Removal of a damaged tooth and immediate implantation

Patient Alexey
Date 20.05.2023

Initial situation


Patient Alexey came to us with a totally destroyed molar tooth on the lower jaw on the right (tooth 4.6) and asked about restoring it.

On clinical examination, we see that the tooth is very deeply destroyed with root caries.

Before: CBCT

The CBCT scan shows that caries has affected the tooth up to its furcation (the place where the crown of the tooth divides on its roots), making it impossible to restore it. The tooth had to be removed.

Fortunately, the bone tissue was not damaged; its volume was sufficient to install an implant immediately at the time of tooth extraction.

Treatment process


Under local anesthesia, tooth 4.6 was extracted, the implant was placed in the correct position, control X-Ray was taken, and a healing abutment was immediately fixed.


  • Antibiotic prophylaxis

  • Painkillers in the presence of postoperative discomfort

  • Oral rinses with an antiseptic solution 4 times a day for 7 days

  • Apply cold pecks for 15 minutes for several hours

  • Avoid all physical activities, exposure to heating and hot food and drink for several days

  • Do not chew rough food on the right side during the implant healing period

Further treatment

After 2 weeks

After 2 weeks, the patient came for an examination, where we saw that the implant site was healing uneventfully, and we took a break for 2 months to allow the implant to integrate.

After 2 months

After 2 months, the patient came for the next step. We see complete implant site healing, and prosthodontist Eduard Ziganshin proceeded with zirconium crown fabrication. Silicone impressions were taken and sent to the laboratory.


After 5 days, the crown was ready, and the patient was invited to try the crown in.


During the crown trying in, we highly appreciated the aesthetics, gum contour and occlusion, which were completely satisfactory for both the prosthodontist and the patient, so we decided to fix the crown immediately.

After zirconium crown fixation, there were no special recommendations.

Result of treatment


In the before-after photographs you can see how in 3 months we managed to replace unrestorable tooth with an implant with a crown, and the patient can chew on the right side again.

Duration and cost of treatment

Date of tooth extraction and implant placement – 05.20.2023.

The date of crown fixation – 09.09.2023.

Duration of the surgery – 45 minutes.

Total cost of implant and crown – 7900 AED.

Doctors who treated

Dr. Aleksandr Siniakov
specialist Oral Surgery, implantologist, periodontist;
languages: English, Russian
Dr. Eduard Ziganshin
general dentist, prosthodontist;
languages: English, Russian
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