A new tooth on the day of extraction
Immediate implant placement is a procedure in which the implant is inserted directly after tooth extraction — into the same socket, during the same visit. The patient does not wait weeks for the wound to heal, does not walk around with a gap in their smile, and does not wear a temporary removable denture.
In conventional implantology, several weeks to several months pass between tooth extraction and implant placement. During this time, the bone at the extraction site begins to resorb — the longer the wait, the less bone remains. Immediate implant placement eliminates this problem: the implant is placed in the bone immediately after tooth removal, the bone does not have time to resorb, and the patient receives a temporary crown on the same day.
Who is a candidate for immediate implant placement?
Immediate dental implant placement is suitable for patients who are facing tooth loss or have just lost a tooth and want to restore it without waiting. Typical situations include:
Fractured tooth — the crown is broken below the gum line, and the tooth cannot be restored prosthetically. Instead of extracting the tooth, waiting months, and only then placing an implant — I extract the tooth and place the implant in one visit.
Failed root canal treatment — recurring inflammation around the root apex, pain, fistula. The tooth requires extraction — immediate implant placement allows for same-day restoration.
Tooth lost due to trauma — for example after an accident or impact. If bone conditions permit, the implant can be placed immediately after atraumatic extraction.
Tooth in the aesthetic zone — upper and lower front teeth, where the gap is visible when smiling and talking. Immediate implant placement with a temporary crown preserves aesthetics from day one.
Immediate implant placement applies to both single teeth and situations where multiple teeth are removed at once. In cases of extensive edentulism or severely damaged dentition, I perform full arch reconstructions using the All-on-4 and All-on-6 protocol — also with immediate loading, where the patient receives fixed teeth on the day of surgery.
How the procedure works
Step 1 — consultation and diagnostics
During the consultation, I assess the condition of the tooth, bone tissue, and gingiva based on a clinical examination and CBCT scan. The scan allows precise measurement of bone volume and density around the root — this determines whether immediate implant placement is feasible.
Step 2 — atraumatic extraction
I extract the tooth using an atraumatic technique — gently, without chiselling, with maximum preservation of the surrounding bone and gingiva. The quality of the extraction directly affects implant stability and subsequent aesthetics.
Step 3 — implant placement
The implant is placed into the extraction socket immediately after tooth removal. I seat the implant at the correct depth and with an appropriate insertion torque that guarantees primary stability — a prerequisite for immediate loading.
Step 4 — temporary crown on the same day
If the implant achieves sufficient primary stability (insertion torque ≥ 35 Ncm), I perform digital implant position registration and deliver a temporary crown on the same day. The patient leaves the clinic with a tooth.
Step 5 — definitive crown
After the osseointegration period (typically 3–6 months), during which the implant fuses with the bone, I replace the temporary crown with a definitive restoration — zirconia or ceramic, matched in colour and shape to the surrounding teeth.
Immediate vs conventional implant placement — differences
| Immediate implant placement | Conventional implant placement | |
|---|---|---|
| Number of procedures | 1 (extraction + implant in one visit) | 2–3 (extraction, healing, implantation) |
| Treatment time | Temporary crown on the day of surgery, definitive after 3–6 months | Crown only after 6–9 months from extraction |
| Bone preservation | Bone does not resorb — the implant immediately loads it | Bone resorbs during the period without a tooth and implant |
| Aesthetics | Patient is never without a tooth for a single day | Gap in dentition for several months or a temporary denture |
| Number of visits | Fewer visits, shorter overall process | More visits, longer process |
Not every case qualifies for immediate implant placement. The decision depends on bone condition, the reason for tooth loss, and the presence of active infection. That is why patient selection is based on detailed diagnostics — CBCT scan and clinical assessment.
When is immediate implant placement not possible?
Immediate implant placement requires adequate bone conditions and no active infection. I do not perform immediate implant placement when:
— the bone around the root is significantly resorbed and cannot provide implant stability
— there is an acute inflammatory process with abscess in the socket area
— the extraction socket is too large relative to the implant diameter
In such cases, I use a two-stage approach: extraction with possible bone regeneration first, followed by implant placement after healing. Each case is assessed individually during the consultation.
Immediate implant placement in full arch reconstructions
Immediate implant placement is not limited to single teeth. I also use it in full arch reconstructions with All-on-4 and All-on-6 — procedures in which the entire dental arch is rebuilt on 4 or 6 implants in a single visit.
A patient who arrives with a removable denture or severely damaged teeth leaves the same day with fixed teeth on implants. I remove the remaining teeth, place the implants, and deliver a fixed temporary bridge — all in one day.
In cases of advanced bone loss, where standard implants lack sufficient support, I use advanced surgical techniques that allow implant placement even in the most challenging anatomical conditions. The goal is always the same: fixed teeth on the day of surgery, with no months of waiting.
Learn more about full arch reconstructions: All-on-4 and All-on-6
Where I perform procedures
I perform immediate implant placement — both single teeth and full arch reconstructions — at two clinics in the Warsaw metropolitan area, Poland:
Prodental — Legionowo
ul. Zakopiańska 4a, 05-120 Legionowo
Tel. 608 784 677
Club Dent — Warsaw (Białołęka)
ul. Ostródzka 89, 03-289 Warsaw
Tel. 605 251 785
The implant consultation includes a clinical examination and CBCT scan evaluation. Based on the results, I assess whether immediate implant placement is feasible in the given case and present a treatment plan.
Frequently asked questions
Is immediate implant placement painful?
The procedure is performed under local anaesthesia and is painless. After the procedure, mild discomfort and swelling may occur, which typically resolve within a few days. Patients often compare the sensation to a standard tooth extraction.
How much does immediate implant placement cost?
The cost depends on the clinical situation — implant type, need for augmentation, and type of crown. An exact quote is provided after a consultation and CBCT scan evaluation. Implant procedure pricing: All-on-4 and All-on-6 pricing
Is an immediate implant as durable as a conventional one?
Yes. Clinical studies confirm that survival rates of immediate implants are comparable to conventionally placed implants. The key factors are proper patient selection and achieving adequate primary stability on the day of surgery.
Can I always get a crown on the same day?
Not always. A temporary crown is placed on the same day when the implant achieves sufficient primary stability (insertion torque ≥ 35 Ncm). If stability is lower, the implant must first integrate with the bone, and the crown is delivered after several months. Whether immediate loading is possible is determined during the procedure.
How long does the entire process take — from consultation to the definitive crown?
The consultation with CBCT diagnostics is one visit. The immediate implant placement procedure with a temporary crown is another visit (crown delivered on the same day). After 3–6 months of osseointegration — a follow-up visit and replacement with the definitive crown. A total of 3 visits over 3–6 months.
Is immediate implant placement possible with bone loss?
With moderate bone loss — often yes, especially when the extraction is recent. With advanced bone loss, augmentation or advanced surgical techniques may be required. Each case is assessed based on a CBCT scan.