Immediate Placement
In selected situations, a dental implant may be placed at the same appointment as a tooth extraction. Whether this approach is appropriate depends on the condition of the tooth, surrounding bone and gum tissue, infection, anatomy, restorative plan, and the patient's overall health.
An implant placed at the time of extraction.
Immediate implant placement means that an implant is placed into the area of a tooth extraction during the same surgical visit. It does not automatically mean the final crown is placed that day, and it does not mean every patient avoids a healing period.
Immediate Placement
The implant is placed at the time the tooth is removed.
Temporary Restoration
A temporary tooth may be considered in selected cases, depending on the site, bite, implant stability, and restorative plan.
Final Restoration
The final crown or restoration is placed after the surgical and restorative teams determine that the site is ready.
Key Focus Areas
- Site Evaluation & Suitability
- Immediate vs. Delayed Placement
- Bone Grafting Considerations
- Temporary Tooth Options
- Surgical & Restorative Coordination
- • An implant placed at the time of extraction.
- • Placing an implant is not the same as placing a tooth on it.
- • From Extraction to Implant
- • The Site Must Be Appropriate for the Plan
- • Sometimes healing first supports a better plan.
- • Site Preparation & Temporary Teeth
- • Recovery is shaped by the complete procedure.
- • Frequently Asked Questions
- • Related Services & Resources
- • Expert care. Clear answers. Precise outcomes.
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Placing an implant is not the same as placing a tooth on it.
Immediate Implant Placement
An implant is placed at the time of tooth extraction.
Immediate Loading
A temporary or provisional restoration is connected to the implant soon after placement.
Delayed Restoration
The implant heals before the final restoration is placed.
A patient may receive immediate implant placement without receiving a temporary tooth. A patient may also require healing before a final crown or bridge is placed.
From Extraction to Implant
One appointment can still involve several carefully planned steps.
Evaluation and Planning
Review the tooth, bone, gums, imaging, medical history, and restorative plan.
Tooth Extraction
The tooth is removed using the surgical approach appropriate for the site.
Site Assessment
The surgeon evaluates the extraction site, bone, gum tissue, anatomy, and ability to place an implant appropriately.
Implant Placement or Site Preparation
When conditions are suitable, the implant may be placed. In other cases, grafting or staged healing may be recommended.
Temporary and Final Restoration Planning
The restorative provider coordinates a temporary tooth, provisional restoration, or final crown according to the treatment plan.
The Site Must Be Appropriate for the Plan
Immediate placement may be considered in selected cases. It is not automatically appropriate simply because a tooth needs to be removed.
Potential clinical considerations:
Reason for extraction
Presence and extent of infection
Condition of surrounding bone
Gum tissue quality
Implant-site anatomy
Position of nearby teeth
Bite forces
Restorative space
Ability to achieve appropriate implant stability
Medical history
Medications
Nicotine use
Oral hygiene
Ability to follow postoperative instructions
Temporary-restoration planning
Sometimes healing first supports a better plan.
In other cases, the surgeon may recommend extraction followed by healing, socket preservation, bone grafting, infection management, or additional planning before implant placement.
Active infection or inflammation
Limited bone support
Thin gum tissue
Anatomical limitations
Need for grafting
Difficulty achieving appropriate stability
Complex restorative planning
Medical considerations
Need to protect adjacent structures
Desire to monitor healing before implant placement
Site Preparation & Temporary Teeth
Even when immediate placement is considered, grafting or other site preparation may still be part of the plan.
Preserving bone around the implant
Supporting contour of the gum tissue
Filling or managing a defect
Preparing the site for future restoration
Helping protect the final restorative outcome
Temporary removable replacement
Temporary bonded replacement
Provisional restoration
Existing appliance modification
No temporary restoration
Delayed restoration
Recovery is shaped by the complete procedure.
Recovery may differ when extraction, grafting, implant placement, or a temporary restoration are part of the same treatment plan.
Patients may receive personalized guidance about:
Medication
Swelling and discomfort
Bleeding
Diet
Oral hygiene
Activity
Temporary tooth care
Nicotine use
Follow-up
When to contact ARIA
Frequently Asked Questions
Answers to questions patients ask about immediate implant placement.
Still have questions? Schedule a consultation with our board-certified surgeons.
Request a ConsultationRelated Services & Resources
This information is educational and is not a diagnosis or substitute for care from a qualified professional. Recommendations depend on an individual evaluation. If you believe you are experiencing a dental or medical emergency, please seek immediate care. View our Medical Disclaimer.
Expert care. Clear answers. Precise outcomes.
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