Extraction, Graft and Implant in One Day: Is This Really Possible?


Ron, from Wheaton, IL, asks:

I want to be sure I am being treated fairly and don't know who to turn to or what to believe. Is it true that an extraction, graft, and dental implant can all be be done in the same day? How about an hour? What are the average rates for such a service? I just want to make sure this is feasible and reasonable. Thanks in advance for any help.

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Expert Advice and Comments
mtischler's picture

Extraction, Graft and Implant in One Day: Is This Really Possibl

Answered By: Dr. Michael Tischler - Woodstock , NY


I do it in my practice a lot. As long as the tooth that is removed has bone on the facial aspect, it can be very predictable. If a tooth that is being removed isn't infected, and is just cracked or decayed, that is usually a good sign. Once the tooth is extracted, I place bone graft material in the site and place an implant. I will then put a temporary tooth on the implant without the availability to bite on it for 3 months. I will then place a permanent restoration.
Hope that helps.

Michael Tischler, DDS

Dr. Michael Tischler

drdazar's picture

extraction, graft & implant all at one time

Answered By: Dr. David E. Azar - New York , NY

Hi Ron,

Yes this a very common procedure, assuming that certain criteria are met. Generally this means a tooth with only one root, though it can be done with a multi-rooted tooth. In the usual case after the tooth is extracted there must still be enough bone to anchor the implant securely and the amount of bone to be grafted should be anywhere from a minimal to a moderate amount. If the implant is replacing a visible tooth it may be possible to place an immediate provisional restoration at the same time, but again this requires that the implant has very good initial stability. But it may be better to leave the implant to heal without a provisional, and only several months later to place the restoration. It is important to note that most, if not all, implants placed this way should not be fully loaded immediately, but allowed to integrate for up to 4 to 6 months.
Without very specific details, like the type of graft needed and the type of restorative components that will be used, it would be very difficult to estimate the cost of this case. These as well as other possible contingencies should be explained by your treating doctor(s) with a range of fees.

Hope this helps,

David E. Azar, DDS, FICOI, MgIDE
New York, NY

drkazemi's picture

extraction, graft, implant - all in same day

Answered By: Dr. H. Ryan Kazemi - Bethesda , MD


This is referred to as immediate implants and is quite predictable if it is done properly, in the right site, and with the right criteria in place.

Please visit my website to view a video will help you understand its implications and the important criteria for success.

Dr. H. Ryan Kazemi

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