Q: I have had implants up north were the doctor removed the tooth and then waited three months before the implant was placed. A local doctor wants to place the implant immediately after he pulls the tooth. Is this ok?
A: Recently a tooth was found along the Intracoastal Waterway in Palm Beach that belongs to the now extinct Caribbean monk seal, not seen in six decades.
Also not seen in six decades is my second cousin Seymour Josephs. Should any of his teeth be found, he can easily be identified by fibers of pastrami, (extra lean) and the DNA of multiple chopped, chicken livers wedged between. Should his removable partial denture still be attached, this would be a bonus as this device has not been seen since he left it in my Aunt Rose’s sink at the Passover Seder of 1951 in Queens, NY.
It is possible to place an implant at the same time a tooth is pulled. This would cut your treatment time in half. However, excellent judgment by your DDS must be utilized to make the call. Many of the upper and lower front teeth have narrow sockets once the teeth are removed, allowing a relatively larger diameter implant to be placed and engage plentiful surrounding bone to anchor the implant. The OSSTELL device, a sound wave implant stability tester is key here to see if the implant is stable, or you need to wait the three to four months for healing before the implant is placed.
Dr. Mitchell Josephs practices Implant, Cosmetic and General Dentistry, is on staff at JFK Medical Center/West Palm Hospital and is a Faculty Advisory Board member at McGill University’s Faculty of Dentistry. He completed his residency at Manhattan’s Beth Israel Medical Center and Mt. Sinai Hospital.