Which is better: implantation first or extract first?

Last Updated February 18, 2016
Reviewed By:  OsseoNews Team

I have treatment planned this patient for extraction #15 and 18 and crown on #20 and implant in #19 site followed by a crown. In terms of treatment sequence, should I extract #15 and 18 first, and then place #19? Or should I first place #19 implant and then later extract #18? I have heard that this may conserve bone around the implant. On the other hand, I am concerned that the extraction of #18 may damage the bone around #19 site because this patient has very dense bone and the extraction may be difficult. I am also concerned that if I place the implant first, I may damage the implant when I extract #18. What do you recommend?

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