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What Is the Difference?

When a tooth needs to be removed and replaced with an implant, there are two main approaches:

  • Immediate implant placement: Placing the implant at the same time as extraction.
  • Delayed implant placement: Placing the implant after a period of healing.

Both approaches are well established. The most appropriate option depends on the condition of the bone, gums, and the type of tooth being replaced.

 

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FAQ

FREQUENTLY ASKED QUESTIONS

What is an immediate implant?

An immediate implant is placed at the same appointment as the tooth extraction. In selected cases, a temporary tooth may also be provided on the same day.

What are some immediate implant considerations?

  • Not suitable in all cases.
  • Requires careful case selection.
  • The stability of the implant at placement is critical.
  • Infection or bone loss at the site may limit suitability.
  • A temporary restoration may need to be kept out of function during healing.

What is a delayed implant?

A delayed implant is placed after the extraction site has healed, typically over several weeks or months.

What are some delayed implant considerations?

  • Longer overall treatment time.
  • May require temporary tooth replacement during healing.
  • Some natural bone shrinkage can occur after extraction.

Which option is better?

There is no single “best” approach. Immediate implants can work very well in the right circumstances, particularly where:

  • Bone levels are good.
  • There is no active infection.
  • Soft tissue is stable.
  • Aesthetic demands are carefully managed.

Delayed implants are often preferred where:

  • Infection is present.
  • Bone loss is significant.
  • Gum conditions are less predictable.
  • Additional grafting may be required.

What are some aesthetic considerations?

In the front of the mouth, preserving gum shape and symmetry is particularly important. In some cases, a staged (delayed) approach may provide a more predictable aesthetic outcome, even if it takes longer.

Immediate implant

Immediate Implant Advantages

  • Fewer surgical stages.
  • Shorter overall treatment time.
  • It may help preserve bone and gum contours.
  • Avoids a period without a tooth (in some cases).
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Delayed implant

Delayed implant Advantages

  • Healing of the site before implant placement.
  • Reduced risk in cases with infection or bone loss.
  • More predictable soft tissue and bone conditions.
  • Greater flexibility in planning.
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Planning Is Key

The decision between immediate and delayed implant placement is based on:

  • Bone quality and quantity.
  • Presence of infection.
  • Gum condition.

Responsibility of Care

Implant timing is considered part of the overall treatment plan, particularly where aesthetics, bite, or multiple teeth are involved. Careful sequencing helps ensure that the final result is stable, natural in appearance, and maintainable over time.

Patient takeaway

Both immediate and delayed implant placement are reliable approaches. The most suitable option depends on your individual case, and will be discussed with you as part of a structured treatment plan.

TREATMENT TESTIMONIALS

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We’re proud to be a trusted part of our patients’ oral health journeys. Explore their testimonials to see how we’re creating positive dental experiences – one smile at a time.

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I required some extensive dental work, which I had been catastrophising in my head for some time now. Having finally plucked up the courage, I consider myself extremely fortunate to have been cared for so professionally & competently by Lorna…

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I had a great experience with Lorna. She was very competent, gentle and took the time to explain everything clearly. I’d highly recommend Lorna to anyone who feels anxious about visiting the dentist!

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I’ve been a patient at Harcourt Dental Clinic for about 5 years now, and I couldn’t be happier with the service I’ve received. From the friendly and welcoming staff to the professional and skilled dentists, every visit has been a…

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Martina is an excellent hygienist, professional, kind, and thorough. She made me feel completely at ease and did a fantastic job with my cleaning. I highly recommend her!

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I would highly recommend this dental practice. They are very professional in every sense. Special shout-out for Cianna & Kevin, two highly skilled dentists.

Brian R

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I strongly recommend this dental practice. The reception staff are always friendly and polite. Dr Lorna Mahon and her assistant have been excellent in treating a quite difficult dental issue with great care and professionalism.

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