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Extraction/Implant Question

User Level:
Patient
Posted by: Maxtheman  (9 years ago)

My lower back molar needs to be extracted and I wanted to get an implant to replace it. The first dentist that I’ve asked wanted to extract the tooth first and wait for a few months before putting the implant in. The second dentist would like to do the extraction and implant on the same day. He also wanted to do a bone graft. The first dentist said a bone graft is not needed because I have enough bone in my jaw. Can anyone give me an advice as to which doctor should I choose to do my extraction and implant procedure? Thanks a lot.
User Level:
Dentist

My lower back molar needs to be extracted and I wanted to get an implant to replace it. The first dentist that I’ve asked wanted to extract the tooth first and wait for a few months before putting the implant in. The second dentist would like to do the extraction and implant on the same day. He also wanted to do a bone graft. The first dentist said a bone graft is not needed because I have enough bone in my jaw. Can anyone give me an advice as to which doctor should I choose to do my extraction and implant procedure? Thanks a lot.


Different dentists have different protocols based on different regions of the mouth. For molar teeth, placing an implant and graft in the same visit as the extraction is difficult to impossible, and it is usually not advised. For premolars it is possible, especially if a graft is done at the same time. Personally, I am more comfortable placing an implant at the same time if the premolar root is round in cross section rather than oval. The anterior region is where extractions and immediate implant placement is done, in order to preserve the original shape of the gums.

Kim Henry, D.M.D.
Posted 9 years ago
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