Tooth Extraction and Implant Timeline (What to Expect)

Dr. Matthew Hannan | My Dental Advocate
Author: Matt Hannan, DDS
Updated: August 7, 2023
Tooth Extraction and Implant Timeline (What to Expect) | My Dental Advocate

Whether bidding goodbye to a damaged tooth or welcoming a durable titanium implant, understanding the journey ahead can make all the difference.

This article will demystify the process, tailored to your unique situation, and offer insights to help you confidently navigate extraction to implantation. Remember, while the journey may span weeks to months, each step brings you closer to a healthier, more radiant smile.

Read on to learn how you can benefit from this transformative dental journey and ensure a smoother, more predictable transition toward a renewed you.

 Recommended Reading: Dental Implants | The Ultimate Guide

Consultation and Treatment Plan

Start your dental transformation journey with an initial consultation, where your dentist evaluates your oral health and crafts a custom treatment plan. This vital step allows your dentist to assess if you’re an ideal candidate for tooth extraction and implants while considering your overall health and medications to ensure a successful procedure.

The consultation is also your roadmap to the treatment, outlining necessary preparatory steps like bone grafts or extractions and providing a timeline. In addition, it’s a chance to raise any queries and understand what lies ahead.

Post-consultation, you’ll schedule your procedure(s), which may span one or several appointments, depending on the case complexity. Adherence to the treatment plan, including follow-up visits for progress monitoring, is crucial for the implant’s successful integration into your jawbone.

In essence, consultation and adherence to the treatment plan pave the way for a successful tooth extraction and implant process, promising the best outcome for your oral health.

Pre-Extraction Preparations

Prepare for your tooth extraction journey with these six essential steps:

1. Rest Up: Ensure you’re well-rested before the procedure to enhance your comfort and recovery. In addition, consider taking time off from work or school for a stress-free recovery.

2. Quit Smoking: Ditch the cigarettes pre-extraction to accelerate healing and minimize complications. Post-procedure, continue to abstain for a few days for optimal results.

3. Maintain Oral Hygiene: Keep your mouth clean, especially around the tooth-to-be-extracted, to prevent infection and expedite healing.

4. Antibiotics: If you’re at a higher risk of infection due to certain medical conditions, your dentist might prescribe antibiotics as a preventive measure.

5. Anesthesia: Your dentist will discuss your ideal anesthesia type, considering the extraction’s complexity. Whether it’s local, sedation, or general anesthesia, you’ll be guided through the risks and benefits to make an informed choice.

6. Pre-Procedure X-Ray: An X-ray of the tooth in question helps your dentist strategize the extraction and foresee any potential complications.

Adhering to these steps sets the stage for a smoother, more comfortable tooth extraction experience.

Recommended Reading: 7 Symptoms of Perforated Sinus After Dental Implant

Extraction Procedure

Navigating a tooth extraction might seem daunting, but knowing the process can quiet your nerves. Here’s a brief overview of the two primary types of extractions:

Simple Extraction: Applicable for visible, non-impacted teeth, this procedure starts with local anesthesia to numb the area. The dentist then uses an elevator to loosen the tooth and forceps to extract it. Post-procedure, gauze will help control bleeding and form a clot.

Surgical Extraction: Applicable for impacted or broken teeth, this more complex procedure requires general anesthesia or deep sedation. An incision is made in your gum, followed by a drill to remove any obstructing bone, before extracting the tooth with an elevator and forceps. Post-extraction, gauze and potentially stitches aid in controlling bleeding and healing.

Expect some bleeding, swelling, and pain post-extraction, manageable with gauze and prescribed pain relievers. It’s crucial to avoid rinsing or using a straw for the first 24 hours to prevent dislodging the clot and causing a dry socket. Seek immediate dental attention if you notice severe pain, pus, or infection signs like fever or chills. With diligent aftercare, recovery typically spans a few days to a week.


Post-extraction, the correct aftercare is pivotal for promoting healing and safeguarding the extraction site.

Here are some critical steps to foster a swift recovery:

1. Recovery Timeline: Simple extractions heal within 7 to 10 days. Steer clear of smoking to prevent healing delays and complications. Report excessive bleeding, severe pain, or fever to your dentist immediately.

2. Hygiene: Keep the extraction site clean by rinsing gently with an antimicrobial mouthwash twice or thrice daily. Refrain from brushing over the extraction site until given the green light by your dentist. Then, continue regular brushing and flossing for the rest of your mouth.

3. Diet: Opt for soft foods like soup, yogurt, or mashed potatoes in the initial days post-extraction. Avoid hard, crunchy, or spicy foods that could irritate the healing site.

4. Cold Compresses: Minimize swelling and discomfort with a cold compress applied to the affected area for 10-20 minutes at intervals.

5. Saline Rinses: Once the clot is stable, typically a week post-extraction, warm salt water rinses can promote healing and alleviate inflammation.

6. Avoid Spitting and Straws: For the first few days, avoid spitting or using straws that could dislodge the clot and hinder healing. Instead, allow saliva and blood to naturally exit your mouth, and gently dab the area with a tissue.

These tips can enhance your aftercare and expedite recovery post-tooth extraction.

Recommended Reading: The Dairy Dilemma: Can Consuming Dairy Products Impact Dental Implant Success?

Tooth Extraction and Implant Timeline (What to Expect) | My Dental Advocate
Source Color Atlas of Dental Implant Surgery Block

Bone Grafting and Implant Placement

Post-extraction, bone grafting and implant placement are vital phases in your journey toward a healthy smile. Here’s a simplified overview:

1. Bone Grafting: To ensure sufficient bone density for the implant, your dentist may recommend bone grafting. This involves using natural or synthetic bone material grafted onto your jawbone. The healing process for grafting can take several weeks to a year, requiring you to follow a special diet and activity restrictions for optimal healing.

2. Implant Placement: Once the graft heals, the implant, a titanium post, is inserted into your jawbone, serving as the base for your new tooth. This procedure typically lasts about two hours, and you may receive local anesthesia or sedation for comfort.

3. Osseointegration: After placement, osseointegration starts—the fusion of the implant with your jawbone to form a sturdy base for your new tooth. Depending on the implant location, this can take up to seven months for the upper jaw and five months for the lower jaw.

4. Healing Abutment: During osseointegration, a healing collar (healing abutment) is screwed onto the implant to protect the implant and facilitate proper healing, with specific care instructions provided by your dentist.

By ensuring adequate bone density for the implant and allowing proper healing and osseointegration, you’re setting the stage for a robust, stable, and functional new tooth that can last for years.

 Recommended Reading: 12 Best Dental Implant Brands 2023 (Dentist’s Perspective)

Tooth Extraction and Implant Timeline (What to Expect) | My Dental Advocate
Source Color Atlas of Dental Implant Surgery Block

Abutment Placement and Crown Attachment

After implant surgery, the abutment placement and crown attachment are the following steps. Here’s an easy-to-understand breakdown:

1. Abutment Placement: The abutment, a small connector usually made from titanium or zirconia, is custom-fitted to your implant. Placement may involve local anesthesia, where your oral surgeon attaches the abutment to the exposed implant.

2. Crown Attachment: A prosthetic crown, often porcelain or ceramic, is attached to the abutment. This visible part of the dental implant mirrors a natural tooth in look and function. It’s a straightforward procedure that doesn’t require anesthesia. Your dentist ensures the crown’s fit and color before securing it with a small screw or dental cement.

Critical considerations for abutment placement and crown attachment include:

  • Custom fabrication of the abutment and crown to match your natural teeth may require some time.
  • You may need a temporary crown while your permanent one is being made.
  • With the proper care and maintenance, your abutment and crown are designed to last for many years.

Recovery Process and Timeline

After your tooth extraction or dental implant surgery, proper aftercare is crucial to promote healing and prevent complications. Here is what you can expect during the recovery process and timeline:

Tooth Extraction Recovery

  • Day 1-2: You may experience bleeding, swelling, and discomfort. Bite on gauze for 30-45 minutes to help the blood clot form.
  • Day 3-4: Swelling and pain should start to subside. Rinse your mouth gently with salt water to keep the extraction site clean.
  • Day 5-7: You can start brushing your teeth gently, but avoid the extraction site. Avoid smoking, drinking through a straw, and eating hard or crunchy foods.
  • Day 7-10: The extraction site should start to heal, and you can resume your normal activities. However, avoid strenuous exercise for a few more days.

Most simple extractions should heal within 7 to 10 days, but full recovery may take several weeks. Your dentist will advise you on when to resume brushing and flossing normally.

Dental Implant Recovery

  • Day 1-2: You may experience bleeding, swelling, and discomfort. Bite on gauze for 30-45 minutes to help the blood clot form.
  • Day 3-4: Swelling and pain should start to subside. Rinse your mouth gently with salt water to keep the implant site clean.
  • Day 5-7: You can start brushing your teeth gently, but avoid the implant site. Avoid smoking, drinking through a straw, and eating hard or crunchy foods.
  • Week 1-2: The implant site should start to heal, and you can resume your normal activities. However, avoid strenuous exercise for a few more days.
  • Week 6-12: Bone growth and healing should occur around the implant, anchoring it in place. Your dentist will monitor the progress and advise you when attaching the visible tooth is safe.

The healing process for dental implants can take several months, but the result is a permanent, natural-looking tooth that can last a lifetime.

Bone Healing and Growth

Bone healing and growth are crucial to tooth extraction and dental implant procedures.

Here’s a simplified rundown:

Tooth Extraction: Post-extraction, a blood clot forms in the socket, laying the groundwork for new bone growth over several weeks. Your dentist might suggest a bone graft to encourage healing and prevent bone loss.

Dental Implant: The titanium implant post is biocompatible, allowing it to fuse with the surrounding bone in a process known as osseointegration—taking several months. A bone graft may be recommended to ensure sufficient bone support for the implant.

Complications and Risks

While tooth extraction and implant surgery are standard procedures, they carry certain risks and complications. It’s crucial to comprehend these before proceeding with surgery.

Here are the key risks and how to manage them:

1. Infection: This is a common risk after surgery, occurring when bacteria infiltrate the surgical site. Following your dentist’s post-operative care guidelines can help prevent this. Contact your dentist immediately if you see signs of infection like fever, swelling, or pus.

2. Bone Loss: Bone loss can occur, especially after tooth loss due to gum disease. The bone serves as a support system for the teeth, and its deterioration can lead to implant failure. Therefore, your dentist might suggest a bone graft.

3. Implant Failure: Although rare, implant failure can occur due to infection, bone loss, or implant rejection. Opt for a skilled periodontist or oral surgeon to mitigate this risk.

4. Bleeding and Swelling: These are common post-operative symptoms. Bleeding can be managed by biting on gauze and applying pressure to the site, while ice packs can reduce swelling.

5. Fever and Pain: These are typical post-surgery symptoms. Your dentist may prescribe antibiotics and pain relievers to manage them. Always follow your dentist’s medication instructions.

6. Anesthesia: Used to numb the surgical site and prevent pain. Inform your dentist about any allergies or medical conditions that could affect anesthesia.

7. Smoking: This habit can elevate the risk of complications, delaying healing and increasing infection chances. Quitting smoking before and after surgery is crucial.

While these procedures carry certain risks, choosing a proficient periodontist or oral surgeon and following their post-operative care instructions minimizes these risks.

Alternatives to Implants

If dental implants aren’t a suitable solution for you, or if you’re reluctant to pursue them, there are several viable alternatives.

These options, which you can discuss with your dentist, include:

1. Dental Bridges: Frequently chosen as an implant alternative, dental bridges can replace one or more missing teeth. They’re anchored in place by attaching them to the adjacent teeth. Typically crafted from porcelain or other ceramics, bridges can serve you for many years with appropriate care.

2. Dentures: These removable devices are designed to replace missing teeth, whether a few or an entire set. Dentures can be made from various materials, such as acrylic, porcelain, or metal. While generally less expensive than implants, they might not provide the same comfort or natural appearance.

3. Orthodontic Solutions: If you’re dealing with crowded teeth or other orthodontic issues, braces or clear aligners might be preferable to implants. Orthodontic treatment can strengthen your teeth and enhance your bite, improving your oral health.

4. Restorative Procedures: In cases of tooth damage or decay, a filling, crown, or root canal might be more suitable than an implant. These treatments can help restore your tooth’s structure and prevent further deterioration.

Dental implants are not the only option for tooth replacement. Depending on your unique needs and circumstances, a variety of alternatives exist. Consulting with your dentist is the best way to determine the most suitable solution for you.

My Experience & Expertise

As an experienced dentist, I can attest to the significance of a well-devised timeline for these treatments. My experience has led me to the following insights:

1. Thorough Planning: The success of a tooth extraction and implant procedure hinges largely on proper planning. This requires a comprehensive examination of your dental health, encompassing X-rays and other diagnostic tests.

2. Realistic Expectations: It’s essential to foster realistic expectations regarding your tooth extraction and implant procedure timeline. Despite the variability in case complexity, the overall process can span from several months to a year or even more.

3. Case-dependent Timeline: The timeline for your tooth extraction and implant procedure will be influenced by a range of factors, including the complexity of your case, the type of implant being used, and your overall dental health.

4. Healing before Implantation: While simultaneous tooth extraction and implant placement may be feasible in some instances, it’s typically advisable to let the extraction site heal completely before implant placement.

5. Post-Implant Care: After implant placement, it will take several months for complete integration with your jawbone. During this period, adhering to a meticulous oral hygiene regimen is paramount to ensure procedural success.

6. Completing the Restoration: Once the implant has fully integrated, your dentist will attach an abutment and crown to the implant, completing the tooth restoration.

A meticulously planned timeline for your tooth extraction and implant procedure is critical in ensuring the success of the treatment and minimizing complications. In addition, by collaborating closely with your dental professional and maintaining stringent oral hygiene, you can enjoy a healthy, functional, and aesthetically pleasing smile for years ahead.

Knowledge is power when cultivating healthy dental habits. The more informed you are, the better positioned you’ll be to prevent avoidable and potentially costly dental procedures for you and your family. Watch for future blog posts, where we’ll continue sharing important information, product reviews and practical advice!