Implant Keyhole Guided Surgery Immediate Teeth

‘Immediate Teeth’ is when we’re able to extract a tooth and place an implant in the same extraction on the same day. Immediate implants are ideal for busy people who need their teeth fixed quickly, yet professionally.  We use our advanced technology of guided surgery to conduct an implant procedure in one day. However, there are many deciding factors that Dr Chad will consider to see if you are a suitable candidate for immediate implants.

These factors include:

  • The amount of bone available for implant placement
  • The way that your teeth come together and the forces they may exert on the newly placed implant(s)

Appropriate scans and tests will need to be done prior to the surgery to determine whether you are a suitable candidate for immediate implants. There are pros and cons to having an immediate implant done and these can be discussed with Dr Chad at your appointment.

Keyhole surgery is a minimally invasive technique conducted by Dr Chad at The Dental and Facial Clinic for implants. This approach is commonly used when the CT scans clearly show the amount of underlying bone to place the dental implant.

The benefits of using keyhole surgery for implants is to avoid extensive incisions, prevent tissue trauma and post-surgical discomfort and eliminate post-operative pain. It means that patients are able to get on with their daily activities with minimal recovery time.


To conduct keyhole surgery, a small incision is made and the implant is inserted under local anaesthetic. This usually saves a lot of time and discomfort for the patient. This approach is possible in cases where the patient has enough bone to place the implant and if the site was previously grafted and CT scan data confirms that.

Guided implant surgery is the process of planning the implant surgery on a computer using the patient’s CT scans. This advanced technology uses the patient’s CT data to diagnose the patient beforehand and can mimic the surgery according to the surgery plan.

To conduct a guided implant surgery, the following criteria and processes need to be met:

  1. Patient needs to have a missing tooth
  2. Patient needs to have done a cone beam scan with or without a radiographic guide
  3. Model creation — either stone or virtual — on which the surgical guide will need to be made

The first step is to do a thorough oral and medical exam to be certain that the patient is not only a candidate for guided implants, but for implants in general. In some cases, a removable appliance or bridge may be the best restoration for what the patient needs.

Advantages of guided implant surgery

  • Surgery can be precise, safe, and predictable
  • Surgery time is shorter
  • Allows us to use keyhole surgery technique which means a shorter recovery time for patients
  • Less invasion, blood, and pain for the patient
  • Bone grafts can be minimised

Disadvantages of guided implant surgery

  • The surgery planning time takes longer
  • Any unexpected situations during surgery are hard to be dealt with, however this is rare
  • Immediate temporary teeth (as seen on the left) will be changed after minimum of 3 months to more aesthetically pleasing ceramic teeth

Dental Facial Clinic

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