если за него можно бороться» Пол года лечения и сейчас у меня только раз в 6 месяцев профилактика. Супруга, дочь, моя мама (83 года) все доверили свои зубки iStomatolog. Правда уже Елена Сергеевна (старшая дочь Ларисы Викторовны) руководит клиникой. Строгая, но наверно так и надо, а то мы всегда пытаемся отсрочить, откладываем на потом профилактику, а потом выкладываем огромные деньги что бы спасти уже гнилой зуб. В этой стоматологии принцип очень простой: делай качественно, относись к людям по человечески, предупреди заранее (ну ведь забываем и «забиваем» на это). Многие подумают заказная статейка. Нет, просто мне повезло, я нашёл тех кому не безразлично мое здоровье и посчитал своим долгом перед Вами, рекомендовать стоматологию iStomatolog.
    Я доглядаю зуби в цій клініці майже 15 років, і це про щось та говорить. Свого молодшого сина також привела сюди ще з першими зубками.

    Всі лікарі уважні, професійні, з щирою турботою про пацієнта. Запам'яталось, як мені років п'ять тому довго і терпляче спасали майже безнадійний зуб, зіпсований в іншій клініці — спасли, стоїть свій зуб, а міг би вже бути імплант.

    Дуже рекомендую.
    I would like to express my deep gratitude to Elena Sergeevna Dainetskaya. We have been treating teeth with the whole family for more than 10 years and we thank God that we have fallen into these wonderful hands! A very professional and competent doctor, kind, sensitive and always worried about his patient. There would be more such doctors in our medicine!I wish you health, success and prosperity in your work.I RECOMMEND iStomatolog clinic and Dr. Elena Sergeevna to everyone.
    Так случилось, что в "iStomtolog", я попал по настоятельной рекомендации побратима. Имея, без преувеличения, огромные проблемы с зубами, могу вас уверить, это место где вам реально помогут! Теперь по выполненным работам: поснимали камни и налет, пролечили каналы, поставили 8 коронок и 1 винир, 3 импланта. Объем работ просто огромный. Хочу поблагодарить Елену Дайнецкую и всю ее команду за профессионализм, позитив и замечательную домашнюю атмосферу в клинике.
    Професіоналізм на вищому рівні, дуже гарно працюють а також затишно та комфортно,всім рекомендую
    Отличная стоматология. Быстро и качественно оказывают услуги, ничего лишнего не навязывают. Вежливый и обходительный администратор. Очень рекомендую. Теперь по всем зубным вопросам только туда.
    Nice clinic. Very attentive doctors, very nice people. Competent in their job. All procedures, implantation, crown installation in 1 day, filling - everything is absolutely performed according to the protocols. The clinic is clean, tea and coffee will be offered. Protection against covid is carried out - everyone is wearing masks, shoe covers, the temperature is measured. Thank you very much to Maxim Valerievich, Elena Dainetskaya, Lidia Vladimirovna. We wish you prosperity!
    С удовольствием рекомендую клинику и желаю Елене и компании всевозможных профессиональных и прочих жизненных успехов! Спасибо за профессионализм и внимательность.
    Что такое профессионализм? Это в высшей степени компетентность, уверенность и любовь к своей работе. «Не боюсь и доверяю» - это, пожалуй, определение собственных ощущений от лечения у Елены Дайнецкой. Мой выбор - iStomatolog и никто другой!!!

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