18 doctors weighed in:

Which is better to get a tooth extracted and dental implant placed with bone graft same time or extraction/graft wait 3 mos then implant? Success rate

18 doctors weighed in
Dr. Sal Aragona
Dentistry
3 doctors agree

In brief: One Surgery

There are no current excellent studies that would indicate a better outcome success rate of one over the other. Generally, if the procedure can be done with one surgery rather than two or more it will preserve more bone structure overall.
For this reason alone, i generally prefer one surgery if it is indicated.

In brief: One Surgery

There are no current excellent studies that would indicate a better outcome success rate of one over the other. Generally, if the procedure can be done with one surgery rather than two or more it will preserve more bone structure overall.
For this reason alone, i generally prefer one surgery if it is indicated.
Dr. Sal Aragona
Dr. Sal Aragona
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2 doctors agree

In brief: Circumstances Vary

It isn't so much which is better, it is which is the best situation for your long term success.
Long term statistical studies and my own personal experience shows that when conditions are optimum, there is no difference in the success rate. Talk with your dental professional to see what course of treatment is ideal for you!

In brief: Circumstances Vary

It isn't so much which is better, it is which is the best situation for your long term success.
Long term statistical studies and my own personal experience shows that when conditions are optimum, there is no difference in the success rate. Talk with your dental professional to see what course of treatment is ideal for you!
Dr. I. Jay Freedman
Dr. I. Jay Freedman
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Dr. Kevin Owoc
Dentistry - Prosthodontics
1 doctor agrees

In brief: Wait

Dental implants are placed at the time of extraction all the time.
However, you are taking an increased risk because there are limitations to the placement of the implant. When the tooth is removed, and the bone graft placed, it helps ensure the best possible placement. If you can wait it out, the success rate tends to be better for waiting till the extraction site and bone graft heals.

In brief: Wait

Dental implants are placed at the time of extraction all the time.
However, you are taking an increased risk because there are limitations to the placement of the implant. When the tooth is removed, and the bone graft placed, it helps ensure the best possible placement. If you can wait it out, the success rate tends to be better for waiting till the extraction site and bone graft heals.
Dr. Kevin Owoc
Dr. Kevin Owoc
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Dr. Gregory LaMorte
Dentistry - Periodontics
1 doctor agrees

In brief: Immediate implant

There are multiple factors that enter into the decision on whether or not to immediately place an implant.
An infection may rule it out as may damaged bone. Some are candidates for immediate placement, but not all.

In brief: Immediate implant

There are multiple factors that enter into the decision on whether or not to immediately place an implant.
An infection may rule it out as may damaged bone. Some are candidates for immediate placement, but not all.
Dr. Gregory LaMorte
Dr. Gregory LaMorte
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Dr. Kenneth Grossman
Dentistry - Endodontics
1 doctor agrees

In brief: Depends

All drs.
Want to have success. Agood dr. Will tell you what is best for your particular situation. Ask them why they choose to do the implant a certain way. After hearing the explanation, if you are not impressed seek a second opinion.

In brief: Depends

All drs.
Want to have success. Agood dr. Will tell you what is best for your particular situation. Ask them why they choose to do the implant a certain way. After hearing the explanation, if you are not impressed seek a second opinion.
Dr. Kenneth Grossman
Dr. Kenneth Grossman
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Dr. Zahid Ahmed
Dentistry
1 doctor agrees

In brief: Options

Depending on the location of tooth, available bone, and any history of infection at the site, you could potentially do either. Both options can work but one may be better depending on some of those factors.
Ask your doctor which method will have the highest chance for success if its your primary concern. This is different than approaching it with the length of treatment time as a driving factor.

In brief: Options

Depending on the location of tooth, available bone, and any history of infection at the site, you could potentially do either. Both options can work but one may be better depending on some of those factors.
Ask your doctor which method will have the highest chance for success if its your primary concern. This is different than approaching it with the length of treatment time as a driving factor.
Dr. Zahid Ahmed
Dr. Zahid Ahmed
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1 doctor agrees

In brief: Both

Both have good success rates.
If you can have all done at once why go through 2 surgeries ?

In brief: Both

Both have good success rates.
If you can have all done at once why go through 2 surgeries ?
Dr. Gary Herskovits
Dr. Gary Herskovits
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Dr. Dinh Bui
Dentistry
1 doctor agrees

In brief: Depends

If the extracted tooth is not infected and the graft is simple, go with 1 surgery.
If there is infection, then wait will give you better result (better esthetic and better osseointegration). If criteria fits, success rate is above 95% for both but when you wait, many times you can avoiding bone graft and save money. If there is no infection, the extraction site would fill in with bone nicely.

In brief: Depends

If the extracted tooth is not infected and the graft is simple, go with 1 surgery.
If there is infection, then wait will give you better result (better esthetic and better osseointegration). If criteria fits, success rate is above 95% for both but when you wait, many times you can avoiding bone graft and save money. If there is no infection, the extraction site would fill in with bone nicely.
Dr. Dinh Bui
Dr. Dinh Bui
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Dr. Franklin Allen
Dentistry
1 doctor agrees

In brief: Tough question.

Both are very successful.
I consider waiting the 3-4 months in between less risky. There may be reasons to do either. Sometimes immediate implants manage soft tissue better particularly in front teeth. Back teeth on the other hand, i almost always wait for. There is not one answer, if your dr. Is honest with you he/she can review the risks of each in your case.

In brief: Tough question.

Both are very successful.
I consider waiting the 3-4 months in between less risky. There may be reasons to do either. Sometimes immediate implants manage soft tissue better particularly in front teeth. Back teeth on the other hand, i almost always wait for. There is not one answer, if your dr. Is honest with you he/she can review the risks of each in your case.
Dr. Franklin Allen
Dr. Franklin Allen
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Dr. James Vito
Dentistry - Prosthodontics

In brief: Wiat

The most predictable and most successful way of performing your procedure is to perform one procedure at a time.
In other words extract and bone graft, let it heal then place the dental implant and then let that heal and then restore.

In brief: Wiat

The most predictable and most successful way of performing your procedure is to perform one procedure at a time.
In other words extract and bone graft, let it heal then place the dental implant and then let that heal and then restore.
Dr. James Vito
Dr. James Vito
Thank
Dr. John Thaler
Dentistry - Prosthodontics

In brief: Site dependent

All depends on the site and the available bone and its contour. At our dental implant center we almost always do immediate placement.
There are times, however, when it is best to wait for better bone contours and amount. Good luck.

In brief: Site dependent

All depends on the site and the available bone and its contour. At our dental implant center we almost always do immediate placement.
There are times, however, when it is best to wait for better bone contours and amount. Good luck.
Dr. John Thaler
Dr. John Thaler
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Dr. Robert Ryan
Dentistry

In brief: It depends

Immediate placement of implants can be beneficial if the tooth socket provides a lot of bone support for the implant and the implant site is not infected.
If additional bone to supplement the support of the implant is available, it will enhance the success rate. If a socket is infected (tooth is abscessed), the extraction site should be allowed to heal prior to implant placement.

In brief: It depends

Immediate placement of implants can be beneficial if the tooth socket provides a lot of bone support for the implant and the implant site is not infected.
If additional bone to supplement the support of the implant is available, it will enhance the success rate. If a socket is infected (tooth is abscessed), the extraction site should be allowed to heal prior to implant placement.
Dr. Robert Ryan
Dr. Robert Ryan
Thank
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