Losing a tooth can feel disorienting, whether it happens suddenly from an accident or gradually from decay that reaches a point of no return. For years, patients were told the only path forward was a long one: extract the tooth, wait months for the bone to heal, then return for the implant. Today, for the right candidates, that waiting period can be eliminated entirely. Immediate dental implants allow for extraction and implant placement in a single appointment, so you leave our office with a restored smile rather than a gap where your tooth used to be.
At Precision Cosmetic & Family Dentistry in New Smyrna Beach, we offer immediate dental implants as part of our broader oral surgery services. Dr. James Kortbus brings a genuine passion for implant cases and the surgical precision to back it up. Combining advanced CBCT imaging, digital intraoral scanning, and in-house technology, our team evaluates each case thoroughly to determine whether same-day implant placement is the right approach for your specific situation.
Request an AppointmentWhat Are Immediate Dental Implants?
Immediate dental implants, sometimes called same-day implants, involve placing a titanium implant post directly into the extraction socket at the same time as the tooth removal. Rather than two separate procedures with a healing period in between, extraction and placement happen in one visit.
How the Procedure Works
When the conditions are right, the process is more straightforward than many patients expect. The damaged or failing tooth is carefully extracted, the socket is cleaned and evaluated, and the implant is secured in the existing bone. In many cases, a temporary crown can be placed on the same day, giving you a functional and natural-looking tooth while the implant integrates with the surrounding bone over the coming months. The permanent crown is typically placed once osseointegration is complete, locking in a result built to last.
How Immediate Implants Differ From Traditional Implants
Traditional implants require a waiting period of several months between extraction and placement, allowing the socket to heal before the implant is introduced. Immediate implants skip that waiting period entirely when anatomy allows. This reduces the overall treatment timeline, the number of appointments required, and the disruption to your daily life. According to a 2025 narrative review published in the National Library of Medicine, immediate implant placement has demonstrated survival rates ranging from 93.8% to 100%, making it a well-supported option when candidacy is properly assessed.
Am I a Candidate for Immediate Dental Implants?
Not every patient qualifies for same-day implant placement, and part of what makes this procedure work is ensuring it is only recommended when the clinical picture supports it. Before any treatment begins, we conduct a comprehensive evaluation using our 3D CBCT scanner to assess bone density, bone volume, and the condition of the surrounding tissue.
Factors That May Make You a Good Candidate
Several factors tend to support candidacy for immediate implant placement. These include having adequate bone density at the extraction site, healthy gum tissue without active infection, a tooth that is being removed due to trauma or non-infectious decay, and strong overall oral health. Patients who are good candidates for immediate implants benefit from a streamlined process that preserves the natural contour of the gum and prevents the bone loss that can begin shortly after extraction.
Our restorative dentistry approach at Precision is built around precision and care, not one-size-fits-all solutions. If immediate placement is not the right path for your situation, we will walk you through alternatives and make sure you understand exactly why and what comes next.
When a Staged Approach Is Recommended
In some cases, immediate implant placement is not the safest or most predictable choice. Active infection at the extraction site, insufficient bone volume, and certain anatomical considerations can make delayed placement the smarter long-term decision. When that is the case, we may recommend bone grafting prior to implant placement to build up the necessary support before moving forward. The goal is always a result that holds up over a lifetime, not just in the short term.
Why Advanced Technology Matters
Successful immediate implant placement is not just about surgical skill; it depends heavily on the quality of pre-surgical planning. Our office uses CBCT scanning to create a three-dimensional image of your jaw before any procedure begins. This allows us to map the exact dimensions of the bone, identify the position of surrounding structures, and determine the ideal angle and depth for implant placement.
Our digital dentistry capabilities, including intraoral scanning, allow us to gather detailed impressions digitally, improving comfort and accuracy from the very first appointment. When every measurement is precise before we begin, the outcome is far more predictable.
What to Expect During Recovery
Recovery from an immediate dental implant procedure is generally manageable, and most patients return to their normal routines within a few days. Some swelling, mild tenderness, and sensitivity around the site are expected in the first 48 to 72 hours. Following post-operative instructions carefully is key. You will be asked to avoid hard or crunchy foods on the treated side during the healing period, maintain gentle oral hygiene around the implant site, and attend follow-up appointments so we can monitor integration and progression toward your permanent crown.
The implant itself fuses with the jawbone through a process called osseointegration, which takes several months to complete. During that time, the temporary restoration keeps your smile intact while the foundation beneath it strengthens.
Choose Precision Cosmetic & Family Dentistry for Immediate Dental Implants in New Smyrna Beach
When it comes to a procedure like an immediate dental implant, the experience, technology, and judgment behind it matter as much as the technique itself. Dr. Kortbus has a long-standing passion for implant surgery and complex restorative cases, and our team at Precision Cosmetic & Family Dentistry is built around delivering care that is both clinically excellent and genuinely personal. We are proud to serve patients across New Smyrna Beach and the surrounding Volusia County area, and we take the time to make sure every patient fully understands their options before any treatment begins. Flexible financing is available through CareCredit and Cherry, and we work with a broad range of insurance plans to help make your care accessible.
If you are facing a tooth extraction and wondering whether immediate implant placement might be right for you, we would love to walk you through your options. Contact our office to schedule a consultation with Dr. Kortbus, and let us help you move forward with a plan that puts your long-term smile first.