Yes, but only if the bone and gum tissue are healthy enough for immediate implant placement.
Losing a tooth is definitely a nerve-wracking thing. It could be the result of a sudden accident or a chronic dental problem. You might even just follow your first instinct and fix it immediately.
The fact is, dentistry today is advancing at the speed of light. Being able to extract your damaged tooth and put a titanium replacement in on the very same day is not the realm of science fiction anymore. It’s just an ordinary procedure for most dentists.
Then again, let’s examine what really happens in the deepest layers of the gums. Is immediate implant the right choice for everyone? Or is it just a good treatment when other options are not possible?
It is not so long that we united our teeth for a stroll in Istanbul to Lema Dental Clinic. Our work highlights what the pros are telling their patients. So we present to you a similar rapid journey to your smile while still ensuring it’s reusable and long-lasting.
Biological Healing or Quick Fix?
Our colleague, Prof. Dr. Coskun Yildiz, makes a valid point when he argues that biology won’t live up to our plans every time.
Imagine that your jaw is a very strong foundation of a house made of concrete. Taking out a tooth would be like removing a very deeply fixed pillar from the foundation. The empty socket remains, and the body’s healing process is started immediately.
If we happen to put a titanium implant there immediately, we will need the changed foundation to grip the metal very tightly. However, if the bone is soft, thin, or even sick, the implant will be the reason for the failure. Making a surgical delay might be your greatest weapon in such a case.
Immediate Implant: A Perfect Candidate?
People can get it right. It needs a very careful and skilled surgeon to come up with the correct medical decision.
We use a detailed 3D scan to help us thoroughly evaluate each patient before we can make any decision.
These points most often come up in our clinic when we evaluate patients for immediate implant usage:
- Zero Active Infection: If the tooth planned for tooth extraction is infected, then introducing a new one is similar to planting a healthy tree in very toxic soil. The infection needs to be removed first.
- Abundant Bone Volume: Just like a tiny building needs a solid foundation, your implant needs a deep anchor in which to hold. If the jawbone is thin, then a grafting procedure has to be done first in order to enlarge it.
- Thick Gum Tissue: Your gums are where the biological sealing takes place. When patients have thin, fragile gums, it is also the time that the aesthetic failure risk becomes higher, especially when dealing with the teeth at the front.
Timeframes: An Implant Treatment Comparison
To provide you with an unclouded image, here are the usual timelines that we keep of the different options in implant.
| Type of Placement | Schedule at the Clinic | Prime Advantage | Clinical Risk |
| Immediate | On the same day as the extraction | One single surgery preserves natural gum shapes. | Comes with a risk of failure if the bone is thin or infected. |
| Early | 4-8 weeks post extraction | Gums get to completely close over the socket. | An additional minor surgical step is required. |
| Conventional | 3-6 months post-extraction | The safest way is to have the bone fully dense and healed. | You have to wait the longest time before the final permanent tooth is given. |
Reasons Why Waiting is Beneficial
We see a lot of cases coming to our clinic in Turkey from patients all over the world flying in just for their dental treatments. We can understand how intense the pressure is to have a quick treatment. After all, you are traveling and want results as quickly as possible.
We simply cannot bend and break your future health/well-being for the convenience of a short period of time. A beautifully hand-made porcelain dental crown is not of any use if the titanium root underneath it gets affected/ruptured and fails afterwards. Only through excellent dentistry can we attain total respect for the natural healing rhythms of the body’s own tissues.
Common Patient Question
Indeed, it is still doubtful whether you will end up that way. Frankly speaking, it worries us quite a lot when new patients tell us that they expect to have no teeth at all while waiting for an implant. Even if the implant, the real and durable one, cannot be inserted immediately, we are going to give you something to get by with. Actually, you do not have to worry about a smile gap when you leave our office because you will be given a special retainer or a temporary bonded bridge.
Surprisingly, patients report that they have had their implant operation was rather simple. How is this possible? You will only undergo the healing process once. Doing the implant immediately, the gums stay supported, and the swelling is less here than it is with two operations at different times.
This is certainly not something that works in your favor. Think about this: you want to put the brand-new, top-quality cabinets in the kitchen, which is actually burning,g and what would you say to the landlord if firemen came in and extinguished the fire first? Therefore, once the tooth has been taken out, we will thoroughly clean the area and allow your immune system to naturally heal the wound before placing the metal implant.
We usually talk about bone healing time as being 3-6 months on average. Bone, because of its density, is a kind of tissue that needs quite a lengthy period of time in order to be totally remodeled. What we want is for that spot to be so hard that we may connect your new tooth with no safety or security issues.
Turkey is recognized as a leading international dental hub and a great center for advanced dentistry, hence the attraction of many foreign patients who come annually for dental treatments. Our experienced surgeons are performing several dozens of complex cases per day. Lema provides an exclusive surgical team along with the most advanced 3D imaging technology and master ceramists. In addition to medical standards of the highest level, a warm and traditional hospitality is offered,d which is very typical of this region.
- Buser, D., Chappuis, V., Belser, U. C., & Chen, S. (2017). Implant placement post extraction in esthetic single tooth sites: when immediate, when early, when late?. Periodontology 2000, 73(1), 84-102.
- Chen, S. T., & Buser, D. (2014). Esthetic outcomes following immediate and early implant placement in the anterior maxilla—a systematic review. International Journal of Oral & Maxillofacial Implants, 29(Suppl), 186-215.
- Esposito, M., Grusovin, M. G., Polyzos, I. P., Felice, P., & Worthington, H. V. (2010). Interventions for replacing missing teeth: dental implants in fresh extraction sockets (immediate, immediate-delayed, and delayed implants). Cochrane Database of Systematic Reviews, (9).
- Kan, J. Y., Rungcharassaeng, K., Deflorian, M., Weinstein, T., Wang, H. L., & Testori, T. (2018). Immediate implant placement and provisionalization of maxillary anterior single implants. Periodontology 2000, 77(1), 197-212.
- Tonetti, M. S., Cortellini, P., Graziani, F., Cairo, F., Lang, N. P., Abundo, R., … & Yamazaki, K. (2017). Immediate versus delayed implant placement after anterior single tooth extraction: the timing randomized controlled clinical trial. Journal of Clinical Periodontology, 44(2), 215-224.
