Q: One dentist said he could pull my tooth and place the implant in the same visit, another said he needs to wait four months after the tooth is pulled before he can place the implant, then wait another four months to place the crown. Why the difference in treatment recommendations? Al in Boynton Beach
A: As in life, often more than one path leads to a happy outcome. (Sounds like a proverb from the 70’s TV drama, Kung Foo.)
After a tooth is extracted, if the diameter of the hole (socket) is narrower than the diameter of the implant and has plenty of bone beyond the socket’s deepest point, an implant can be placed the moment the tooth is removed. Following a three to four month waiting period, an abutment post and crown can then be made to attach to the implant.
If the socket is too large, as is often the case with posterior three-rooted molars or teeth that were removed due to periodontal reasons, leaving less than adequate bone, it is best to extract, place a bone graft and wait four months before implant placement. This will be covered extensively at my next seminar.
Editor’s Note: NEW SEMINAR: “Teeth for Life V” Hi Tech Implants, Bone Grafts and Complex Crown and Bridge work. PLUS: Choosing a dental office in 2014. Join us Friday March 28th at 10:00 AM at the New Palm Beach Gardens Jewish Community Center on Hood Rd. Call 561-712-5200 to register. Seating is limited; call today! For a preview video of this seminar, drop us an email.
Dr. Mitchell Josephs practices Implant Cosmetic and General Dentistry and is on staff at West Palm Hospital (Formerly Columbia Hospital). Dr. Josephs is a Faculty Advisory Board member at McGill University’s Faculty of Dentistry and completed his residency at Manhattan’s Beth Israel Medical Center and Mt. Sinai Hospital.
44 Cocoanut Row, Palm Beach, FL 33480