Rockville Dental Arts


A Dental Implant Placed at the Same Time as the Tooth Removal?

Dental Implants

A Dental Implant Placed at the Same Time as the Tooth Removal?

Tooth Removal and Implant Success


Can a Dental Implant be Placed at the Same Time as the Tooth is Removed?


This is a commonly asked question, and it’s easy to understand why people would hope to have the extraction and implant performed in a single procedure. The answer is: yes, but it can vary from person to person and depends on the condition of the underlying bone and the type of tooth that is being removed.  If you have a natural tooth that is bad and needs to be removed consider your options before having it removed.  Most dentists and oral surgeons will pull your tooth without discussing placing the dental implant at the same time.  However that is the best time to place the dental implant because the patient will only need one surgical procedure.

dental implant placed

Dental implants mimic the shape and structure of your original teeth. Like teeth, they have a root that connects directly into the jawbone, ensuring that your new teeth remain in place for years without shifting or needing further attention.


If it’s possible, your dental surgeon, Dr. Dennis Norkiewicz, will offer the option of an immediate implant, a dental implant placed at the time of the tooth extraction. The main conditions for this are the density and quality and quantity of the underlying bone, and the presence of any infection in the gum.  The healing process is very easy since you are only have one surgical procedure.  The dental implant surgery is very simple too since there is already a hole in the jaw for the implant to be positioned.  Even if the teeth that are being removed are in bad condition, your jaw and gums might be in good condition and you could be suitable for an immediate implant.  Implants heal by a process called osseointegration.  The bone becomes attache to the implant making it stronger than your real tooth.  When a tooth is lost a single tooth implant can easily replace it when the tooth is removed.  This prevents bone loss.


Not only will an immediate implant mean that you can get everything done in a single surgical procedure, but it’s been shown to have a shorter recovery time and healing time as well. If you’re not suitable for an immediate implant, don’t worry. You’ll be offered an immediate-delayed implant or a delayed implant.  It is also possible to place a temporary crown but not until the implant has been resting for a few months.  In the meantime you will probably just have a implant abutment holding the gums ready for the new tooth.

Dental ImplantsAn immediate-delayed implant happens soon after the extraction, within a month or two at most, and is recommended where there is damage to the soft tissue of the gums that needs a chance to heal. This might be caused by infection, especially if the reason for the extraction was severe rotting of the tooth. Your oral surgeon will discuss your treatment options and tell you when you’re ready to go.


In case of a delayed implant, you can expect to wait for around two months for the dental implant placed to heal. This happens where there is substantial weakening of the jawbone and, in some cases, a separate bone graft might be required.  The total treatment time can be up to six months, but your tooth will last you a lifetime!


Interested in knowing the cost of dental implants?  Visit this page.


Dental Implant Removal


If you have a dental implant that has gone bad which is very rare but can happen, Dr. Norkiewicz can perform the implant removal and usually place another larger sized implant at the same time.  Similar to having the tooth removed and an implant placed.  However the area must be in perfect condition and there must be suitable bone.


Tooth Extraction and Implant Placement

dental implant dentist


Call our office to schedule your free personal consultation in Rockville Maryland  Our office phone number is 301-424-2030


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