What's the recommended time between surgical tooth extraction and implant surgery?

Question

My Dentist has referred me to a Periodontist to have a post-root canal tooth removed, as it is likely to crumble during the procedure. There does not seem to be any signs of infection at present. I want to know how long before I should have this done before having implant surgery, as these 2 procedures will be done in different places.

Gerrarda O'Beirne, BDS, MSD · Answer

Your dentist is concerned that the tooth may be difficult to remove if it crumbles at the time of surgery and wants to make sure the bone is preserved as much as possible.  It is good that currently there are no signs of infection but this can change and if so bone loss could occur.  When your periodontist takes the tooth out he/she can see if the site is compromised or not. Implants are a certain diameter and need to be surrounded by bone so the site needs to be of adequate width.  Sometimes the implant can be placed at the time of surgery however at times it is necessary to rebuild the site with bone graft and other materials.  If this is the case then you may be waiting 3 - 5 months between the time of extraction and implant placement.

David Hornbrook, DDS, FAACD · Answer

If the tooth is fractured, which
is the most common cause of a post-root canal treated tooth to need to be
extracted, the sooner you have it extracted, the better long term
prognosis.  A fractured tooth can lead to infection but it can also be
responsible for loosing bone support around the tooth which will be important
when you have the implant placed.  Typically, the extraction would be done
by the same person that does the implant.  They can assess the amount of
bone remaining after the extraction and perform the bone graft at the time of
extraction so that healing will be quicker and you can get your implant placed
sooner.  Most every periodontist (gum specialist) places implants so it
could be done in the same office by the same dentist.  If for some reason
the extraction is going to be done by a different dentist than the one that
places the implant, make sure you tell the periodontist at the time of the
extraction that you are considering an implant in the future so a bone graft is
done at time of extraction.  After the extraction, an implant can usually
be placed in 4-6 months, depending upon the amount of bone that remains after
the extraction.  My advice is to get the extraction done as soon as
possible and start the healing process.

Leonard Tau, DMD · Answer

Good question....that would depend on a number of different factors.  My first question for you is why is the periodontist not placing the implant. Usually when a tooth is extracted and there is no infection a bone graft is placed.  If this is placed it is usually 2-3 months before they would go in and have the implant placed.  Without a bone graft 4-6 weeks is usually enough time.  Good luck.

German Arzate, DDS - Account Suspended · Answer

The best time to wait , its not before 3 months, this is due to the natural healing process of the body,but in certain cases ,we perform an extraction and we set immediate implant, and bone graft, this depends on the area, the type of bone, patient health, but certainly you can have a solution, no matter if its a immediate or delay implant setting. I hope this helps. Thank you.

What's the recommended time between surgical tooth extraction and implant surgery?

Answers (4)

Answer: Many factors

Answer: Many factors

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What's the recommended time between surgical tooth extraction and implant surgery?

Answers (4)

Answer: Many factors

Answer: Many factors

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Recommended reading

Everything you need to know about Dental Implants

Our mission is to create a world where every investment in modern beauty is Worth It.