ORAL AND MAXILLOFACIAL SURGEON in Deer Park, NY
Losing a tooth, whether from decay, trauma, or infection, is one of those moments that can stop you cold, because beyond the discomfort, the question of what comes next looms large. How long will you have a gap? Will you need to wait months before your smile is whole again? For many patients, the answer used to be a frustrating yes, but advances in oral surgery have changed that reality entirely.
Dr. Mohamed El-Ounsi offers immediate implant placement as a precision-driven solution that allows qualified patients to receive a dental implant at the same appointment as their tooth extraction. As a Board Certified Oral and Maxillofacial Surgeon and Diplomate of ABOMS who trained as Chief Resident at NYU Langone and Bellevue, Dr. El-Ounsi brings a level of surgical skill and individualized planning to every case that makes same-day implant placement not just possible, but highly successful.
- Efficient Treatment
- Preservation of Bone Density
- Enhanced Aesthetics
- Improved Functionality
- Boosted Confidence
What Are Immediate Implants?
Traditionally, dental implant treatment has involved multiple phases: extraction, a waiting period of several months for the socket to heal, and then a separate surgery to place the implant. Immediate implants compress that timeline significantly by placing the titanium post directly into the fresh extraction socket in a single visit.
The concept is not new, but the technology and technique required to do it well have advanced considerably. Precise digital imaging, careful socket evaluation, and rigorous case selection are what separate a predictable outcome from a risky one. A 2022 systematic review published in the National Institutes of Health’s PubMed Central found success rates of 96.7–100% for single immediate implants across multiple randomized controlled trials, underscoring just how reliable this procedure has become in the hands of a trained oral and maxillofacial surgeon.
Not every patient or every socket is a candidate, which is exactly why thorough evaluation matters. Bone volume, the presence of infection, soft tissue condition, and the patient’s overall health all factor into whether immediate placement is the right path. Our team reviews each case individually before recommending a protocol.
ORAL AND MAXILLOFACIAL SURGEON in Deer Park, NY
How Immediate Placement Differs from the Traditional Timeline
In a conventional implant sequence, extraction comes first, followed by a healing period that typically spans three to six months. Only then is the implant placed, and after osseointegration, the process by which the implant fuses with the jawbone, a crown is attached. From start to finish, the entire process can take the better part of a year.
The Immediate Placement Advantage
With immediate implants, the extraction and implant placement happen in the same surgical visit. In select cases, a temporary restoration can also be placed the same day, so patients leave with something in place rather than a visible gap. This approach offers several meaningful advantages for the right candidate:
- Fewer surgical appointments: Combining two procedures into one reduces your overall treatment time and recovery burden.
- Bone preservation: Placing an implant immediately after extraction helps maintain the bone and tissue that would otherwise begin to resorb once a tooth is lost.
- Faster restoration: Patients reach their final crown stage sooner, meaning less time navigating daily life with a missing tooth.
- Psychological benefit: Leaving the office with a tooth in place, even a temporary one, can make a significant difference in how patients experience the process.
It is important to understand that immediate placement does not mean the healing or osseointegration phase is skipped. The implant still needs time to integrate with the bone before a final crown is placed. What changes is when the implant goes in, not whether the body is given the time it needs to accept it.
Who Is a Good Candidate for Immediate Implants?
Candidacy for immediate placement hinges on several clinical factors that Dr. El-Ounsi assesses through a thorough examination and advanced imaging. Ideal candidates tend to have adequate bone density and volume at the extraction site, healthy surrounding gum tissue, no active infection at the time of extraction, and good overall health without conditions that significantly impair healing. Patients who smoke or have certain systemic conditions may still be candidates, but those factors are weighed carefully on a case-by-case basis.
For patients whose bone has already been compromised, bone grafting may be recommended either alongside extraction or as a preparatory step before implant placement. Dr. El-Ounsi’s individualized approach means that even patients who don’t immediately qualify for same-day placement receive a clear path forward tailored to their anatomy and goals.
ORAL AND MAXILLOFACIAL SURGEON in Deer Park, NY
Comfort and Sedation During the Procedure
One of the most common concerns patients bring to their consultation is whether the procedure will be painful. Immediate implant placement is performed under local anesthesia, and for patients who prefer a deeper level of comfort, our practice offers IV sedation and general anesthesia to ensure you remain completely at ease throughout the surgery. Dr. El-Ounsi is fully certified in BLS, ACLS, and PALS, and his training in IV sedation at Bellevue Hospital means sedation is administered with the same precision applied to every other aspect of your care.
Most patients report that the procedure itself is far more comfortable than they anticipated, and post-operative discomfort is typically well-managed with prescribed medications and straightforward aftercare instructions.
Choose Precision OMF Surgery for Your Immediate Implant Procedure
Dr. El-Ounsi’s residency training at one of the country’s top oral and maxillofacial surgery programs, combined with his board certification and fellowship credentials, gives patients confidence that their case is in highly capable hands. We take the time to review your imaging, explain your options honestly, and develop a treatment plan that reflects your specific anatomy and timeline, not a one-size-fits-all protocol. Financing options through CareCredit, Cherry, Alphaeon, Proceed, and HFD are available to ensure cost is never a barrier to pursuing the care you need. You can also explore what’s possible with dental implants more broadly as you consider your options.
If you are facing an extraction and want to know whether immediate implant placement is right for you, we encourage you to reach out and schedule a consultation. Our team is ready to walk you through everything and answer every question with the transparency and individualized attention that defines every patient experience at our practice. Contact us today to take the first step.