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Immediate Dental Implants

Type: In Office


The Modern Approach

The traditional staged approach in the diagram above could take up to a year or more for a final tooth/crown to be placed, and require 2 separate surgeries. The first surgery to remove the tooth and bone graft and the second surgery to place the implant.  Luckily, with advances in technique and implant technology, this time can be shortened by placing the implant immediately at the time of extraction of the tooth. Greater than 75% percent of patients are candidates for immediate implant placement. There is no difference in success, healing, or pain if you are a candidate and most patients choose this route.

In my first experience with Dr. Khan, I must say I am quite pleased.  I needed to have a dental implant. This was my second one, but the first with Dr. Khan.  He did the procedure using a two-step process vs. my previous three-step process.  The extraction, placement of the implant and recovery have gone extremely well. My time from extraction will be cut from a year and a half to about six months.  Dr. Khan and staff are excellent.

Stephen L.

Replacing a Non-Restorable Tooth

Extraction & Immediate ImplantExtraction & Delayed Implant
1st Surgery with IV Sedation

  • Extract the tooth
  • Place implant
  • Place bone graft
  • Place barrier membrane
1st Surgery with IV Sedation

  • Extract the tooth
  • Place bone graft
  • Place B.M.P.
  • Place barrier membrane
After 6 Months or Less
2nd Surgery with Local (Numbing)

  • Phase II or “Uncovering”
After 6 Months

  • Patient returns to office for a CBCT scan & review
  • Work up for implant guide
After 2 Additional Weeks

  • Patient may return to general dentist to have impressions taken for crown/restoration
2nd Surgery with IV Sedation

  • Guided implant placement
  • Bone graft
  • Healing abutment placed
    (This replaces the Phase II or “uncovering”)
After 5 Months

  • Patient may return to general dentist to have impressions taken for crown/restoration
Total Treatment Length
6½ Months
Total Treatment Length
12 Months

With even further advances, it is now possible in certain cases to remove the tooth, place the implant, and place a temporary screwed in tooth all within a 24 hour period. These cases are reserved for the anterior teeth in the aesthetic zone that show and avoid having to have a temporary “flipper” in the healing period.