Instant Implant – Minimally invasive surgery for “instant extraction and implantation”

With today’s improving standard of living and the increasing maturity of implant restoration technology, more and more patients are choosing implant prosthetics to restore their missing teeth. Compared with traditional restorations, implant restorations are aesthetically pleasing and natural, have good retention, do not require wear of adjacent teeth, and can better restore chewing function and reduce disuse atrophy of the alveolar bone. Therefore, implant restorations are currently the preferred clinical treatment option for missing/inadequate teeth. So when should implants be placed for patients who choose implant restorative treatment? The timing of implant placement varies depending on the clinical situation. For sites where the affected tooth has been extracted, the conventional implant placement procedure is usually performed 3 to 4 months after the extraction, after the extraction socket has healed completely, and after the implant has healed for 3 to 4 months and formed an osseointegration with the jawbone, the crown is fabricated to complete the final restoration. This conventional implant approach has a relatively long treatment period, requires secondary surgical trauma, and has the potential for post-extraction bone resorption and soft tissue recession. In this regard, can we consider the possibility of implant placement before tooth extraction through reasonable evaluation and design, especially if the patient is afraid of secondary surgery and postoperative discomfort? Numerous scientific studies have shown that the success rate of immediate implant placement in combination with minimally invasive surgical techniques is equally high when the indications are good. The implant is placed at the same time as the tooth is extracted, which significantly shortens the treatment period and reduces the number of procedures. When teeth are extracted and not placed in time, progressive bone resorption occurs, which leads to recession of the gum tissue and loss of the natural hard and soft tissues and aesthetics. However, immediate implant placement at the same time as the extraction has the potential to reduce the resorption of the alveolar bone after the extraction. It significantly shortens the treatment period, allows early restoration of masticatory stimulation in the edentulous area, and provides a soft and hard tissue base for good aesthetic results while better maintaining the bone structure and properly avoiding gingival tissue recession. Furthermore, the implant is placed at the same time as the extraction, the orientation of the extraction socket can better guide the implant to the correct site, and when the initial stability is good, immediate restoration can be considered to restore the aesthetic needs. With a proper preoperative assessment, minimally invasive extraction and precise implant surgery techniques, combined with guided bone regeneration, immediate implant restorations with a high clinical success rate can be achieved. This shows that the immediate implant technique has special application characteristics and clinical advantages. The proper implementation of immediate implants will restore the patient’s aesthetics and function as soon as possible, and will also lead to better clinical results.