Implant placement right after tooth extraction

Medically reviewed byDr. Shan AlviSpecialist Prosthodontist and Implantologist

Reviewed: September 2026

Who Can Have an Implant Right After Extraction?

The doctor decides after an examination and a CBCT scan. The scan shows the bone around the root. The doctor also checks for infection during the examination.

The doctor may consider placement in the same visit when:

• there is no acute infection around the tooth;
• there is enough bone to hold the implant firmly;
• the gum around the tooth is healthy;
• the tooth needs to be removed because of an injury, a crack or decay that cannot be treated.

The doctor may recommend placing the implant later when:

• there is an acute infection or an abscess around the tooth;
• a lot of bone around the root has been lost;
• the gum tissue needs further treatment;
• your health or medicines require further assessment before implant surgery.

Many patients ask about immediate placement because they want fewer visits. Your wish is a good reason to discuss it with the doctor, but it is not enough on its own. The final decision depends on the scan and on how the socket looks after the extraction.

If the implant cannot be placed right away, the doctor explains what treatment is needed before placement. Options may include bone grafting or waiting for the site to heal. The doctor discusses the timing and whether two-stage implant treatment is suitable.

How It Differs from Immediate Loading

Immediate placement describes when the implant goes into the bone. Immediate loading means attaching a tooth soon after placement so the implant supports it. In selected cases, both happen in the same visit.

If the implant is stable enough and the case is suitable, the doctor may plan a temporary crown on the day of surgery. This is a same-day implant with a temporary tooth. If a tooth cannot be attached immediately, the doctor may recommend two-stage implant treatment.

The Procedure Step by Step

1. Consultation and CBCT scan

• The doctor examines the tooth and takes a CBCT scan. This 3D image helps the doctor assess the bone around the root. Infection is assessed together with the clinical examination.
• The doctor asks about your health and the medicines you take. Then the doctor explains whether the implant can go in on the day of extraction.

2. Tooth extraction and implant placement

• The doctor removes the tooth as gently as possible to protect the bone and gum around it. A badly damaged tooth may need a complex tooth extraction.
• The socket is cleaned, and the implant is placed into it in the same visit.

3. Bone graft material, if needed

• Sometimes a small gap remains between the implant and the walls of the socket. In this case the doctor may fill it with bone graft material during the same visit.
• If more bone is needed for implant stability, the doctor may recommend placement later, after bone grafting.

4. Healing cap or temporary crown

• If a temporary crown is unsuitable, the doctor may use a healing cap or cover the implant with the gum while it heals. A healing cap helps shape the gum. No tooth is attached to the implant at this stage.
• If the implant is stable enough and the case is suitable, the doctor may plan a temporary crown on the day of surgery. This may form part of immediate loading. You can read more about it on the page about the same-day implant with a temporary tooth.
• The doctor makes this choice during the surgery, when the stability of the implant can be checked.

5. Healing and osseointegration

• The implant gradually bonds with the jawbone. Healing often takes 3 to 6 months, but the time varies. The doctor checks healing before planning the permanent crown.
• During this time you follow the aftercare instructions the doctor gives you.

6. Permanent crown

• Once healing is complete, a permanent crown, bridge or denture is attached to the implant.

Benefits and Limits

Benefits:

• Extraction and implant placement are combined in one procedure. This avoids a separate surgery to place the implant after extraction.
• You do not have to wait for the socket to heal before implant placement. The total treatment time depends on your case.

Limits:

• The doctor assesses infection, bone, gum tissue and general health before recommending immediate placement.
• Healing still takes time, and the doctor checks that the implant is ready before fitting the permanent crown.
• The bone and gum still change after the extraction. Placing the implant right away does not fully stop these changes. The doctor plans the treatment with this in mind.

What to Expect After the Procedure

• Mild swelling and discomfort may occur. Follow the doctor’s advice about pain relief and cold compresses.
• Eat soft food to avoid pressure on the implant during healing.
• Keep the area clean and use rinses only as directed by your doctor.
• Avoid strenuous physical activity for the first few days, following your doctor’s advice.

Follow the instructions your doctor gives you after the procedure. You can also read our notes on aftercare after tooth extraction and aftercare after implant surgery.

Possible Complications and How to Prevent Them

• Infection – Proper oral care and antibiotics help prevent infections.
• Implant Failure – Smoking and poor bone health can affect implant integration.
• Insufficient Bone Integration – If the implant does not bond properly, additional treatment may be needed.

When to Contact a Dentist

Seek immediate care if you experience:

• Persistent pain or swelling beyond the expected healing period.
• Unusual bleeding or pus formation.
• Loosening of the implant or temporary crown.
• Signs of infection, such as fever or bad breath.

Conclusion

Immediate placement combines extraction and implant placement in one procedure. The doctor assesses infection, bone, gum tissue and implant stability before recommending this option. You can learn about other options on our page about dental implants in Abu Dhabi. To find out whether this method suits you, book a consultation and a CBCT scan at True Smile on Al Reem Island.

Related: all-on-4 dental implants.

How Much It Costs

The total depends on the treatment you need. The published price list lists these items separately:

• tooth extraction: AED 700 for a simple extraction, AED 1,500–1,800 for a surgical extraction;
• CBCT scan of both jaws: AED 700;
• Straumann® implant placement: AED 5,500–6,500, or Straumann® zirconia implant placement: AED 8,500–9,500;
• bone grafting, if needed: AED 5,160–5,400;
• installation of a healing cap (gingival former): AED 1,500;
• porcelain, ceramic or polymer-glass implant-supported crown: AED 5,000.

These prices are not a package price for a complete tooth replacement. The doctor explains which items apply after an examination and a CBCT scan. Ask what the treatment estimate includes, including any temporary tooth and bone grafting.