Immediate Implant Placement
Immediate Implant Placement is a specialized dental service provided by the board-certified specialists at Aloha Dental Specialty Center in Beaverton, OR. Skip the waiting period — place an implant directly into a fresh extraction socket on the same day.
It’s completely natural to have questions or concerns. That’s exactly what your consultation is for — no pressure, just honest answers from our specialists.
Tooth Out, Implant In — Why Waiting Is Not Always Necessary
Immediate implant placement means the implant goes into the jawbone at the same appointment the failing tooth is extracted. Instead of extracting the tooth, waiting three to six months for the socket to heal, and then performing a second surgery for the implant, both steps are combined into one. The extraction socket itself becomes the implant site. This approach saves months of treatment time and eliminates a second surgical procedure.
Not every extraction qualifies for immediate placement. Dr. Ostovar evaluates the extraction socket in real time — checking for intact buccal bone walls, absence of active infection, and sufficient apical bone beyond the socket to achieve primary stability. If the socket meets these criteria, the implant is placed into the apical bone while the gap between the implant and the socket walls is filled with bone graft material and often covered with a PRF membrane derived from your own blood.
The clinical advantage is more than just convenience. Immediate placement preserves the buccal bone plate and soft-tissue architecture that would otherwise collapse during the months-long healing period after extraction. This is especially important in the smile zone, where even slight bone and gum recession can create an aesthetic deficiency. When done correctly, immediate placement produces the most natural-looking result because the tissue contours are maintained from the start rather than rebuilt after they have already shrunk.
Serving Beaverton, Aloha, Hillsboro & Washington County
Aloha Dental Specialty Center is located at 18455 SW Alexander St, Suite A, in Beaverton, Or 97003egon. We serve patients from across the Tualatin Valley and greater Portland metro, including Aloha, Hillsboro, Tigard, Lake Oswego, and Tualatin. Our Beaverton office is a 5-minute drive from Aloha, 10 minutes from Hillsboro, and 15 minutes from Tigard via SW 185th Avenue.
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Intel Campuses (Ronler Acres & Jones Farm)
10 to 15 minutes via NW 185th Ave. We accommodate the schedules of tech professionals who need efficient, high-quality specialty care.
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Nike World Headquarters
About 8 minutes via SW Baseline Rd. We frequently see patients from the Nike campus for surgical and implant procedures with sedation options.
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Streets of Tanasbourne & Orenco Station
Easily accessible via US-26 and NW 185th. Local general dentists in these communities regularly refer patients to us for specialty procedures.
Why Local Dentists Refer to Us
We work as a trusted partner to general dentists throughout the Tualatin Valley. When cases require CBCT-guided planning, IV sedation, bone grafting, or other advanced procedures, local providers refer to Dr. Ostovar for his fellowship-trained expertise and predictable results.
We handle the complex surgical phases and coordinate closely with your general dentist for seamless continuity of care from start to finish.
Understanding Your Investment
At Aloha Dental Specialty Center, we provide transparent pricing before any treatment begins. The cost of your procedure depends on clinical complexity, materials used, and sedation requirements. We walk you through every line item during your consultation so there are no surprises.
What Affects Cost:
- Clinical Complexity: Bone loss, sinus proximity, nerve involvement, or the need for grafting affects treatment planning and surgical time.
- Materials: We use research-backed implant systems, purified bone graft matrices, and high-strength ceramics from established manufacturers.
- Sedation: Options range from local anesthesia to IV sedation, each with different associated costs. We discuss the best option for your comfort and procedure.
Insurance & Financing
We accept most major dental insurance plans and file claims on your behalf. Our team verifies your benefits before treatment and submits pre-treatment estimates with clinical documentation to maximize coverage.
For out-of-pocket costs, we partner with CareCredit and Cherry for flexible payment plans. We also offer our ADSC Dental Savings Plan for patients without insurance.
Recovery & Healing Timeline
Understanding the healing process helps you plan ahead and follow post-operative instructions for the best possible outcome.
First 48 Hours
Mild swelling and tenderness are normal. Apply ice packs in 20-minute intervals and take prescribed or over-the-counter anti-inflammatory medication. Eat soft foods and avoid the surgical site when chewing.
Days 3 to 7
Swelling peaks around day three and then improves. The tissue begins closing over the surgical site. Continue with soft foods and use any prescribed antimicrobial rinse. Most patients return to normal activities during this phase.
Long-Term Healing
Surface tissue heals within two to three weeks. Bone integration and deep healing continue for three to six months. Avoid smoking, follow up as scheduled, and maintain good oral hygiene throughout recovery.
Questions during recovery? Call us at (503) 822-0096. We are available for post-operative concerns.
Socket Biology: Why Bone Resorbs After Extraction and How Immediate Placement Intervenes
After tooth extraction, the bundle bone — the thin layer of alveolar bone that lined the tooth socket — loses its blood supply from the periodontal ligament and begins to resorb within days. Without intervention, the buccal plate (the outer wall, which is typically only 0.5 to 1.0 mm thick) can lose 50 percent of its width within three months. Immediate implant placement provides a scaffold that reduces but does not eliminate this resorption. Bone grafting the gap between implant and socket wall (the "jumping distance") with particulate allograft or xenograft further stabilizes the site and promotes new bone formation. The combination of immediate placement plus grafting preserves significantly more ridge volume than extraction alone.
Why Choose a Specialist?
Immediate placement is a technique-sensitive procedure where the margin for error is smaller than conventional delayed placement. The surgeon must assess socket integrity in real time, decide within moments whether to proceed or stage the case, achieve primary stability in a site that was just traumatized, and manage the bone graft and soft-tissue closure simultaneously. Dr. Ostovar's 15-plus years of implant experience include hundreds of immediate placements, giving him the pattern recognition to make rapid intraoperative decisions confidently. This is not a procedure to learn on your jaw.
Your Immediate Implant Placement Treatment Steps
- Consultation & Exam: Comprehensive immediate implant placement evaluation with CBCT 3D imaging at our Beaverton office.
- Treatment Plan: Board-certified specialist discusses your immediate implant placement options, timeline, and costs. Our procedures maintain a 95%+ success rate, backed by advanced 3D imaging and evidence-based protocols.
- Treatment: Procedure performed with comfort options including sedation if needed.
- Follow-Up: Post-treatment monitoring and care coordination for optimal healing.
Schedule Your Appointment Today
Book a consultation with our board-certified specialists at Aloha Dental Specialty Center in Beaverton, OR. Call (503) 822-0096 Office hours: Monday through Friday 7 AM to 7 PM, Saturday and Sunday 8 AM to 2 PM. or request an appointment online.
Related Services at Aloha Dental Specialty Center:
Dental Implants · Oral Surgery · Root Canal · Invisalign · Periodontics · Pediatric · TMJ Treatment · Sedation · Cosmetic · Emergency · Sleep Apnea
From Dr. Ostovar: What I Tell My Implant Patients
“In my experience placing thousands of dental implants, I’ve found that the patients who do best are the ones who understand what they’re getting into. It’s not a painful procedure — most people tell me it was easier than the extraction. But it is a process. You’re looking at 3-6 months from implant placement to final crown, sometimes longer if we need to build bone first.
I won’t sugarcoat it: not every patient is a candidate right away. If you’ve had teeth missing for years, you’ve likely lost bone. That doesn’t mean you can’t get implants — it means we may need a bone graft or sinus lift first. I’d rather take the time to build a solid foundation than rush and risk failure.
The materials matter too. We use Nobel Biocare and Straumann titanium implants — these are the systems with the best long-term research behind them. For the crown, I typically recommend zirconia or e.max porcelain depending on the location in your mouth. Front teeth get a different material consideration than molars.
If you’re comparing costs, a single implant at our Beaverton office runs $3,500-$5,500 including the crown. That’s competitive for the Portland metro area, and we offer CareCredit 0% financing. Most PPO dental insurance plans now cover a portion of implant costs — our team will verify your benefits before we start.”
— Dr. Merat Ostovar, DDS | Board-Certified Implant Specialist
Typical Healing Timeline:
Days 1-3: Initial healing, mild swelling managed with ice and medication. Days 4-7: Swelling subsides, gradual return to normal diet. Weeks 2-4: Soft tissue heals completely. Months 2-6: Bone remodeling and full integration (for surgical procedures). Individual recovery varies — we provide detailed post-op instructions specific to your procedure.
For additional clinical information, visit the American Dental Association (ADA).
Last reviewed by our dental specialists: March 2026. Clinical information on this page reflects current evidence-based dental practices.
Related Dental Services
Frequently Asked Questions
What makes someone a good candidate for immediate implant placement?
Good candidates have a tooth that can be extracted atraumatically (without fracturing the buccal bone), intact socket walls visible on CBCT, no active infection at the apex, and enough bone apical to the socket for the implant to achieve primary stability of at least 25-35 Ncm. Dr. Ostovar evaluates all of these factors at your consultation.
Is immediate placement as successful as delayed placement?
Yes. Multiple systematic reviews show comparable implant survival rates between immediate and delayed placement — both above 96 percent. Immediate placement in infected sites has slightly lower success rates, which is why Dr. Ostovar is selective about when to use this technique versus staging the case.
Does the tooth extraction need to be done by Dr. Ostovar for immediate placement?
Yes. The extraction technique directly affects whether immediate placement is possible. Atraumatic extraction — using periotomes, physics forceps, and sectioning rather than brute force — is essential to preserve the buccal bone plate. Dr. Ostovar performs the extraction and placement in the same session for this reason.
What happens to the gap between the implant and the socket walls?
The gap (called the "jumping distance") is filled with particulate bone graft material — typically bovine xenograft or freeze-dried allograft. A PRF membrane is often placed over the graft to accelerate healing. Over several months, this graft integrates and becomes living bone that supports the implant.
Can I get a temporary tooth at the same appointment?
In many cases, yes. If the implant achieves sufficient primary stability, Dr. Ostovar can place a temporary crown at the time of surgery. This is called immediate provisionalization and is particularly common for front teeth where aesthetics are a priority. You leave the office with a tooth in place.
What if the socket is infected — can the implant still go in immediately?
It depends on the extent of infection. Small periapical lesions can often be debrided (cleaned out) during extraction, and the implant placed successfully. Large active infections with pus, swelling, or fistulas are better treated with extraction, antibiotics, and grafting first, followed by implant placement after the site has healed.
Does immediate placement hurt more than regular implant placement?
No. Since the tooth is being extracted anyway, the implant placement adds only a few minutes to the procedure and no additional discomfort. In fact, some patients report less post-operative pain with immediate placement because the socket was already opened during extraction — there is no need for a separate incision.
How long does healing take after immediate placement?
Osseointegration takes the same three to four months as delayed placement. Soft-tissue healing around the extraction and implant site typically takes one to two weeks. The overall treatment timeline is shorter because you skip the three-to-six-month socket healing phase that would precede delayed placement.
Is bone grafting always needed with immediate placement?
Almost always, yes. Even when the socket walls are intact, there is a gap between the implant and the bone that benefits from grafting. The exception is rare cases where the implant diameter matches the socket dimensions so closely that no significant gap exists. Dr. Ostovar evaluates this on a case-by-case basis.
What teeth are best suited for immediate implant placement?
Single-rooted teeth (incisors, canines, premolars) are the most straightforward for immediate placement because the socket shape accommodates a single implant well. Molar sites with multiple divergent roots are more complex but can still qualify if the inter-radicular bone is adequate. Front teeth benefit most due to the aesthetic advantage.
What is the risk of the buccal plate collapsing even with immediate placement?
Some buccal bone remodeling occurs regardless of technique. Studies show that immediate placement reduces but does not eliminate buccal plate resorption. Adding bone graft to the facial gap and using a PRF membrane further mitigates this risk. Dr. Ostovar accounts for expected remodeling when positioning the implant.
Can I get immediate placement if my tooth broke at the gum line?
Yes, as long as the root can be extracted without damaging the surrounding bone. Teeth that fracture at the gum line often require sectioning (cutting the root into pieces) for removal, but this is a routine technique. The key factor is the condition of the bone walls after the root is out.
How does Dr. Ostovar decide between immediate and delayed placement?
The decision is based on CBCT findings (bone volume and socket morphology), the reason for extraction (fracture versus infection versus decay), the condition of the socket walls after extraction, and achievable primary stability. If any of these factors are unfavorable, he stages the case to prioritize long-term success over short-term convenience.
What is PRF and how is it used in immediate placement?
PRF (platelet-rich fibrin) is a concentrate made from your own blood, drawn before surgery and spun in a centrifuge. The resulting fibrin membrane is rich in platelets and growth factors. In immediate placement cases, PRF is layered over the bone graft to accelerate soft-tissue closure and enhance early bone healing. It is autologous, meaning there is zero risk of allergic reaction.
Does insurance cover immediate implant placement?
Insurance coverage for implants varies by plan. The extraction is typically covered by dental insurance. The implant placement and bone grafting may be partially covered by dental or medical insurance depending on your specific benefits. We verify your coverage before treatment and help maximize your benefits.
Losing a Tooth? Ask About Same-Day Implant Placement
Call our Beaverton office or request an appointment online. We look forward to helping you.
Clinically Reviewed by Dr. Merat Ostovar, DMD
Doctor of Dental Medicine | Implant & Specialty Dentistry | 15+ Years Experience
Aloha Dental Specialty Center — Serving Aloha, Beaverton, Hillsboro & Greater Portland
Last updated: March 19, 2026