Immediate implantation

Immediate implantation refers to the procedure where an implant is placed directly after tooth extraction in the same location. Based on our current knowledge, we can confidently state that this procedure is just as successful as the traditional method, where several months have passed since the tooth extraction and the site has fully healed. In fact, the question nowadays is not in which cases immediate implantation can be performed, but rather whether there is any reason (e.g., acute inflammation) that would prevent the procedure from being carried out.

Advantages of Immediate Implantation:

  • Fewer visits to the dentist are required.
  • Since the implant is placed in the location of the extracted tooth, there is no need for incisions or sutures – the procedure is far less traumatic, and postoperative complaints are significantly reduced (in most cases, there is no swelling at all).
  • This method preserves the surrounding tissues (bone and gum) in the best possible way, avoiding additional surgeries (e.g., bone grafting).
  • It ensures the best aesthetic results.
  • A fixed restoration can be created on the implant immediately (usually on the same day), so our patients do not have to go without teeth or rely on removable prosthetics.

Exact Procedure:

  • After anesthesia, careful (so-called atraumatic) tooth extraction is performed to avoid damaging the surrounding tissues.
  • Cleaning of the tooth socket – in cases of chronic inflammation, the inflamed tissues are removed without compromising healing.
  • Placement of the implant.
  • Digital impressions are taken for the preparation of a temporary crown or bridge, or for the creation of a custom gingival former (used for posterior teeth or in cases of insufficient stability, to seal the socket and provide proper support for the gum, preserving its original contour).
  • Generally, the implant is narrower and has a different cross-section than the extracted tooth, leaving a gap between the implant and the bony socket. This gap is usually filled with bone graft material.
  • Placement of healing screws and, if necessary, sutures.
  • Delivery of the temporary restoration a few hours later.
This method can be used to replace a single tooth, in which case the crown is usually made slightly shorter to avoid excessive load on the healing implant. If all teeth are unfortunately unsalvageable, at least four implants (All-on-4) are placed, and a temporary restoration is created by connecting them, making it load-bearing (immediate loading).

We almost always create screw-retained restorations which offer several advantages:

  • No adhesive residue, which could cause inflammation.
  • Can be removed in the clinic, allowing better monitoring of the implants.
  • Can be repaired or modified if necessary.
Frequently Asked Questions