Getting a Dental Implant After Tooth Extraction

Question

I extracted my root 2 mnth ago, should i have the implant immdtly or wait for it to heal?. Its the upper right 3rd tooth removed ( front) and there was no infection on the root itself.

Scott Young, DDS · Answer

I would say that if you are eight weeks post operative from having the extraction you should seek a consultation from a dentist with experience in placing dental implants. At that visit they will take a radiograph and do a clinical exam to determine the right time for implant placement. If you want to be certain that you are ready seek a dentist that has the ability to take a 3D CT scan of the extraction site. This will take out the guess work and give him/her the exact dimensions ( height, width, depth )of your jaw bone.

Daniel Choi, DDS · Answer

You should always make sure the bone quality is optimal and this is seen with a CT scan. Its very important to make sure the foundation for a dental implant is solid before placing one. Immediate placement of dental implants is possible but again its very important to have the bone.

Dan Hagi, DDS · Answer

If the root was removed 2 months ago, the best options is just to wait another 6 weeks and have the implant placed into a completely healed site.  If bone is missing likely a bone graft will need to be preformed in order to idealize the site.  It is possible at times to preform the extraction and implant placement in a single surgery.  This is possible if several factors are present such as no acute infection and proper bone architecture.Best,

Herbert Veisman, DDS · Answer

There are some options here. If the root is not infected and there is no bone loss around the root and the socket configuration left behind in the jawbone is ideal, then an implant likely can be placed at the same time as the extraction. However, if there is bone loss or severe infection and an implant can't be stabilized in the bone, then one of several different kinds of bone grafts need to be compelted first and then four to six months later the implant can be placed.

Richard Champagne, DMD, MAGD · Answer

Whenever it's appropriate, an implant can be placed at the time of the extraction. So long as there is no significant infection in the root that's being extracted, and there is not significant bone loss that requires grafting then placing the implant at the same time will speed up the healing process. In some cases even if there is bone loss the implant can be placed and bone can be grafted around it at the same time as the extraction.If the site must be grafted and allowed to hea,l then the entire healing process will be extended by anywhere from 3 to 9 months depending upon the amount of bone that had to be added back.I hope you found this information helpful,Dr. Champagne

H. Ryan Kazemi, DMD · Answer

Typically, two to three months of healing is adequate for implant placement. Your surgeon can make the determination as appropriate in your case. If bone grafting is done in an extraction site, then one has to wait four to six months. After extraction without grafting, bone undergoes gradual resorption after three months and then becomes stable in 9-12 months. This is the reason for recommending to place implant in that two to three month window, because the bone is healed adequately but not resorbed yet.

Michael J. Thomas, DDS · Answer

As all theother replies have suggested,,the healing period has been long enough and you are well suited to go for a consult and begin treatment. Ask the Dr if he uses ASTRA implants..they are the best ones.

Herbert Stern, MD · Answer

You should go to the periodontist/oral surgeon for a pre operative, pre implannt placcement visit. At this visit, you should have an x-ray of the bone and determine if the density/volume of the bone is adequate.

Anca Bazile, DDS · Answer

Therefore at 2 months after the extraction, you should go to the periodontist/oral surgeon for a pre operative, pre implannt placcement visit.  At this visit, you should have an x-ray of the bone and determine if the density/volume of the bone is adequate. 

	 

	Sincerely,

	Anca Bazile, DDS, MSD, Periodontist, New York City

Paul Newitt, BSc, DMD, AFAAID - Account Suspended · Answer

There are a lot of cases now, with todays Implant technology, where Implants can be placed at the same time the original tooth is extracted (removed). Of course there are certain criteria that have to be met to allow this, mainly the quality of the bone at the extraction site, and the position the implant needs to be placed in. with singe rooted teeth, immediate is possible where multi-rooted teeth, when removed, wont leave enough bone to place the implant where it needs to be placed for the best final result. 

	 

	If you have had the tooth out for two months you are not getting an immediate implant. You are getting a delayed placement. 2 to 4 months maybe enough time for that bone to have healed enough for Implant placement but as has been pointed out, its important to get a 3D scan to determine all dimensions of bone in the area to be implanted. This will also allow your dentists to determine the size of implant that can be used to ensure the best long term success of the Implant. 

	 

	Its sounds like your either good to go or very close but will need these diagnostic aids to ensure the best result. 

	 

	I have to disagree with one post though about one particular Implant being the best. There are many Implants out there that offer very high standards and its easy enough to do your own research to find out which ones are most often used and have the longest track recored of success.

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