
Dr. Yola Kovalenko
تُعد د. يولا كوفالينكا من الكفاءات الطبية المتميزة في مجال طب الأسنان. تخرجت من جامعة لوغانسك الطبية الحكومية عام 2007، وكانت ضمن أوائل خمسة طلاب على دفعتها، وه…
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Immediate dental implant placement means the titanium implant is inserted into the jawbone during the same visit in which the damaged tooth is extracted, instead of waiting months for the socket to heal. The fresh extraction socket is used directly, which reduces the number of visits and helps preserve the gum contour and surrounding bone before the natural bone loss that follows tooth loss begins. Not every case is suitable. The remaining bone must be adequate in volume and density, there must be no active acute infection or abscess at the extraction site, and gum health must be acceptable. The dentist therefore starts with a 3D cone-beam scan of the jaw to measure bone and plan the implant position and angulation precisely, and may decide to delay placement or add bone grafting if these conditions are not met. After placement, the implant needs a period of integration with the bone (osseointegration), typically three to six months, before the final crown is fitted; a temporary crown may be placed in the meantime for appearance. Active smoking or poorly controlled diabetes increases the risk of failed integration, and discussing this with the dentist before deciding is an essential part of planning. Final candidacy is determined by clinical examination and imaging, not by general information.
Clinical examination of the gum and the damaged tooth, plus a cone-beam CT of the jaw to measure bone height and width and plan the implant position relative to nearby sinuses and nerves.
The tooth is removed using instruments and technique that keep the surrounding bony plate as intact as possible, since the integrity of this plate is a prerequisite for immediate implant stability.
The socket is cleaned of any inflamed tissue, then the implant is anchored in healthy bone with adequate primary stability; bone graft material may be added to fill the gap around the implant.
A temporary crown or abutment is fitted when appearance requires it, with explicit instructions not to load the implant with heavy biting during the integration period.
Once integration is confirmed clinically and radiographically, an impression is taken and the definitive crown is fitted to match the shade and occlusion of the adjacent teeth.
Tell your dentist about every medication you take, especially blood thinners and bisphosphonate-type osteoporosis drugs, and never stop a medication on your own. Blood sugar control is usually required beforehand, and reducing or stopping smoking matters because it is among the strongest risk factors for failed integration. Keep meticulous oral hygiene in the preceding days, and report any throbbing pain, swelling or discharge at the tooth site immediately, since active infection may rule out immediate placement. Arrange transport if the procedure is done under intravenous sedation.
Expect swelling and mild bruising that peak in the first two days then subside; intermittent cold packs on day one help. Keep to soft, relatively cool food for the first days, avoid chewing on the implant side, and do not use straws, suck, or disturb the site. Brush the rest of your teeth as usual, avoid direct brushing over the surgical site until your dentist allows it, and use only the mouth rinse they recommend. Seek care promptly if pain keeps increasing after day three, or if pus, fever, implant mobility, or persistent numbness of the lip or chin appears.
Typically 45–90 minutes for a single implant; longer with multiple implants or bone grafting

تُعد د. يولا كوفالينكا من الكفاءات الطبية المتميزة في مجال طب الأسنان. تخرجت من جامعة لوغانسك الطبية الحكومية عام 2007، وكانت ضمن أوائل خمسة طلاب على دفعتها، وه…

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الدكتور محمد عرفات حسن هو طبيب أسنان وصاحب خبرات متقدمة في طب وجراحة الفم والأسنان، خرّيج جامعة دمشق العريقة في طب وجراحة الفم والأسنان (بكالوريوس)، وحاصل على ع…
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