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Procedures and Surgeries How many dental visits are needed for a Dental Implant? In general, dental implant placement is a two-step procedure: The gum tissues are surgically reflected for implant placement into jawbone. The tissues will then be stitched closed. Sometimes, the implant can be placed immediately after tooth removal, so that it is in the same socket area previously occupied by the natural tooth. When implant osseointegration is completed, meaning the implant is completely fused with the bone, the implant is re-exposed by creating a small opening in the gum. Impressions are then taken and sent to the dental laboratory for crown or bridge fabrication and missing teeth can be replaced without damaging any adjacent tooth. Immediate Vs. Delayed Dental Implant Placement Immediate: Dental Implant is placed immediately after the tooth was extracted. The implant is secured in the bone as part of natural healing process after tooth extraction. The advantage is that it decreases the amount of waiting time for final implant crown restoration. Delayed: Dental Implant is surgically placed in bone and there will be three to six months waiting period before insertion of the final implant crown restoration. Implant-associated Surgery If teeth have been missing too long or teeth have infections, you may need additional procedures prior to implant placement. Examples are Sinus Lift, Guided Bone Regeneration (Bone Grafts in the implant sites).