Most people assume getting a dental implant means two separate procedures months apart: one to remove the tooth, one to place the implant. For many patients, that is no longer the case. An immediate dental implant is placed directly into the extraction socket the same day a tooth is removed, eliminating the waiting period between procedures and protecting the bone that would otherwise begin to shrink the moment a tooth is gone. It is one of several dental implant options we offer at Middlesex Periodontics & Dental Implants, PC, in East Brunswick, NJ.
Call 732-257-7300 to find out if you are a candidate.
An immediate dental implant combines tooth extraction and implant placement into a single procedure, rather than staging them months apart. When a tooth is removed, the jawbone immediately begins to resorb at that site. Placing the implant into the fresh socket before that process begins preserves the bone structure and often eliminates the need for separate bone grafting down the road.
In qualifying cases, a temporary crown can also be placed the same day, so patients leave the appointment with a natural-looking tooth in place rather than a gap. The implant still requires the same osseointegration period as a traditional implant before the final crown is placed, but the overall treatment timeline is significantly shorter because two procedures are completed in one visit.
Not every patient is a candidate, and the evaluation Dr. Reich performs before recommending this approach is what makes it safe and predictable.
Immediate implants work best when the extraction site has sufficient healthy bone to anchor the implant securely, the surrounding gum tissue is in good condition, and there is no active infection present. Patients with a single failing or damaged tooth are often good candidates, as are those who have already been told they need an extraction and want to minimize the number of procedures involved. For patients who do not need an extraction, a single-tooth dental implant placed through the traditional staged approach may be the better fit.
Not every situation allows for immediate placement. Significant bone loss may require bone grafting or sinus elevation first, and active gum disease or certain systemic health conditions may also need to be addressed before an implant is placed. Dr. Reich takes 3D cone beam imaging at your consultation and gives you a clear, honest assessment of whether this approach is right for your specific situation.
Every immediate implant case at our practice follows a precise sequence that Dr. Reich reviews with you in full before anything begins.
Dr. Reich takes 3D imaging of the extraction site to assess bone volume, density, and the anatomy of the surrounding structures. This imaging is used to plan the exact position and angle of the implant before the procedure begins, so placement is guided and accurate rather than freehand. Written estimates are provided before any procedure begins.
The failing tooth is carefully removed while preserving as much of the surrounding bone and gum tissue as possible. The goal is to leave the socket in the best condition for immediate implant placement.
The titanium implant post is placed directly into the extraction socket in the same appointment. The implant must achieve sufficient primary stability in the bone for the immediate approach to proceed. If stability cannot be confirmed at the time of extraction, Dr. Reich will discuss your options, which may include a short healing period before placement.
For patients who qualify, a temporary crown is placed on the implant the same day. This temporary is designed for aesthetics during healing and is not intended for heavy chewing forces while osseointegration takes place.
Over the next 3 to 6 months, the implant fuses with the jawbone. Once osseointegration is complete, your general dentist places the permanent custom crown. Dr. Reich coordinates with your referring dentist throughout to ensure continuity of care. Patients who need a full-arch or All-on-4 solution follow a different process with a custom temporary delivered the morning after surgery.
Dr. Reich gives every surgical patient his cell phone number. Patients are often surprised by how different it feels here. Friendly staff, clean space, and a doctor who genuinely cares.
When you need us, we’re here.
The right approach depends entirely on the condition of your bone and gum tissue at the extraction site. Patients who are also considering whether an implant-supported bridge might be a better fit for their situation can discuss that at the same consultation.
Here is how immediate and traditional implant placement compare:
| Immediate Implant | Traditional Implant | |
|---|---|---|
| Timing | Extraction and implant placed same day | Separate appointments weeks or months apart |
| Number of procedures | One surgical visit | Two surgical visits |
| Bone grafting | Often avoidable when bone is intact | May be required after extraction site heals |
| Total treatment time | Shorter overall timeline | Longer due to staged approach |
| Best for | Sufficient bone, healthy gum tissue, no active infection | Compromised bone, infection present, or complex anatomy |
Neither approach is universally better. Dr. Reich recommends the one that gives your implant the best chance of long-term success based on your clinical situation.
An immediate implant is one of the more technique-sensitive procedures in implant dentistry. The implant is being placed into a fresh surgical site with irregular socket geometry, and the margin for error in positioning is narrow. A provider without advanced periodontal training may not be equipped to manage the bone and soft tissue variables that determine whether the implant integrates successfully.
Dr. Reich has been placing dental implants for over 25 years and is a Diplomate of the American Board of Periodontology, a distinction held by fewer than 3% of periodontists nationwide. He uses 3D guided surgery for every immediate implant case, meaning the position, angle, and depth of the implant are planned digitally before the procedure and executed with a surgical guide rather than by estimation.
The cost of an immediate dental implant depends on your specific treatment plan and what is involved at the extraction site. Because extraction and implant placement happen in the same procedure, you are combining two surgical steps into one visit, which can reduce your overall dental implant costs compared to staging them separately.
Implant placement starts at $2,500. If a small amount of bone grafting material is needed to fill gaps around the implant socket, that may add approximately $800 per area. A CT scan and surgical guide are also part of the planning process for immediate implant cases. The final crown is placed by your general dentist and billed separately.
Dr. Reich walks through complete pricing at your consultation and provides written estimates before any procedure begins. We participate with Delta Dental Premier and Cigna PPO and work with many other dental PPO plans. We also offer Cherry Financing with plans up to 60 months, and we accept HSA accounts, FSA accounts, and major credit cards.
Dr. Daniel Reich earned his D.M.D. from the University of Pennsylvania School of Dental Medicine and completed his Specialty Certificate in Periodontics at SUNY Stony Brook. He is a Diplomate of the American Board of Periodontology, Director and Associate Professor of Periodontics at Touro College of Dental Medicine, a member of the American Academy of Periodontology, and was named a New Jersey Monthly Top Dentist for 2025. If you need a tooth removed and want to understand whether an immediate implant is an option for you, our team will give you a clear, honest answer without pressure.
Contact us to schedule your consultation today.
In some cases, a small amount of bone grafting material can be placed around the implant at the same appointment to fill gaps between the implant and the socket walls. This is different from a full bone grafting procedure and does not necessarily prevent an immediate implant from being placed. Dr. Reich will assess this at your consultation.
For qualifying patients, a temporary crown is placed the same day so you leave with something in place. Not every case allows for a same-day temporary, particularly if the implant site needs more time to stabilize, but Dr. Reich will tell you what to expect before your procedure begins.
You will receive detailed written post-operative instructions at your appointment. During the healing period, you will follow a soft diet and avoid putting heavy chewing pressure on the temporary crown. Dr. Reich gives every surgical patient his personal contact information so if a question or concern comes up during recovery, you can reach him directly.
When the right patient is selected and the procedure is performed correctly, immediate implants have comparable long-term success rates to traditional implants. Failure risk increases when immediate implants are placed in sites with active infection, insufficient bone, or untreated gum disease. Because Dr. Reich performs a comprehensive evaluation before every case and will not proceed if the conditions are not right, those risk factors are addressed before any implant is placed.
The only way to know is a clinical evaluation with 3D imaging of the site. Dr. Reich can assess your bone volume, the condition of the socket, and your overall periodontal health at your consultation and give you a direct answer. No referral is needed.
If it turns out you are not a candidate for an immediate implant, Dr. Reich will walk you through your alternatives, which may include a staged traditional approach or implant-supported overdentures depending on your situation.
Dr. Daniel Reich is a board-certified periodontist with over 30 years of specialized experience in periodontal care and dental implantology. As a Diplomate of the American Board of Periodontology, he brings advanced expertise to every procedure at Middlesex Periodontics & Dental Implants. Dr. Reich earned his Doctor of Dental Medicine (D.M.D.) from the University of Pennsylvania School of Dental Medicine and completed his Specialty Certificate in Periodontics at SUNY Stony Brook. He currently serves as Director and Associate Professor of Periodontics at Yeshiva University College of Dental Medicine, where he trains future dental specialists while staying at the forefront of the latest periodontal techniques and technology.
We make quality periodontal care affordable with flexible payment options.
We participate with Delta Dental Premier and Cigna PPO and work with many dental PPO plans. We files claims on your behalf and provides benefit estimates before treatment.
We offer financing through Cherry Financing and other trusted partners, allowing you to break down treatment costs into manageable monthly payments that fit your budget.
Questions? Call us at 732-257-7300 to discuss your insurance coverage and financing options.
Looking for an experienced periodontist in East Brunswick, NJ? Dr. Daniel Reich and our team at Middlesex Periodontics & Dental Implants provide expert periodontal care and dental implant services to patients throughout Middlesex County, including Monroe Township, Old Bridge, Sayreville, and surrounding communities.
We serve patients from East Brunswick, Monroe Township, Old Bridge, Sayreville, South River, Spotswood, and throughout Central New Jersey. Our office schedules most appointments within 10 days, and we offer same-day emergency appointments when available. No referral needed—you can schedule directly with our board-certified periodontist.
We’re dedicated to providing expert periodontal care and dental implant services in a comfortable, welcoming environment. Our advanced technology, experienced team, and patient-centered approach make achieving optimal oral health easier than ever. From gum disease treatment to dental implants, we’re here to help you achieve your healthiest smile.
Contact us today to schedule your appointment.
The content on this website has been reviewed by Dr. Daniel Reich for educational purposes only and is not a substitute for professional dental advice, diagnosis, or treatment. Treatment outcomes vary based on individual needs. Contact our East Brunswick office for personalized care or dental emergencies.
