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Immediate Implant Placement

Tooth extraction and immediate implant placement – when conditions are suitable

With immediate implant placement, the implant is inserted directly after tooth extraction during the same appointment. In selected cases, this can offer advantages in treatment time and tissue management.

The indication is crucial. Not every damaged or inflamed tooth is suitable for immediate implant placement. Bone, soft tissue, infection status, implant stability and the future prosthetic position all need to be favourable.


What is immediate implant placement?

Immediate implant placement means inserting an implant directly after removing a tooth in the same session. This can shorten the treatment pathway and make favourable use of existing tissue structures, but it is not the safest or most appropriate approach in every situation.

Whether an immediate implant is suitable in Basel depends on factors including bone, soft tissue, inflammation, implant stability and the planned final crown. Careful clinical and, when needed, three-dimensional planning therefore comes first.


When can immediate implant placement be appropriate?

  • A tooth cannot be preserved, but the bony conditions are favourable.

  • The implant can be positioned prosthetically correctly and with adequate primary stability.

  • Soft tissue can be appropriately preserved or augmented.

  • Inflammatory and other risk factors can be controlled.


Tissue-preserving tooth extraction

Extraction is planned as atraumatically as possible to preserve bone and soft tissue. Depending on the defect, additional bone or soft-tissue augmentation may be required.


Immediate implant does not always mean an immediate crown

Whether a temporary crown on the same day is also possible and appropriate depends on stability, the bite and the aesthetic situation. Implant placement and immediate provisionalisation are two separate decisions.


Further information

Indication before speed. Immediate implant placement is attractive when it supports the biological and prosthetic plan – not simply because it is faster.

Note: This information is intended for general guidance and does not replace an individual examination and consultation.

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