DIFFICULT CASES
Immediate implant placement after extraction
Extraction and implant placement are carried out on the same day, reducing both anaesthesia and the number of visits. Whether this is possible depends on the condition of the surrounding bone.
Three months' wait after extraction? Not necessarily — immediate placement
With a conventional implant, placement follows one to three months after extraction, then healing, then the final restoration. Immediate placement puts the implant in on the day of extraction, reducing both the number of procedures and the overall treatment time.
Conventional implant
01Tooth extraction
02Healing period required
03Second-stage surgery about a month later
04Impression taken
05Restoration fitted
Approximately 5–8 months
Immediate implant placement
01Implant placed at the same time as extraction- 02Impression taken after 2–3 months
- 03Restoration fitted
Approximately 2–3 months
Extraction, bone grafting and placement together, even with insufficient bone
Even where severe infection has destroyed much of the bone, our accumulated experience allows immediate placement together with bone grafting.
Treatment sequence
- 01The damaged tooth is extracted
- 02Bone grafting
- 03Implant placement
One anaesthetic, one procedure, completed the same day
Benefits of immediate placement
1. Minimises the bone shrinkage that follows extraction
Particularly valuable for front teeth, where appearance matters most.
2. Uses the socket's healing capacity during bone grafting
It takes advantage of the period just after extraction, when healing capacity is at its highest.
3. Usually requires no gum incision
This means less pain and faster recovery.
4. Fewer anaesthetics and fewer procedures
5. Shortens the time to the final restoration
Immediate placement: frequently asked questions
Q. My decay is quite advanced — can I still have a same-day implant?
A. Where decay or gum disease has damaged a tooth over a long period, both the volume and density of bone may be inadequate. We assess the bone accurately at your visit and decide then whether immediate placement is suitable.
Q. If the implant goes straight into the socket, won't it be loose?
A. The implant is anchored in the remaining bone and any shortfall is made up with a graft. We only proceed where there is sufficient bone, so this is not a cause for concern.
Q. Is immediate placement possible in every case?
A. It is possible in most cases, but severe infection or extensive bone loss may rule it out. We recommend coming in first so the condition of the bone can be checked.
Case notes from our director
Actual before & after photographs
Extraction and implant placement carried out on the same day, reducing the number of visits.
An implant placed immediately after molar extraction, shortening the overall treatment time.
Bone grafting and implant placement on the same day, where infection had destroyed the surrounding bone.
These are actual cases treated at our clinic. Results vary from person to person, and side effects may occur.
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