Immediate VS Delayed Implant Placement

When considering dental implants, most patients would prefer that we minimise the treatment timeframe – so they can show off their brand-new smiles to the world sooner.

However, for a multitude of reasons, deciding when to place the dental implants – immediately or after a short delay – is a much more complex decision than you might think.

Read on to find out everything you need to know about immediate vs delayed implant placement.

Immediate Implant Placement After Extraction

Immediate dental implant placement is when an implantologist surgically extracts a tooth, before placing the implant fixture in the same appointment – allowing the extraction and implant site to heal simultaneously. 

If completed in this way, the collective recovery time would amount to around 6 months, once the dental implant itself has fused with the jawbone. 

This comparatively quick healing turnaround is one of the reasons our implantologists, who provide dental implants in London, prefer this method of dental implant deployment. 

However, this isn’t the biggest benefit of immediate dental implant placement. Over the past decade, the dental community has been comparing the best surgical approaches, primarily in the frontal mouth areas.

Thanks to evidence from real procedures, implantologists now prefer to use minimally invasive procedures, such as those with no incisions or very small incisions – which improves the healing of the gum and bone, typically leading to an optimal outcome. 

By removing a tooth and immediately placing an implant in the now empty socket, little interference will occur, without incisions that leave scar tissue behind.

Benefits of Immediate Placement

Other benefits of immediate placement include:

  • Quicker results: some patients can walk in with a damaged tooth and then leave the same day following extraction and dental implant placement.
  • Surgery-day smiles: patients may be eligible candidates for the ‘teeth in a day’ protocol, allowing them to have a temporary crown fitted immediately upon the new dental implant screw.
  • Supports the retention of the structures of the mouth: Including gums and bone in the jaw.
    This is particularly relevant if you need Zygomatic dental implants London in the upper jaw, where delayed implantation can result in bone density loss – and the potential need for bone grafting.
  • Reduction in scar tissue.
  • Superior aesthetics in the immediate term.

Disadvantages of Immediate Placement

It is also important to be aware of the disadvantages of immediate implant placement, which include:

  • Risk of implant failure: Some patients may find that chewing can lead to implant failure, meaning that further or alternative treatments need to be sought.
  • Patients can experience gum recession surrounding the treatment area.
  • Loss of bone volume: There’s a risk of bone volume decreasing through the healing process, which would compromise the implant-supporting structure and effectively lessen its weight-bearing ability.
  • Patients with limited soft-tissue may not be eligible: Implantologists require a sufficient amount of soft tissue for patients to qualify for the immediate procedure.

Delayed Implant Placement

Delayed implant placement traditionally follows a two or three-stage approach, depending on whether a bone graft is required prior to implant placement.

The typical treatment timeline includes: 

  1. The damaged tooth is extracted, followed by a period of at least 3 months of healing, during which time the bone can heal properly. 

After this, clinical evaluations can identify bone volume and ideal placement areas.  

  1. Then, implant placement can occur, after which another 3-month recovery period is needed before the implant crown can be fitted.

Usually, our implantologists follow the delayed approach if there is:

A structural issue – for example, if the implant site is close to a vital structure, mostly concerning the back teeth, like the molars.

View our dental implant costs London.

Delayed Placement: The Advantages

Benefits of delayed implant placement include: 

  • Increased healing can result in more precise placement: Due to the drawn-out healing time frame, the implantologist can better understand the bone location and volume in the mouth – enabling more precise placement of implants.
  • An increase in bone: After healing, there is typically more bone available, which can avoid the need for a bone graft – an additional preparatory procedure that incurs extra cost.
  • There is no price difference between immediate and delayed placement

Delayed Placement: The Disadvantages

The disadvantages of delaying dental implant placement are worth considering, and include:

  • Two lot of recovery and healing: Due to the necessary recovery times, patients may not want to sign up for multiple procedures and separate healing periods.
  • An increased total healing time 
  • Infections can occur: The risk of infection developing within the periodontal membrane is increased with delayed placement.

Considering Immediate Implant Placement?

If you are looking for dental implants and think you would be a good candidate for immediate implant placement, our  GDC-registered implantologists can help. 

With bespoke treatment plans, accessible and clear pricing, and decades of experience, you couldn’t be in safer hands. 

To book an appointment, you can choose your own date and time with our online booking service or call us on 020 3285 6141 – we’ll get back to you as soon as we can.


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