Rationale and Costs –Immediate Same Day Extraction and Back Tooth Molar Implant vs.Waiting

Rationale and Costs –Immediate Same Day Extraction and Back Tooth Molar Implant vs.Waiting

Rationale and Costs –Immediate Same Day Extraction and Back Tooth Molar Implant vs.Waiting

Back molar teeth can have immediate implants!  This means that the same day a molar is extracted, an implant can be put in the socket.  When it is possible, this saves you money by avoiding the cost of a second procedure or bone graft.  Besides cost, it also saves you time because you don’t have to “extract, then let it heal for 2-4 months.”  You want your tooth as soon as possible!

In order to do an immediate implant for a back molar tooth a large, wide diameter implant must be used.

Super Wide Diameter Implants (6.0mm and larger)
-reduces or eliminates the need for bone grafting in back tooth extraction sites
-enables proper emergence contour of the final crown  Ramsey Amin Wide immediate dental implant

-reduces stress delivered to the implant-bone interface as well as throughout the rest of the implant

-Ideal for “rescuing” teeth implants where smaller-diameter implants have failed

Less invasive
-Shorter treatment time
-Prevents bone shrinkage.

-Following an extraction, bone width decreases 25%-40% in the first year!

-Size of tooth being replaced.  The average measurements of back teeth indicate use of a 7.0mm implant. Tooth size varies by type of tooth as well as your genetics

-Nerve position is critical

Increased initial stability (tightness when first placed)
-When the diameter of the root is less than that of the implant, the resulting primary stability is greater. This is important for the

long-term of your implant.
-tapered implant body design is suited to the mandible’s morphology and allows placement of a longer implant for greater surface area
-Reduction (or elimination) of the need for bone grafting!

Benefits for the Crown Part of the Implant
-Increased surface area by the use of a big implant
-Reduces the force applied to the implant-bone junction
This in turn, reduces the risk of bone loss and subsequent implant failure
-Reduces the stress delivered to the rest of the implant
-Increases the strength of the implant and reduces risk of fracture

A 7.0mm diameter implant is approximately 16 times stronger than a 3.5mm diameter implant

This is a procedure I have done for 14 years. I say this because it seems to be only recently that others have caught on to this great procedure!

Having a same day molar implant has to be planned very carefully and can be used for 10-30% of situations. Although reducing cost and time is important, safety comes first.

Ramsey A. Amin, D.D.S.
Diplomate of the American Board of Oral Implantology /Implant Dentistry
Fellow of the American Academy of Implant Dentistry
Burbank, California


  1. Matthew kidd

    I,had two attempts at titanium implants both failed a zirconium worked for last 5 Year’s.family hx of metal allergies. Number 14 molar fractured can you do same day implant with total zirconium either one piece or two piece zirconium and extraction. Immediate crown not critical to me. Expected cost and note I’m in needles calif five hours away. Age 66

    March 4, 2018 at 2:34 pm Reply
    1. RamseyAminDDS

      I currently do not do these nor do I believe they are better than titanium. Please reference this post on the topic.
      very respectfully… Dr. Amin

      March 7, 2018 at 10:00 pm Reply
  2. Mike Keaveny

    Dr Amin,

    I have researched professionals like yourself who can do an extraction and implant in one setting. It makes sense to have such a course of treatment.

    my tooth #17 is falling apart after many years and should be extracted. However, I am reluctant to extract without a plan of action to replace the empty space which will be created. Position #18 is empty and was bridged between #17 and #19. # 19 is in good order. I have dental coverage for the extraction and a new bridge if that becomes the recommended course of action. The cost of the implant is not covered by any insurance that I have or know of.

    I am 67 and usually in great health, my fitness and appearance always surprise doctors. Two weeks ago I had a Open Heart procedure to repair my Mitrol valve which went well. I was discharged from the hospital in 3 1/2 days.

    What is your opinion relative to me and my pursuit of a implant and new bridge with an extraction and implant setting the same day?


    July 27, 2012 at 5:20 pm Reply
    1. Hi Mike,

      If 18 is already missing, then extracting 17 and placing 18 on the same day is the way to go! Keep in mind that the space of 18 may be narrow and need a bone graft because the tooth has been missing for some time.

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry
      Burbank, CA

      August 13, 2012 at 3:38 am Reply
  3. Hi Jack,
    If you have upper teeth above it, it is far better to have 2-3 implants. This will support your bone and prevent bite collapse.
    Avoid “minimal engineering” for your dental implant restorations.
    Bone grafts can routinely be done on the same day that the implants are placed.
    Dr. Amin

    May 2, 2011 at 8:46 am Reply
  4. Jack Fronrath

    I have been missing teeth number 17,18 & 19 for over 40 years. Periodontist said that he can do an implant where tooth 19 is but that I don’t need anymore implants than that to function. He will graft it that day and put the implant in there the same day. From reading your material is this really wise to do in one day? Can I function with just one implant? There are teeth on the top above these? thank you.

    April 28, 2011 at 9:03 am Reply
    1. Ramsey Amin DDS

      Hi Jack, If you have upper teeth above it, it is far better to have 2-3 implants. This will support your bone and prevent bite collapse. Avoid “minimal engineering” for your dental implant restorations. Bone grafts can routinely be done on the same day that the implants are placed. Respectfully, Dr. Amin – See more at: https://www.burbankdentalimplants.com/rationale-and-costs-immediate-same-day-extraction-and-back-tooth-molar-implant-vswaiting/#sthash.SDglnGIy.dpuf

      January 4, 2015 at 5:54 pm Reply
  5. Hi Pat,
    Was the area bone grafted initially? Or was it just placed normally?
    Dr. Amin

    April 27, 2011 at 9:17 am Reply
  6. pat maxwell

    Hello Dr Ramsey,
    I am a very healthy 52 yr old female(if that matters) Non smoker, No Medicines (except for antibiotics during implants) exercise eat healthy… My Oral maxafacial surgeon has been unsuccessful in completing right back molar implant. twice failed. He is recommending to remove failed implant and replace immediately with larger implant (if site looks healthy enough) Is there any cautions you may have for me going forward? Would you recommend I seek another opinion and from what kind of surgeon? I am in New Jersey, 07090 zip code, if you have any recommendations/referrals I greatly appreciate your time and concern.
    thank you

    April 25, 2011 at 2:20 pm Reply
  7. Dr Lou Shuman

    Very impressive blog. Great post. Thanks for sharing such useful information.

    April 9, 2011 at 7:13 pm Reply

Write a Comment

Monica D.
Monica D.
December 29, 2020.
There aren't enough words (and I have a lot of words) to tell you how grateful I am to have found Dr. Ramsey Amin and his wonderful staff. I had an enormous amount of bone loss and I was hopeless after being treated by a different doctor for two years. I had multiple procedures such as gum graft, extractions, and a sinus lift. After all of that, the doctor released me and told me he could not help me any longer. He sent me to a large teaching hospital - who also had no idea how to help me. I was terrified and embarrassed. I had been missing teeth due to those procedures since 2017. That sent me out on a journey of meeting with no less than five different dentist/oral surgeons. Most of them shamed me for the bone loss and wondered what I had done to cause this. In reality, I had done nothing. The bone loss is my body's immune system fighting me, as well as hereditary traits. In fact not only was I having difficulty being able to have implants, I also had so much bone loss that I was also not a candidate for dentures. I researched "what to do when you have bone loss and can't get implants" and I found Dr. Amin's website. Then I researched him, read his reviews, watched every one of his You Tube videos. I called and got an appointment, and kept going to consultations with other providers. I had long since stopped smiling and being social. Missing teeth and the shaming was affecting my life so adversely. When I met with Dr. Amin for my consultation he was ready. He had all of my records and had already reviewed my scans. But more than that, he genuinely wanted to get to know about my life. He was/is authentic, kind and extremely professional with so much success and experience in difficult cases like mine. He worked up a treatment plan & I came back two weeks later to discuss my options...and the journey began. I have had three procedures under IV sedation, no pain, no narcotics needed for aftercare. Dr. Amin is a consumate, experienced oral surgeon who cares about your health & understands your fears. He communicates every step of the way and will provide you with all the information you need to make a decision to improve your health. I am still working toward my end goal, and we had to zig from traditional implants and zag to zygomatic implants instead...which is the reason I chose him in the first place. If there was nothing else that could be done to get me healthy & smiling again, I knew he would have that option to help me. And of course 2020, the year of CV-19. Don't worry, Dr. Amin & his staff follow all health & safety protocols. This review is long, because it is important you know my journey, so you might understand how fortunate I feel to be healing. I'm torn, because this place is like a great restaurant, I want to shout from the rooftops how great it is, how great he is. And at the same time, I want to keep this all to myself. I come 75 miles each way to see him. I know people travel from all over the world for his expertise. Do yourself a favor, have a consultation. You won't regret it. Dr. Amin is amazing and so is his staff.
Jennifer B.
Jennifer B.
December 18, 2020.
I cannot speak highly enough of Dr. Amin and his professional staff. I have to start off and say that I am absolutely TERRIFIED of the dentist due to several past experiences. I found myself putting this off for YEARS until I was referred over to Dr. Amin. I was petrified on my first visit... but he along with his WONDERFUL staff made me feel so calm and at ease. I had quite a bit of work that needed to be done, but we found the perfect plan that worked out for me, and I couldn't be happier. Words cannot express my gratitude to each and every staff member that made me feel safe and comfortable. Dr. Amin was always so attentive in asking if I was ever in pain... and I never was. These are truly remarkable individuals, and I'm so lucky to have a dentist that I can trust. I ABSOLUTELY LOVE each and every one of you! Thank you,
D M.
D M.
December 17, 2020.
I cannot say enough positive things about Dr. Amin and his staff. I originally found them on Yelp about two years ago. I needed an implant, front tooth of all places, and was extremely nervous not only about surgery but about how it would turn out. Let me just say I just adore the staff. Everyone is crazy friendly and the whole office has a very positive vibe. The staff is adorable and always has me smiling by the time I leave. They are all thorough and on-point about what they do, and I truly appreciate it. They are quick to respond to my emails no matter the question, and their appointment reminders are great too. Dr. Amin is very thorough and reassuring, and answered any questions my husband or I had. My regular dentist had questions about the procedure and Dr. Amin's office even reached out to them at my request (my dentist said they never received a call, but Dr. Amin's staff had date, time and notes - love the thoroughness!). After surgery the Dr. called to leave me a message about how it went. Very minimal pain during healing, never any pain during any visits. It took a few tries to get everything just right for the permanent crown (color, etc), but the end result is beyond fantastic! At one point during healing I thought I was experiencing some looseness or wiggling but unfortunately couldn't make it to the office. When I was finally able to make it in the Dr. was so relieved, bless his heart. Luckily it was just a false alarm and everything checked out ok. They're a bit further out from me, but I wanted the best. I sure found it! I wish they were my regular dentist, and I'm looking forward to seeing them again for my check-up which was delayed due to COVID.
Melissa E.
Melissa E.
December 9, 2020.
I found Dr. Amin a few years back after I hadn't been to a dentist in a decade. Many traumatic dental experiences in childhood have made me so phobic that even getting a cleaning was a knee-knocking, heart-pounding trial. But finally I couldn't put off some things any longer. During my first anesthesia session, Dr. Amin replaced five old metal fillings, and during the second he did three more plus a crown. I was completely comfortable, and never felt a thing. Because they were extra-long sessions, I did sleep for about 12 hours after, but the next day I felt just fine. This past week, my back top tooth cracked in half and fell out of my mouth, and a couple days later the crown on the remainder of the tooth fell out too! Despite being nervous about Covid 19, I had to get it taken care of, so I called and quizzed the staff about precautions, which turned out to be even above and beyond what I would have expected. So yesterday I went for the tooth extraction and plug. After they put on the blood pressure cuff and put in the IV, I gradually got a little tired and closed my eyes. I sat there for about 10 minutes and thought Gee, I wonder if they're going to get started any time soon, and a minute later Dr. Amin said "Wake up, you're all done!" That was a short session, and I didn't have the kind of fatigue I did my first time. I stayed up most of the evening. Today, everything is good! I'm taking my antibiotic and eating soft foods, and there is surprisingly little pain now that the numbness has worn off. The tooth site and my cheek are a little sore, and the corner of my mouth, and I have a very slight headache, but nothing to any great level--I'm not even taking the acetaminophen. I feel good, and wide awake. Thanks to everyone at the office for a comfortable and professional job! I really REALLY appreciate you for giving me painless dental experiences!
Tanya S.
Tanya S.
December 3, 2020.
What can I say about Dr. Amin he is the best! I'm so grateful for him. He has literally changed my life and given me the confidence to smile more. I had major restorative dental work done and everything went smoothly. Dr. Amin is very compassionate and he really cares about his patients he made me feel comfortable and cared for. He is very knowledgeable and has a great sense of humor. His office is very clean and they take the patients health and safety very serious. His staff is also amazing they made me feel very welcomed and important. I'm so happy I did my research and found Dr. Amin.  Thank you Dr. Amin and team.
Sheila S.
Sheila S.
November 6, 2020.
Two implants done! Finished all procedures and I couldn't be happier. It's the first time in years I looked forward to going to the dentist. Even during Covid life the staff and Dr. Amin took care of me. There is a possibility I may move to Long Beach but I would still travel to keep Dr. Amin as my dentist.
Allison S.
Allison S.
November 4, 2020.
I could not ask for a more caring, exceptionally knowledgeable dental care provider. He's not just a dentist, but someone who looks after your immediate dental needs and helps you plan and prepare for the future.
Julia R.
Julia R.
October 8, 2020.
I've been going to Dr. Amin since I turned 16 and have been going since. Before going to Dr. Amin's dental office, I had 4 crowns that I was not happy with and dealt with it until finally I asked Dr. Amin and because I  feel comfortable and because I trust him with his work I recently had my crowns fixed and worked on by  Dr. Amin and have never loved my smile the way I do now, I can actually enjoy my pictures, I can enjoy my smile from either angle and that really mattered to me. Thank you so much Dr. Amin still and will be in love with MY smile
Aaron D.
Aaron D.
October 6, 2020.
I've been coming to Dr. Ramsey for about five years and I have to say, he is by far the best dentist I've had - ever. The staff is professional and kind, the office is exceptionally well maintained, and Dr. Ramsey is careful and extremely knowledgeable about current developments and research in dentistry. I recently had a dental implant which was a long process but well worth it. I required a sinus lift as well as a bone graft. The surgery went off without a hitch, I was comfortable and the healing process was quick and without complication. Highly recommend!!
Flo O.
Flo O.
September 21, 2020.
This is my 1st review of Dr. Amin, and in my over 17 years of being with him, my experiences with Dr. Amin and his staff have always been positive.  I don't recall a bad experience with the several implant procedures i have had.  They run an efficient office.  I like that they are proactive and reach out to their patients to remind us of routine care needed.  Dr. Amin's bedside care is impeccable.  They are also technologically up to date in terms of sending out texts as reminders, ability to incorporate any appointment into your mobile phone.  That is certainly a plus.  Keep up the great care!!!