Hello, Gangseo Dental Clinic
I am Lee Su-gyeong, a specialist in integrated dentistry.
When it becomes difficult to preserve a tooth any longer,
we proceed with prosthetic approaches such as
bridges, dentures, and implants.
From the patient’s perspective,
these treatments need to provide not only function but also aesthetics and
long-term stability.
That is why many people choose implants,
which are the closest to natural teeth in terms of function and appearance.
However, depending on the number of teeth, their location, and current problems,
it is one of the treatments that can take a long time
until the final completion.
People often ask,
“Can’t it be placed right after extraction?”
and the answer is yes.
However, because this is only possible when several conditions are met,
today I will explain the criteria for immediate implant placement after extraction,
along with its benefits and precautions.
Gangseo Dental Clinic Oral Information
- Criteria for immediate implant placement after extraction
First, please check whether the condition of your gums meets the following four
key criteria.
- Sufficient quantity and quality of gum bone (alveolar bone)
The most important thing is the
“foundation work” that will firmly fix the implant.

Bone volume: When the implant screw is placed,
there must be enough bone to firmly surround it
from all sides.
Bone density: The bone must not be too soft and should be firm
so that strong initial stability can be achieved immediately after placement.
If there is not enough bone,
bone grafting may be performed at the same time
as immediate placement.
- A clean state without acute inflammation
If there is a severe pus pocket at the root tip of the tooth,
or if the entire gum is swollen and bleeding due to acute periodontitis,
immediate placement is difficult.
If the implant is placed forcefully in the presence of severe inflammation,
the risk of not bonding with the bone and being lost is high.

- Ability to secure initial stability
The implant must be able to remain stable and firmly fixed
immediately after placement without wobbling.
Only when initial stability is sufficient
will the implant not move until the prosthesis is placed.
- The 'cause' of tooth extraction is important
If you have certain conditions such as diabetes, osteoporosis, or weakened immunity,
immediate implant placement may be limited.
If necessary, treatment is carried out safely
after consultation with an internal medicine specialist.
Gangseo Dental Clinic Oral Information
- Is faster always the answer?
Clear advantages of 'immediate placement'
Immediate implant placement after extraction
has the advantage of shortening treatment time and
preserving the shape of the gums and bone as naturally as possible.
In particular, in areas where aesthetics matter,
such as the front teeth, it can help prevent the gums from receding
after extraction or the bone from being resorbed,
which leads to high satisfaction.

However, faster is not always better.
It can only be performed when several conditions are met,
such as bone condition, gum health, initial stability, and overall health.
If the conditions are not met,
waiting a little before placing the implant
may be more stable in the long run.
In other words, immediate implant placement after extraction
has the benefits of faster treatment and better aesthetics,
but it is most important to consult thoroughly with a specialist
about the right timing and method for you.
Gangseo Dental Clinic Oral Information
- Postoperative care rules you must follow
for successful settlement
Immediately after immediate implant placement,
the process of 'osseointegration,' in which the implant and bone firmly bond,
is important.

During this period, the placed implant must not wobble,
even slightly,
so you must absolutely avoid the刺激 of chewing hard or chewy foods
on the surgical area.
If small impacts are repeated,
the bone may not properly attach,
and the implant may fail.

Also, smoking and drinking,
which are the biggest enemies of recovery,
must be avoided for at least two weeks.
In particular, nicotine in cigarettes constricts blood vessels,
hinders blood circulation in the gums,
and is a major cause of inflammation.
Even if the surgery goes well,
you must still receive regular checkups while the bone is filling in inside the gums.
Careful management during this period
determines the lifelong lifespan of the implant.
Gangseo Dental Clinic Oral Information
- The optimal treatment timing for me,
precise diagnosis comes first
In the end, the key to immediate implant placement after extraction
is not “speed” but an “accurate judgment” that fits my condition.
No matter how good the treatment is,
the optimal timing will inevitably vary depending on an individual’s gum bone condition and overall health.
Therefore, rather than insisting on same-day treatment without exception,
it is important to consult with medical staff who have extensive clinical experience
and make a plan that will keep your teeth strong and healthy for as long as possible.
I hope the information I shared today was of some help
to those who are considering implants.
If you are currently worried about tooth damage,
I recommend visiting a dental clinic equipped with digital devices such as 3D CT
and first checking the exact condition of your gums.
This has been Lee Su-gyeong,
a specialist in integrated dentistry at Gangseo Dental Clinic.
Thank you.
