Victoria tooth extraction and implant, timing decided early
If a tooth is coming out and an implant is even a possibility, plan the tooth extraction and implant together rather than months apart. What is done on that day decides how much bone is there later.
At extraction: post today, graft today, or nothing
Where the socket is clean and the walls intact, a post can go straight into it, which saves months and avoids a second surgical visit. That is covered on Same Day Implants and it is not available for every tooth.
Where it is not, filling the socket with graft material at the same appointment keeps most of the ridge shape that would otherwise be lost. That is Socket Preservation, a small addition to an appointment you are already having.
And doing neither at the extraction is a legitimate choice, if you are certain no implant will ever be wanted there. What it costs you is the option, because rebuilding a collapsed ridge later means Ridge Augmentation.
Extraction day
How it is decided
Deciding at the extraction appointment, in four steps
Is there infection?
Active infection usually rules out placing a post the same day, because a fresh implant needs a clean site to integrate.
Are the socket walls intact?
A post needs bone around it. A blown out cheek side wall means grafting first rather than placing into a gap.
Can the tooth come out gently?
Sectioning a root often preserves more bone than forcing it. How the tooth is removed matters as much as what follows.
Do you want an implant at all?
If yes or maybe, preserving the socket is cheap insurance. If genuinely never, it is money you do not need to spend.
Why timing matters
After extraction the bone goes in the first year
Most shrinkage after a tooth extraction happens within six to twelve months, and the cheek side wall loses the most. A gap left for a decade is a fundamentally different case from one left for a season, which is why the same tooth in two different patients can produce two very different quotes. The mechanism is on Jawbone Bone Loss.
That is also why we ask when each tooth was lost at the Implant Consultation. It is not small talk; it is the single most useful piece of history for predicting what the scan will show, and it feeds directly into Dental Implant Cost.
First yearMost loss
Cheek sideWorst affected
BeforehandDecide
Read next
What follows an extraction in Victoria
Immediate placement, socket grafting, or rebuilding later.
Victoria extraction and implant questions, answered
Same day placement, waiting periods and preserving the socket.
Sometimes. It needs a clean socket with intact walls and enough bone beyond the root tip to hold the post firmly. Infection, a fractured wall or soft bone all point toward waiting. The scan and the state of the tooth decide, not preference.
Typically three to four months for the socket to heal before placing, longer if it was grafted. Waiting is not lost time; it is what produces a site that will hold a post properly rather than one that looked ready.
If an implant is likely but not immediate, almost always, because it costs far less than rebuilding the ridge later. If you are certain you will never want an implant at that site, it is not worth doing and we will say so.
No. Once the socket has closed, the opportunity has gone and any rebuilding becomes a separate augmentation procedure. That is the single most important thing to understand: the decision belongs to the extraction appointment.
Tell them you are considering an implant and ask them to preserve the socket. Most will, and it is a routine addition. It is far better to raise it with whoever is doing the extraction than to arrive here months later wishing it had been done.
Victoria patients
What Victoria patients say about timing
★★★★★4.9· 118 reviews on Google
★★★★★
Had the graft the same day the tooth came out. Meant far less work when I came back for the implant.
M. Diallo
Grafted at extraction, Victoria
★★★★★
Tooth out and post in at one appointment. Saved months and I never had a visible gap.
O. Kowalczyk
Immediate post, Langford
★★★★★
Asked about the timing the week before the extraction. That one question changed the whole plan.
T. Brennan
Waited two years, Colwood
★★★★
My socket was too thin for same day placement. Respected being told no rather than sold yes.
M. Rossi
Told to wait, Saanich
From the blog
Victoria implant guides: extraction timing, grafting and cost
If an extraction is coming and an implant is even a possibility, a short conversation beforehand can save a separate surgery and several months. It is the one decision in this whole process that has a deadline.
