Tooth extraction and implant installation

At the dental clinic for custom prosthetics, "Kiadent," we quickly restore the aesthetics of your smile and chewing function using the immediate dental implant placement technology. This method reduces the number of clinic visits, treatment duration, and cost.

Yes, it is. This is called immediate dental implantation. The entire tooth replacement procedure is completed in a single appointment.

A dental surgeon removes the damaged tooth. Immediately after (if there are no contraindications), the implant is fixed into the prepared area—the extraction socket. Thus, one operation replaces two.

The cost of the service depends on the complexity of extracting the defective tooth, the need for additional procedures (e.g., treating inflammation, bone grafting), and the brand of the implant being placed.

Full list of services for tooth extraction with implant placement:

• Dental consultation
• Simple tooth extraction
• Implants
• Panoramic X-ray (orthopantomogram)

Pros:

• Opportunity to avoid two stages of treatment. Tooth extraction and implant placement are performed in one session, making treatment less traumatic and shortening the recovery period.
• Quick elimination of cosmetic defects. When removing front teeth (incisors), the procedure ensures immediate aesthetic restoration.
• Prevention of bone atrophy. The implant preserves bone tissue volume as the chewing load is transferred to the bone.
• Restoration of the dental arch without bone grafting. The titanium post is installed immediately, so the bone does not have time to atrophy, eliminating the need for augmentation and reducing costs and risks of complications.

Cons:

• Presence of contraindications. Not all patients are suitable candidates for immediate implantation due to bone tissue conditions, inflammatory processes, and other medical factors.
• Higher risk of rejection. However, following the post-operative recommendations significantly lowers the risk of complications and improves the chances of successful implant healing.

Indications

• The tooth is severely damaged by caries and cannot be treated or restored.
• The tooth root is fractured due to trauma.
• A tooth in the front of the mouth needs extraction, and the patient wants to quickly restore their smile's aesthetics.
• Contraindications to removable dentures, such as allergic reactions to materials.

Contraindications

• Significant lack of bone tissue in the area planned for tooth extraction.
• Formation of an overly large cavity in the bone tissue after extraction.
• Emergency tooth removal without prior preparation.
• Inflammation in the root apex area (periodontitis).
• Autoimmune or oncological diseases.
• Infectious diseases, such as tuberculosis.

It depends on the condition of the soft tissues and jawbone after extraction. Based on these criteria, the doctor determines the optimal time for implantation after tooth removal.

Immediately After Tooth Extraction

The same day or 2-3 days later—the implant is placed right after the tooth is removed in the same location.

Conditions:

• The bone tissue in the extracted tooth area is healthy, with sufficient volume and density.
• Tooth extraction was complication-free and did not damage surrounding tissues.
• There are no contraindications for immediate implant placement.

After 1-2 Months

After 1-2 months—the implant is not placed directly in the extraction socket. Time is needed for soft tissues to heal and recover. After rehabilitation, the implant is installed.

Conditions:

• The socket is larger than the implant size.
• Inflammation of the gums and surrounding tissues.
• Inflammatory process in the root structure area of the extracted teeth.

After 5-6 Months

After 5-6 months—an implant cannot be immediately placed in the extraction site. The main reason is severe bone tissue atrophy. Time is needed to rebuild the deficient jawbone volume. Bone regeneration is performed. Once the bone mass parameters reach normal levels, implantation proceeds.

Conditions:

• Insufficient bone tissue volume for implant placement.
• The bone structure in the planned implant area is unstable and loose.

With an immediate protocol and immediate loading, after tooth extraction and implant placement, the doctor attaches a temporary crown the same day or on the third day. After 4-6 months, it is replaced with a permanent crown. This approach is primarily used for replacing front teeth.

With an immediate protocol and delayed loading, after tooth extraction and implant placement, the doctor sutures the gum to allow the implant to integrate fully with the jawbone (3-6 months). Once osseointegration is complete, the implant is fitted with a permanent prosthetic structure. This is mainly used for restoring chewing teeth.

The appropriate implantation method for a specific case will be determined by the implantologist based on detailed diagnostics, bone tissue conditions, and the patient’s overall health.

• If the bone tissue volume is normal and there are no other contraindications, a tooth can be extracted, an implant placed, and immediately loaded with a crown. This is immediate implantation.
• If a tooth has been removed and a bone tissue deficit or inflammation is detected, all contraindications must be addressed before implant placement. After bone grafting and inflammation treatment, the artificial root is fixed. Prosthetics are performed following a single-stage or classic two-stage protocol.

It is recommended to place an implant no later than 6 months after extraction. Delayed tooth replacement can lead to the following complications:

• Loss of bone tissue volume. Without load, the bone tissue gradually atrophies. Subsequent implant placement becomes more complex due to insufficient bone mass, requiring prior bone augmentation.
• Shifting of adjacent teeth. They move toward the empty space, disrupting the bite and requiring orthodontic treatment.
• Wear of adjacent teeth. Improper distribution of chewing load due to the missing tooth may damage remaining teeth, increasing sensitivity and enamel wear.
• Deterioration of aesthetics. A missing tooth in the smile zone can cause embarrassment or dissatisfaction with one’s appearance, affecting self-esteem.
• Increased restoration costs. The longer the tooth is missing, the more complicated its restoration becomes, requiring additional procedures like bite correction or bone augmentation.

• Can an implant be placed if the tooth was extracted long ago?

  Yes, it can. In this case, the delayed implantation protocol is used—single-stage or two-stage. However, jawbone volume may decrease over time without the tooth. The doctor will first augment the missing bone mass for successful integration of the artificial root.

• Is the procedure painful?

  No, during tooth extraction and implant placement, local anesthesia is used. The patient feels no pain, only the mechanical movements performed by the doctor.

• Is there pain and swelling after immediate implantation?

  Yes, these are natural responses to surgery. However, these symptoms should subside by the third day. Swelling can be reduced using ice and anti-inflammatory medications. Pain is managed with analgesics.

• What oral care recommendations should be followed after surgery?

  In the first few days:

  • Avoid eating or drinking for 2-3 hours.
  • Apply ice to the face near the surgical area.
  • Avoid chewing on the side where the implant was placed.
  • Gently rinse the mouth with saline or antiseptic solutions.
  • Take prescribed painkillers/anti-inflammatory medications.

  During the first 1-2 weeks:

  • Avoid smoking and alcohol consumption.
  • Refrain from hard, hot, spicy, or acidic foods.
  • Avoid physical exertion and sports.
  • Limit visits to saunas, baths, or tanning salons.

  In subsequent months:

  • Brush teeth twice daily.
  • Visit the doctor according to the schedule.