Immediate Implant Case: Fractured Front Tooth Replaced in One Visit

Summary: A front tooth that had previous root canal treatment fractured and could not be saved. In a single visit, the tooth was removed, a Neobiotech implant was placed with computer-guided planning, bone and gum grafting were done at the front, and the patient’s own ceramic crown was adapted into a fixed temporary tooth. The patient did not have to leave with a gap in their smile, and the final crown was fitted about four months later.

The patient’s situation

• A front tooth with previous root canal treatment had fractured
• The tooth could not be restored, so extraction was necessary
• The neighbouring teeth had ceramic veneers that needed to be protected
• Goals: a natural appearance and a healthy, stable gum line

Why an immediate implant?

With an immediate implant, the implant is placed on the same day the tooth is removed. For a front tooth, this approach can help:

• limit bone loss after extraction
• support the existing gum shape
• reduce the number of surgical procedures
• avoid a visible gap, because a fixed temporary tooth is fitted the same day

Not every case is suitable. It depends on the bone around the tooth, infection and gum thickness, which are checked with an examination and a CBCT scan.

Treatment steps

1. Careful extraction: the fractured tooth was removed gently to protect the veneers on the neighbouring teeth and keep the original gum shape.
2. Immediate implant placement (Neobiotech): the implant position was planned on computer to place it accurately.
3. Bone and gum grafting at the front: the patient’s own soft tissue was used to thicken the gum, which helps reduce the risk of gum recession.
4. Original crown used as the temporary tooth: the patient’s existing ceramic crown was adjusted to fit the abutment on the implant, so the colour and translucency matched the neighbouring teeth from day one.
5. Bite adjustment: the temporary tooth was kept out of heavy contact to protect the implant while it bonds with the bone.
6. Final crown after about 4 months: once the implant had integrated and the gum had matured, the permanent crown was fitted.

Highlights of this case

• A fixed temporary tooth on the day of surgery
• Reusing the original crown kept the shade and translucency of the patient’s own smile
• Bone and gum grafting to support a stable gum line over time
• Fewer visits, with extraction, implant and temporary tooth done together

Visiting from abroad?

This patient lives in Thailand. Immediate implants can also suit international patients because the extraction, implant and temporary tooth are done in one visit. The final crown is made after the implant has healed, about four months in this case, which typically means a second trip. Send your X-rays or photos before you travel for a preliminary assessment.

Questions about this treatment

Can I get a front tooth implant on the same day as the extraction?

In suitable cases, yes. When the bone around the tooth is healthy and there is no active infection, the implant and a temporary tooth can often be placed on the same day. A CBCT scan shows whether this is possible for you.

Will I have a gap while the implant heals?

In this case, no. A fixed temporary tooth was fitted the same day. Your dentist will advise on eating softer food and avoiding biting directly on the temporary tooth while the implant heals.

How much does a single tooth implant cost?

The cost depends on the implant system, grafting and the final crown. See the dental implant cost page for current prices.

Photos shared with the patient’s permission. Treatment results vary from person to person.