Tooth Extraction → Dental Implant Timeline in South OC: Bone Graft, Healing Stages & What to Expect

San Juan Capistrano, CA

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TL;DR: For many adults, the path is: extraction + (often) socket preservation bone graft → 8–12 weeks of healing → implant placement → 8–16 weeks of osseointegration → abutment & crown in 2–4 weeks. Your exact timing depends on bone quality, gum health, infection, and the specific tooth. We’ll map a personalized plan at your consult in San Juan Capistrano, Dana Point, Aliso Viejo, Mission Viejo, or San Clemente.

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Two common paths (and why we recommend one over the other)

1) Immediate implant (same day as extraction)
Best when the site is clean (no active infection), there’s enough bone for initial stability, and bite forces can be controlled. It shortens the timeline.

2) Staged approach (most common for molars)
Extraction + socket preservation graft, then implant later—great for thin bone or infected sites, and it helps maintain ridge shape for a better long-term result.

Related care:

• Tooth removal & first steps → Tooth Extractions

• Replacement option overview → Dental Implants

Authoritative background: ADA’s patient resource on Dental Implants and Tooth Extractions; NIDCR’s Dental Implants; AAID’s Implants 101.

The typical timeline (phase by phase)

Phase 1 — Extraction & Socket Preservation (Day 0)

We gently remove the tooth and, if helpful, place a bone graft (socket preservation) to maintain bone volume for a future implant—especially important in molar areas. You’ll go home with written after-care.

If you’re deciding between options, see Crowns & Bridges (bridge vs implant trade-offs).

Phase 2 — Graft Healing & Re-Evaluation (≈ 8–12 weeks)

Your body rebuilds bone where the tooth was. Healing can run longer for larger molar sockets or if we also needed a membrane or minor ridge augmentation. We reassess the site with an exam/X-ray (or 3D scan when indicated).

Phase 3 — Implant Placement (Immediate or ≈ 3–6 months post-extraction)

Placing the implant is usually a short, in-office visit with local anesthetic. When initial stability is excellent—and bite forces can be controlled—we may place a healing abutment or a temporary (more common in front teeth).

Phase 4 — Osseointegration (≈ 8–16 weeks)

Bone bonds to the implant. During this period, avoid heavy chewing on that side. If the tooth is in the smile zone, we’ll plan a cosmetic temporary so you’re never without a tooth-looking solution.

Phase 5 — Abutment & Final Crown (≈ 2–4 weeks)

We take a digital scan or impression, the lab crafts your custom abutment and crown, and we fine-tune the bite for comfort and longevity.

Situations that can extend timelines: significant infection, low bone density, sinus proximity (upper molars), smoking, uncontrolled diabetes, or the need for sinus lift/ridge augmentation. We’ll explain if any of these apply to you.

Will I be without a tooth during healing?

Usually no—we can use a temporary partial, an Essix (clear retainer-style), or a provisional in visible areas. Your specific option depends on the tooth position and bite.

Cost & planning: upfront vs long-term value

An implant’s steps (possible graft → implant → crown) may be a higher upfront investment, but it’s a single-tooth solution that doesn’t rely on neighboring teeth and helps maintain bone. Bridges can be faster initially; we’ll compare total cost of ownership and maintenance with you.

Keep your investment healthy: consistent Preventive Care cleanings/exams and, if needed, Periodontal Care support the tissues around your implant.

South OC next steps

• Ready to plan your timeline? Schedule an appointment

• If the tooth is failing now, start here → Tooth Extractions

• Considering options? Dental Implants

We serve San Juan Capistrano, Dana Point, Aliso Viejo, Mission Viejo, and San Clemente.

FAQs: Extraction → Implant Timeline

• Do I always need a bone graft before an implant?

  Not always. We recommend grafting when it helps preserve or rebuild bone for long-term stability—especially for molars or thin ridges.

• How long from extraction to final implant crown?

  Many cases finish in 4–8 months spread across the phases above. Immediate implants or excellent bone can shorten this; complex grafting or sinus lifts can extend it.

• Can infection delay my implant?

  Yes. We usually resolve infection first; a graft may be placed at extraction, and the implant follows after healthy healing.

• What if I grind my teeth?

  We may adjust the design and recommend a night guard to protect your restoration and natural teeth.