What does “Immediate implant placement” mean?
Immediate implant placement places an implant into an extraction site at the same appointment when the tooth is removed.
Conditions assessed at the extraction site
The socket and surrounding bone shape, gum condition, whether infection can be controlled, and the remaining bone available for fixation are assessed. Rather than simply following the original root direction, the assessment checks whether placement can suit the final prosthesis position.
Grafting may be needed even on extraction day
Because root and implant shapes differ, spaces may remain around the implant or the outer bone may be deficient. Bone grafting or soft-tissue treatment is added when needed. Immediate placement alone does not completely eliminate post-extraction changes in the gums and bone.
A separate decision from immediate loading
Immediate placement describes when the implant is inserted. Timing of a temporary prosthesis or chewing forces depends on separate conditions, such as primary stability and the bite. If unsuitable, placement after extraction-site healing may be selected.
Frequently Asked Questions
Does placement on extraction day mean the tooth is completed that day?
Not necessarily. The timing of body placement and of prosthesis connection with loading are decided separately.
Is it possible for a tooth that had inflammation?
It may be possible. In chronic apical infection without a sinus tract, immediate placement may be considered if infected tissue can be removed and adequate bone secured for stable fixation. Infection extent and socket bone and gum conditions are assessed to distinguish cases needing placement after healing.
Questions about immediate implant placement
Learn what the term means and how it relates to your dental condition.
- Sufficient understanding
Are there conditions for stable placement in the extraction site?
Explanation and evidenceSocket walls, gums, bone for fixation, and the prosthesis position are considered together.
International Team for Implantology · Immediate Implant Placement: Clinical Considerations - A choice suited to your condition
What is the plan for prosthesis connection after placement?
Explanation and evidenceDistinguish immediate placement from immediate loading and set prosthetic timing according to primary stability and the bite.
International Team for Implantology · Loading Protocols for Single Implants
