If conditions are not favorable, we recommend not placing a temporary in areas that are not esthetically critical. Where aesthetics are a concern, we can discuss the best option that applies to your individual situation. We want to ensure clinical success in the long term as well as make the transitional period of healing as uneventful as possible.
Local factors usually determine whether or not this is feasible and/or recommended. If there is adequate bone volume and initial stabilization of the implant can be achieved, “immediate” placement can be an advantage. Not only does it eliminate a separate procedure but it advances the timeline, allowing the tooth replacement to be placed that much sooner.
If infection is present at the time of the extraction, “immediate” implant placement is contra-indicated. As always, local factors such as smoking, alcohol usage, underlying medical issues and medications influence our decision.
Inspection of the condition of the bony socket, following extraction, is necessary before actual placement. If it is deficient, implant placement will be postponed and the site may be grafted in order to achieve the bone volume necessary for proper long term implant function and “health”.