can i get an implant immediately after extraction

Getting the tooth out and the implant in on the same day is called immediate implant placement. It is an established technique, not an experiment, but it suits some sockets and not others. The decision is usually made on the day of surgery, once the tooth is out and the specialist can see the socket, so it is wise to go in understanding both possible outcomes.

Immediate placement is not the same as an immediate tooth

Two different things are often mixed up:

• Immediate placement: the implant goes in on the day of extraction. You may still wait a few months before the final crown.
• Immediate loading: a temporary crown is fixed on the implant the same day. This is possible only in selected cases, usually front teeth, and the temporary is kept out of your bite so you do not chew on it while the bone heals.

When it usually works well

• The tooth is being removed for a fracture, failed root canal or decay, rather than severe infection or bone loss.
• The bony walls of the socket, especially the thin outer wall, are intact.
• There is enough bone beyond the root tip for the implant to grip firmly. This grip is called primary stability.
• Single-rooted teeth, such as front teeth and premolars, are often easier than molars, whose sockets are wide.
• You are a non-smoker, or will stop, and any diabetes is well controlled.

When waiting is wiser

• An active abscess with pus, or a long-standing infection that has eaten bone.
• A thin or broken outer wall, which risks the gum shrinking and the implant showing through later, a particular concern for front teeth.
• A difficult extraction that leaves a large defect.
• Not enough bone for the implant to be stable on the day.

In these cases the usual path is to remove the tooth, clean the socket and often place a bone graft to preserve the ridge. The implant follows after six to twelve weeks, or several months if a larger graft was needed.

Advantages and trade-offs

Immediate placement saves one surgery and a few months, and can help preserve the gum shape around a front tooth. The trade-offs are a slightly higher risk of the implant not integrating if conditions were borderline, and less predictable gum levels in some cases. A specialist who chooses to wait is not being slow; they are protecting the long-term result.

How it is planned with us

Your first visit is with Dr Avinash or Dr Rashmi, who examines the tooth and takes a digital X-ray. A CBCT scan (a 3D X-ray) may be advised to measure the bone around the root; we will tell you where it is done and what it costs. If an implant is suitable, the specialist sees you at Kharadi by prior appointment. Surgery takes place in Kharadi's dedicated operatory for surgery and implants.

You will be told beforehand what happens if the socket turns out to be unsuitable on the day, so there are no surprises. Our current published fees start from ₹1,000 for a basic extraction, depending on difficulty, and from ₹80,000 for an implant including abutment and crown; your final cost is confirmed after examination. Implant surgery is usually done by an oral and maxillofacial surgeon or another implant-trained specialist; see our oral surgery department. You can read about extractions on our tooth extraction page.