Immediate Implant After Extraction
Extraction and implant placement in the same session: digital protocol with Straumann in Vitacura.
Immediate implant placement after extraction is a surgical protocol that places the dental implant directly into the socket of the extracted tooth in the same session, eliminating the months of waiting required by the conventional protocol. Indicated in selected cases with adequate residual bone, absence of active infection, and favorable occlusion.
At Atria Sampaio we perform the entire workflow in a single surgical visit: atraumatic extraction, immediate evaluation of the bone bed, placement of the Straumann implant and, when primary stability allows, installation of the immediate provisional. All planned beforehand with cone-beam CT (CBCT) and a surgical guide printed in clinic on Phrozen Sonic Mini 8KS or Formlabs 4B.
The main patient benefit is total treatment time: from 6-9 months on the conventional protocol (extraction, healing, second surgery, osseointegration) to 3-4 months, maintaining immediate aesthetics when the case allows. Fewer surgeries, less time in provisionals, faster recovery.
Contraindications exist and we identify them before proposing the protocol: active periapical infection, significant bone defect on the buccal aspect, fenestration or dehiscence, unfavorable occlusion. In those cases the conventional protocol remains safer, and we recommend it without hesitation. The decision is always clinical, never commercial.
Our protocol applies the academic standard Dr. Pablo Atria teaches as Director of the Advanced Clinical Fellowship in Operative & Digital Dentistry at NYU College of Dentistry. Digital pre-planning, the quality of Straumann implants (with SLActive surface that accelerates osseointegration), and guided surgery make the immediate implant a predictable procedure when properly indicated.
Benefits
- ✓Extraction + placement in a single surgical session
- ✓Total treatment time reduced from 6-9 to 3-4 months
- ✓Straumann implants with SLActive surface (accelerated osseointegration)
- ✓Guided surgery with in-clinic-printed guide (Phrozen / Formlabs 4B)
- ✓Immediate provisional when primary stability allows
- ✓Fewer surgeries, less cumulative inflammation
- ✓3D planning with CBCT and iTero 5D intraoral scanner
- ✓Rigorous indication: only when the case allows it safely
Our Approach
The process starts with a thorough evaluation: clinical exam, periapical radiograph, cone-beam CT to visualize bone volume and anatomical structures, and intraoral scan. If the case qualifies for immediate implant, we digitally plan position, angulation, and depth on the 3D model and fabricate the surgical guide in clinic with Phrozen Sonic Mini 8KS or Formlabs 4B. On surgery day we perform atraumatic extraction preserving bone walls, careful socket irrigation and curettage, defect evaluation, and Straumann implant placement using the guide. If primary stability is sufficient, we install the immediate provisional that day. Postoperative instructions, follow-up at 7-10 days, and osseointegration tracking with radiographs at 6 weeks, 3 months, and prior to the definitive crown.
Frequently Asked Questions
What is an immediate implant after extraction?
It's a protocol where the dental implant is placed in the same surgical act as the tooth extraction. The socket of the extracted tooth directly receives the titanium implant, eliminating the months of waiting between extraction and placement that the conventional protocol requires.
Is every patient a candidate?
No. It requires adequate residual bone, absence of active periapical infection, integrity of the socket walls (especially buccal), favorable occlusion, and appropriate gingival biotype. CBCT evaluation identifies candidates. When a case doesn't qualify, the conventional protocol remains the right option.
How much time is saved compared to the conventional protocol?
The conventional protocol takes 6-9 months (extraction, 3-4 months healing, implant surgery, additional 3-4 months osseointegration). The immediate protocol reduces total time to 3-4 months while preserving most of the alveolar bone and soft tissues.
Why Straumann implants?
Evidence and surface quality. Straumann's SLActive surface accelerates osseointegration, especially relevant in immediate protocols where healing time is critical. Documented long-term survival rates exceeding 95% and the largest body of scientific literature in implantology.
Does it hurt more than a conventional implant?
Postoperative discomfort is similar or even lower in many cases. By avoiding a second surgery (the conventional protocol's separate implant placement after extraction), the patient experiences less cumulative total inflammation. The first 48-72 hours are managed with conventional analgesics.