Immediate Nobel implant placement
Placing the implant at the same visit as the extraction
Immediate placement means the implant goes into the socket at the same appointment the tooth comes out, rather than waiting months for the site to heal first. Where it works, it removes a stage from the treatment and preserves the shape of the gum and bone around the site. It does not suit every extraction: enough sound bone must remain around the socket for the implant to hold, and infection at the site usually rules it out. This is judged at the time of surgery as well as beforehand.
How the treatment runs
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Assessment and planning
CBCT assessment of the tooth, the socket walls and the bone beyond the root tip.
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Careful extraction
The tooth is removed with the socket walls preserved as far as possible.
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Site inspection
The socket is inspected and the decision to place immediately is confirmed or deferred.
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Implant placement
Where conditions allow, the implant is placed and stability is measured.
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Provisional or healing
A temporary tooth may be fitted if stability allows; otherwise the site heals undisturbed.
Alternatives you should know about
- Extraction, healing, then implant placement at a later visit
- Extraction with socket grafting, then delayed placement
- A conventional bridge once the site has healed
- A removable partial denture
What is gained
Two things, and they are worth having. A stage is removed from the treatment, which for an international patient can mean one fewer trip. And the bone and gum around the socket are given something to hold their shape around, rather than being left to collapse inwards over the months a site takes to heal — which matters most at the front of the mouth, where the shape of the gum is what makes a crown look natural.
What has to be true
An implant placed into a fresh socket is not held by the socket. It is held by bone beyond and around it — past the tip of the old root, or against the walls that remain. So the question at the moment of extraction is whether enough sound bone is there to grip.
If the tooth came out because of an abscess that destroyed the bone around it, often the answer is no. If a socket wall fractured during removal, often the answer is no. If there is active infection, placing an implant into it is not a reasonable risk.
That is why this decision is made twice: once from the CBCT before treatment, and again by the surgeon looking into the socket with the tooth out. Deferring at that second point is careful practice, not a change of plan — and a patient should be told in advance that it may happen.
Immediate placement is not the same as immediate teeth
These two are frequently blurred together, including in advertising. Placing the implant on the day of extraction is one decision. Fitting a tooth onto it straight away is a separate one, and it depends on how tightly the implant sits — a figure measured during your surgery.
An implant can be placed immediately and still be left to heal without a tooth on it. That is a normal, good outcome.
Getting an assessment
Send a recent CBCT scan or panoramic radiograph and a photograph of the tooth concerned. The clinical team at Taki Dent can review it and set out whether immediate placement is realistic in your case, along with the alternatives. A final plan is confirmed after clinical examination and radiological assessment at the clinic.