Adriana asks:
I am a patient requiring an implant on #8. I had a crown placed on this tooth due to trauma when I was 10 years old. The crown lasted 25 years, but now what's left of the tooth has broken - thus necessitating the implant. I will require an extraction, but otherwise am in excellent health - no smoking, adequate bone structure, etc.
I understand that you cannot answer questions about my specific case without a clinical examination, but am interested in hearing your general comments. I am very much in the public eye and do a great deal of public speaking so I am looking for a "solution" that will not cause me embarrassing. Any help you can provide would be appreciated!
These are my questions:
1) Is immediate loading a possibility in a case like mine or would a more conservative approach be preferable?
2) Typically, how long do you have patients in a situation like mine wait before loading?
3) If immediate loading is not possible, what temporary solutions have worked best for your patients?
Answered by: Dr. Cheryl Goren Robins Millburn, NJ
Website: http://www.suburban-perio.com/
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Hi Adriana,
Excellent questions. As you mentioned, I cannot answer questions about your specific case without a clinical examination, but here are my general comments for your specific questions.
Immediate Loading:
It depends upon several factors such as how your teeth meet together, if there has been damage to the bone around the tooth, your esthetic demands, etc.
Waiting Time:
It depends upon the need for grafting as well as the type of implant used and bone quality. The range typically varies from no time to 6 months.
Other Alternative Solutions:
Typical temporary solutions can involve something that looks like an orthodontic retainer that has a tooth on it (but no wire across the front) or a clear retainer with a tooth in it. Some patients may also have a tooth “bonded” to the adjacent teeth during the healing period.
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