Immediate implant placement
Also known as: Immediate implant, Type 1 placement, Same-day implant placement
Placing an implant into a tooth socket at the same appointment as the extraction — Type 1 placement in the ITI classification of post-extraction timing.
Key facts
| Classification | Type 1 is placement of an implant into a tooth socket concurrently with the extraction; Type 2 is placement after substantial soft tissue healing but before clinically significant bone fill; Type 3 is placement following significant clinical or radiographic bone fill of the socket; Type 4 is placement into a fully healed siteVerified spec[1] |
|---|---|
| Clinical evidence | The ITI consensus states that survival rates of post-extraction implants are high and comparable to those of implants placed in healed sites, and that around 80% of immediate implant sites show satisfactory outcomes on aesthetic indicesVerified spec[1] |
| Limitations | Immediate placement is associated with a risk of mucosal recession, with risk indicators including a thin tissue biotype, thin facial bone and bone dehiscenceVerified spec[1] |
| Typical use | The consensus records that bone augmentation procedures are more successful with immediate and early implant placement than with late placementVerified spec[1] |
| How it differs | Immediate placement is about when the implant goes in; immediate loading is about when a tooth goes on it. The two are frequently combined and just as frequently confused, and either can be done without the other. |
| Main stages | Extraction performed as atraumatically as possible; assessment of the socket walls; implant placement into the available bone beyond the socket apex or wall; commonly grafting of the gap between implant and socket wall; then either a temporary restoration or a healing period. |
Overview
Immediate placement means the implant goes into the socket at the same visit as the extraction, saving months and one surgical episode. The ITI classification is worth knowing because it gives the alternatives names: Type 1 is immediate, Types 2 and 3 are early placement after soft tissue or bone has partly healed, and Type 4 is placement into a fully healed ridge. Survival for post-extraction implants is reported as comparable to placement in healed bone, so the debate is less about whether the implant integrates than about how the gum behaves afterwards: recession of the gum margin is the recognised risk, and it is more likely where the tissue is thin, the outer bone plate is thin, or the socket wall is damaged. Whether a particular socket is suitable is a judgement made at the time of extraction, sometimes only after the tooth is out. Immediate placement should also not be confused with immediate loading — having the implant placed on the day does not necessarily mean leaving with a tooth on it.
This is general information. Whether any treatment suits you depends on clinical examination, including imaging — no website can determine that.
Sources
Numbers match the citations beside each claim above.
Clinical evidence
- [1]Implants in Postextraction Sites — ITI Consensus Statement — International Team for Implantology (ITI). Accessed 2026-07-21.