Is it possible to have a tooth extracted and an implant placed at the same time?

Last updated on: 5 Aug, 2026

Simultaneous tooth extraction and implant placement is possible in a single visit when there is sufficient healthy bone, no active infection, and the patient’s general condition allows for rapid healing. This approach, known as immediate implantation, shortens treatment time and allows for faster restoration of the missing tooth.

However, the procedure is not suitable for every case and requires precise diagnosis and individual assessment. In the presence of inflammation, insufficient bone, or certain health conditions, an alternative, staged approach is used.

In the following paragraphs, you will learn when immediate implant placement can be performed, how the procedure is carried out, and what its main advantages and risks are.

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What is simultaneous tooth extraction and implant placement?

When we talk about a simultaneous procedure, we mean a surgical intervention in which the placement of dental implants takes place immediately after the tooth has been extracted. Under the standard protocol, the patient waits for the bone to heal for three to six months before proceeding with the implant placement. 

Immediate implantation, also known as immediate placement, significantly reduces the overall treatment time.

Implant treatment using the immediate protocol requires a precise pre-operative assessment to ensure successful osseointegration, i.e. the permanent fusion of the implant with the bone tissue. Dentatime Clinic carries out a detailed diagnosis using computed tomography prior to any such procedure. 

The three-dimensional image provides an accurate picture of the volume, density and structure of the bone, which is crucial for planning and selecting the appropriate implant for the specific case.

In which cases can an implant be placed immediately after extraction?

Immediate implantation is not clinically feasible in every case of tooth extraction. Specialists assess each case individually following a thorough examination and imaging diagnostics. The main situations in which this procedure is suitable are described below.

Sufficient bone mass and a healthy socket

One of the key requirements is the presence of sufficient bone density and volume in the extraction site. If the bone is healthy and without significant resorption, the implant can be securely fixed in the alveolar socket immediately after tooth extraction. 

The assessment is carried out using three-dimensional imaging, which shows the exact volume and quality of the available bone before any final decision on implantation is made.

Absence of active infection

The presence of acute purulent inflammation in the area of the tooth intended for extraction usually precludes immediate implantation. In the case of a chronic infection, such as a granuloma, the approach is assessed on a case-by-case basis following complete removal of the affected tissues. An untreated infection significantly increases the risk of integration failure and may compromise the entire subsequent treatment process.

Good general health

The patient’s general health is directly related to the successful outcome of the procedure. Controlled chronic conditions, a normal immune system and abstinence from smoking are factors that favour immediate implantation. 

Patients with uncontrolled diabetes, blood clotting disorders, or those undergoing active treatment with certain medications, including bisphosphonates, require further assessment before the suitability of the procedure can be determined.

What are the benefits of immediate implantation?

When all eligibility criteria are met, immediate implantation offers a number of clinical and practical benefits. Understanding the specific advantages of immediate implantation helps patients make an informed decision together with their dentist. 

The main advantages are:

• Fewer surgical procedures mean less stress and a shorter overall treatment period.
• Preservation of bone volume and gum contours, as the alveolar socket is filled immediately after extraction.
• Shorter treatment time, as the surgical steps are combined into a single visit.
• Psychological comfort – the patient is not left without a tooth for an extended period.
• Reduced invasiveness compared to two separate surgical sessions.

These advantages make this procedure attractive for patients with an active lifestyle or limited free time for dental appointments. It is important to emphasise, however, that these benefits are only achievable in carefully selected cases and in the hands of a qualified specialist with proven clinical experience in implantology.

How does the procedure and recovery take place?

From the moment the decision is made to the placement of the final crown in immediate implantation, the patient goes through several clearly defined stages. Here is what each of them looks like.

Pre-operative preparation and planning

Prior to the procedure, a detailed examination is carried out, including a CT scan to accurately assess bone volume. A full medical history is taken, the patient’s medication is reviewed, and a personalised treatment plan is drawn up. The actual placement of the implant on the day of extraction requires precise preparation to ensure optimal stability and correct positioning of the implant.

Surgical procedure

The procedure is performed under local anaesthesia or conscious sedation for maximum comfort. The tooth is carefully extracted to preserve the alveolar bone walls in good condition. 

Immediately afterwards, the selected dental implant is positioned in the prepared socket, ensuring sufficient initial stability. If necessary, the space around the implant body is filled with bone substitute material to ensure secure integration with the bone.

Recovery and follow-up

Full recovery after implantation usually takes between three and six months – the time required for the implant to fully fuse with the bone. During the first few days, the patient follows a prescribed regimen: a soft diet, antibiotics and painkillers if necessary and at the discretion of the treating dentist, and avoiding smoking and alcohol. 

Follow-up appointments allow specialists to monitor the healing process and determine the exact time for fitting the final crown.

Are there any risks, and when is it not suitable?

Immediate implantation is an effective procedure, but it is not without risks, of which the patient must be informed in advance. One of the main risks is insufficient initial stability when bone volume is limited or bone quality is poor. 

If there is insufficient bone, the implant cannot be securely fixed, and proceeding with the procedure may nevertheless lead to failed integration or complete loss of the implant.

The procedure is not suitable in cases of active uncontrolled infection, significant bone loss due to periodontitis, or systemic diseases affecting the body’s ability to heal. 

Modern dental techniques allow for a two-stage approach in such cases – with preliminary bone augmentation where necessary and implantation once the tissues have healed. At the Dentatime clinic, every such case is given the necessary attention and a solution is offered that is tailored to the patient’s specific needs. This is precisely why an individual assessment by an experienced specialist remains an essential first step.

Conclusion

Simultaneous tooth extraction and implant placement in a single visit is a realistic and well-founded option for carefully selected patients. It saves on visits, preserves bone volume and shortens the path to the final functional and aesthetic result. However, it is important that the decision is made following a thorough consultation with a qualified implantologist. 

The team at Dentatime Clinic is at your disposal for an individual assessment and to draw up an optimal treatment plan. You can contact us and take the first step towards a long-lasting and reliable solution.

Frequently asked questions

Might an additional procedure be required after the initial treatment?

Yes, in certain cases, additional bone augmentation or soft tissue correction may be required if healing has not progressed as expected. Such decisions are made following a follow-up examination and a detailed assessment by the specialist at the clinic.

How is the condition of the implant monitored after simultaneous placement?

Monitoring involves regular check-ups and imaging tests, which the specialists use to assess the progress of osseointegration. If everything is going well, once the implant has successfully integrated with the bone, the crown is fabricated.

What is the role of the individual treatment plan in this approach?

The individual treatment plan forms the basis of the entire process. It determines whether immediate implantation is appropriate, what materials will be used, and how the subsequent stages will proceed. Without such a plan, the risk of complications increases significantly.