The prospect of losing a tooth—or an entire dentition—can be devastating for most patients. Understandably, the first concern we hear is: “What happens next?” Patients want to know what will replace the missing tooth, how soon they can get something in place, and whether they’ll be able to smile and function normally — especially when the loss occurs in the esthetic or “smile” zone.
At Portland Perio Implant Center, we have always prioritized innovative approaches that enhance patient care, comfort, and outcomes. One of the most transformative advances in implant dentistry is the concept of immediate Implants—placing dental implants at the time of tooth extraction, often with a temporary crown on the same day.
This contrasts with the traditional staged approach, where a tooth is extracted, followed by several months of healing before implant placement and later restoration. While the staged approach remains a reliable option, immediate implant placement and temporization have significantly evolved over the last two decades, offering a streamlined and highly successful alternative for the right patients.
Day 1: Pre-Op
Week 2: Post-Op
Immediate Implant Placement: A Modern Approach
Immediate implant placement refers to placing the dental implant fixture into the socket immediately after tooth extraction. When done correctly and in properly selected cases, this technique has shown comparable success rates to the delayed or staged approach. The key lies in meticulous planning, surgical precision, and proper patient selection.
Benefits to the Patient
Patients who qualify for immediate implants enjoy several advantages:
Before
After
Read more about Lindsey and her treatment plan by clicking here.
Immediate Temporization in the Esthetic Zone
For over 20 years, our team at Portland Perio Implant Center has been offering immediate temporization—placing a provisional restoration at the same time as the implant. This approach is essential in the esthetic zone (the front teeth), where appearance and patient confidence are paramount.
By providing a custom provisional on the day of surgery, patients leave our office with a complete smile and avoid the psychological and social discomfort of missing front teeth during healing. Beyond aesthetics, the immediate provisional also supports the soft tissue, helping shape the gums’ final contour for a more natural appearance in the final restoration.
Predictable Success with the Right Technology
The success of immediate implant protocols depends heavily on precise diagnostics and planning. That’s why our center utilizes a fully digital workflow, ensuring precision from the first consultation to the final implant restoration.
Our digital process includes:
CBCT Imaging
Trios 3Shape Intraoral Scanner
Formlabs 3D Printing
This technology lets us plan every detail virtually, creating a seamless, efficient, and patient-centric experience. With the added precision of digital tools, the predictability of immediate implant placement and temporization has never been higher.
Comparable Success Rates in the Right Hands
Numerous studies and our clinical experience over the last two decades have shown that immediate implant placement and temporization can achieve success rates similar to delayed protocols, provided the case is selected correctly. Factors such as bone quality, absence of infection, and patient health are all considered before recommending this approach.
Conclusion
Immediate implant dentistry represents a significant leap forward in patient care, offering reduced treatment times, fewer surgical procedures, and improved esthetic outcomes. At Portland Perio Implant Center, our long-standing expertise and state-of-the-art digital technology enable us to deliver this advanced treatment with exceptional results.
If you’re considering dental implants and want to explore the benefits of immediate placement, we invite you to schedule a consultation with our team. Your new smile could be closer than you think.
