What do immediate implantation, immediate restoration and immediate weight-bearing refer to?

Many patients often ask in the clinic or in the media some professional questions and needs about immediate implantation, immediate restoration and immediate weight-bearing of dental implants, which, in layman's terms, means ‘Can I have my tooth extracted and then implanted, and can I eat meat on the same day of implantation?’Immediate Implantology, Immediate Prosthetics and Immediate Weightbearing are several different techniques in the field of implant dentistry, each of which has different definitions, advantages and disadvantages. 

Immediate Implants

Immediate implants are implants that are placed in the same location immediately after a tooth is extracted. 

Advantages of Immediate Implants:

1. Shortens the treatment time, reduces the number of surgeries and shortens the course of treatment.

2. Less traumatic surgery, less pain for the patient.

3. It can effectively stimulate the alveolar bone, reduce alveolar bone resorption, and maintain the height and width of the alveolar bone.

4. Better aesthetic result. Implants are inserted with reference to the direction of the original tooth root so that the crown is in harmony with the neighbouring teeth.

Disadvantages:

1. Higher requirements for alveolar bone conditions, if the alveolar bone has bone defects or poor shape, it may not be able to achieve the expected results.

2. Initial stability is poor, because the shape and size of the socket and implant are not consistent after extraction.

3. May cause complications, such as peri-implantitis.

Immediate restoration

It refers to the restoration of crowns immediately after implant placement (immediate implantation or conventional deferred implantation), but this kind of crowns is usually only aesthetic needs, mainly used as temporary crowns, can eat some soft food, can meet the social needs but not for a long time, and is mainly used in the anterior teeth area.

Advantages of immediate restoration:

1. It can make the patient resume normal eating in a short time and avoid affecting the patient's daily life.

2. It avoids the embarrassment of missing teeth and restores the aesthetics of the teeth in a short period of time.

Disadvantages:

1. Increase in cost

2. Increase the risk of implant dislodgement

Immediate weight-bearing

Immediate weight-bearing dental implants, refers to the immediate completion of the upper part of the permanent restorations after implantation, mainly for the whole mouth toothless or half of the mouth toothless situation, the use of four implants, in the two anterior parts of the implant implant vertically implanted into the alveolar bone, and the two implants in the middle and far parts of the implant to take a tilted angle implanted into the alveolar bone, and then in the implant abutment installation of the ‘Arch Then, the ‘arch-shaped’ crown is installed on the implant abutment, so that the force of the entire implant presents the characteristics of an ‘arch’ to complete the oral implant restoration.

Advantages of immediate weight-bearing:

1. Significantly shorten the treatment cycle, reducing the number of surgeries and consultations.
2. Rapidly restore aesthetic and partial occlusal function, reducing the pain of missing teeth.

3. Effectively prevent the shrinkage of gum tissue, can obtain the ideal aesthetic effect

Disadvantages:

1. Requires patients to be in good health and have good bone condition to ensure the stability of the implant.
2. Increases the risk of implant failure due to insufficient healing of the hard and soft tissues around the implant.
3. Strict post-operative management, patients need to strictly follow the doctor's instructions, oral cleaning and regular reviews.