You have been referred for an extraction
Ask what the referral is for and whether keeping the tooth was considered. Once removal is confirmed, the implant timing and who will place it can be discussed.
Restorative Dentistry
Extraction and Immediate Implant Placement in Rockwood
Removing a tooth, placing an implant and building the new crown can involve several clinicians. If you are coming from Rockwood, we explain who may be involved, how a same-visit implant is decided and how the team keeps your plan joined up from start to finish.
Knowing who does whatFind out who would be involved in your care
Several hands, one plan
Implant treatment is rarely a one-person job. A general dentist may diagnose the problem and design the final crown, a surgeon or periodontist may remove the tooth and place the implant, and a dental laboratory makes the restoration. Understanding those roles makes the rest of the plan easier to follow.
Immediate placement is the surgical part of the story. The implant is set into the socket at the same appointment the tooth comes out. It does not include a final crown that day, and the tooth is not normally ready for full chewing straight away. Whether this timing suits you depends on the bone, the gum, the tooth’s position and the stability the implant can achieve, some of which is seen only after removal.
Our Bronte Street team can help you understand whether same-visit placement deserves consideration and when a specialist referral makes sense. The plan still begins with whether the tooth must go and which replacements are appropriate. Convenience matters, but it is weighed with those decisions rather than steering them.
Rockwood questions about the care team
Questions to ask before anyone picks up an instrument
Clear roles help prevent gaps in care. Tell the team your priorities for appearance, visits and temporary teeth, and ask how those will be passed on to everyone involved.
You need the gap covered from day one
The temporary tooth may be made by one clinician and fitted by another. Ask who is responsible for it, since an implant placed at extraction might not support a tooth right away.
You want treatment to stay streamlined
Combining procedures can sometimes reduce surgeries, but more people involved can mean more appointments. Ask how the stages will be scheduled and what could add steps.
If the socket proves unsuitable once the tooth is out, the surgeon may follow a staged approach instead. Make sure everyone on the team, and you, has agreed on that alternative in advance.
Why the team approach matters
Design the crown first; place the implant to suit it.
When the site allows, putting the implant in at extraction can combine parts of the surgery. The implant still has to be placed where the future crown needs it, which is why the clinician who designs the restoration and the one who performs the surgery should agree on the target before the day.
Each route carries risks, including infection, an implant that does not integrate, changes to the gum and bone, and an appearance that differs from expectations. Ask how your health and habits affect the recommendation, and what staged or non-implant treatment would offer. A same-visit implant should be assessed on its merits; it is not a guarantee of a better result.
Patient information: International Team for Implantology — immediate placement and restoration selection
Agree on the target tooth position
Records and planning shared between clinicians help place the implant where the crown will work best. It also gives you a chance to understand the sequence before anything permanent happens.
Ask each clinician the same question
Find out what same-visit placement would add in your case and what might favour a pause. Consistent answers from the surgical and restorative sides are reassuring.
Make sure the fallback is shared
If immediate placement is unsuitable on the day, everyone should know the alternative. Cover the temporary, site care, reassessment and any change to cost or timing.
Handover points
Each stage, and who usually leads it
Responsibilities vary between practices and cases. Ask who leads each step below in your plan, and how notes, imaging and follow-up will be shared.
Diagnosis and records
The examining clinician reviews the tooth, your health history and suitability for an implant. Imaging and other records help everyone see the site and nearby structures before timing is proposed.
A joint plan and an agreed alternative
The surgical and restorative clinicians agree on same-visit placement, later placement or non-implant options. Grafting, the temporary, risks, fees and the plan if the site differs are settled with you.
Surgery and an on-the-day assessment
After removing the tooth, the surgeon checks whether the socket meets the requirements for the planned implant. It goes in only if appropriate; otherwise, the agreed alternative applies.
Healing reviews and the restoration
Follow-up confirms how the site is healing before the restorative clinician moves on. The temporary or final tooth is fitted when healing and the plan allow.
Aftercare across the team
Follow the surgeon’s instructions for the site.
Postoperative guidance usually comes from the clinician who performed the surgery and reflects exactly what was done. Ask for it in writing and confirm who to contact if more than one office is involved.
Respect the limits on biting and cleaning
Ask how to clean around the site and what pressure to avoid. A temporary may have its own restrictions, and comfort is not proof that the area can take normal chewing.
Take medicines as the surgeon advised
Raise allergies, current medicines and any confusion about prescriptions before you leave. Do not change regular medication or add treatments without advice.
Know which reviews are where
Check which follow-ups are with the surgeon and which are with the restorative dentist. Report worsening symptoms, movement or other changes in your instructions promptly.
Referrals and roles, answered for Rockwood(905) 876-4488
Making sense of a shared plan
When several clinicians are involved, it helps to know who answers which questions. These replies cover the common ones.
Do I need a specialist for an immediate implant?
Not always. It depends on how complex the site is, your medical history and the experience of the clinicians involved. Ask whether a referral is recommended, why, and what the specialist would add to your plan.
Who designs the final crown?
Usually the restorative dentist, working with a dental laboratory. They should be involved in planning before the implant is placed so the position suits the crown.
Will I see the same person at every appointment?
Possibly not. Surgery, healing checks and the crown stages may each be led by someone different. Ask for an outline of who you will see at each step so you know what to expect, and so households planning several trips can group them sensibly.
How are my records shared between offices?
Imaging, notes and plans are typically shared with your consent. Ask how this will happen and whether you should bring copies.
Who do I call if I have a problem after surgery?
Generally the team that performed the surgery, since they know exactly what was done. Confirm this before your procedure, keep their after-hours details handy, and seek emergency care for any difficulty breathing or swallowing.
What if the clinicians disagree about timing?
Ask both to explain their reasoning. A good plan should resolve differences before surgery so you can make an informed decision.
Implant planning for Rockwood
Meet the plan before you meet the surgeon.
Book a consultation at our Bronte Street practice to discuss removal, replacement and who might be involved. We will look at the tooth and your records, set out the timing choices in plain terms and arrange any further imaging or specialist input.
Bring any referral letters, X-rays or treatment plans, and let us know if an extraction has already been booked elsewhere.
Visit Milton Dental ClinicUnit 1, 342 Bronte St. S, Milton, ON L9T 5B7Get directions
Clinic hours
- Monday–Thursday
- 11am–7pm
- Friday–Sunday
- By appointment only
Areas we serve
- Milton
- Oakville
- Mississauga
- Georgetown
- Halton Hills
- Acton
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