When a tooth cannot be saved, the right time for an implant matters. At our practice in Freienstein, we offer both immediate implants — placed directly after extraction — and delayed implants following complete bone healing. In both cases, we exclusively use zirconia ceramic implants: 100% metal-free, highly biocompatible, and proven to integrate reliably with surrounding bone and soft tissue. Every treatment plan is based on 3D diagnostics (CBCT/DVT), allowing us to assess bone volume, density, and anatomical structures with precision before any surgical step is taken.
Immediate implantation means the ceramic implant is inserted into the fresh extraction socket in the same surgical procedure as the tooth removal. This approach offers several meaningful advantages:
Immediate implantation is suitable when sufficient bone volume is present, the extraction site is free of active infection, and the implant can achieve primary stability. Our team assesses these criteria carefully during your consultation and with the aid of 3D imaging.
To support healing and reduce the risk of complications, we routinely use PRF (platelet-rich fibrin) — a concentration of your own growth factors that accelerates tissue regeneration and promotes stable osseointegration of the implant.
Delayed implantation is the recommended approach when the extraction site requires time to heal completely before an implant is placed. This is typically indicated when the bone has suffered significant loss, when an infection or cyst was present, or when the patient’s systemic health calls for a more conservative staged approach.
In delayed implantation, we allow the bone to regenerate fully — usually over a period of several weeks to months — before placing the zirconia implant. Where bone volume is insufficient, guided bone regeneration (GBR) using biocompatible grafting materials may be performed in advance. This staged approach maximises the long-term stability of the implant and reduces the risk of peri-implant complications.
Our practice follows the principles of metal-free dentistry throughout every phase of treatment. Whether you receive an immediate or delayed implant, all components used — including the implant, abutment, and final restoration — are entirely free of metal alloys.
Once your ceramic implant has integrated successfully, the final restoration is fabricated to match your natural teeth in colour, shape, and function. In most cases this is a ceramic crown or, where multiple adjacent teeth are missing, ceramic crowns or bridges supported by two or more implants. Every restoration is custom-milled from high-strength zirconia or lithium disilicate for optimal aesthetics and durability.
This depends on your individual situation: the condition of the bone at the extraction site, the presence or absence of infection, the volume of available bone, and your overall health. In a detailed consultation supported by 3D diagnostics, we assess all relevant factors and recommend the approach that gives your implant the best foundation for long-term success.
Yes. High-strength zirconia implants have been extensively studied and show osseointegration rates comparable to titanium. They are particularly beneficial for patients with metal sensitivities, those following a biological or holistic dental philosophy, and anyone who prefers a fully metal-free oral environment.
With immediate implantation, the implant is placed on the same day as extraction. The osseointegration period for zirconia implants is typically 8–12 weeks before the final crown is fitted, making the overall timeline considerably shorter than with a delayed protocol. Delayed implantation adds a healing phase of several weeks before implant placement, with osseointegration following thereafter.
Both immediate and delayed implant procedures are performed under local anaesthesia. Most patients report minimal discomfort during the procedure itself. Post-operative sensitivity is normal for a few days and is managed with appropriate care instructions. Patients with dental anxiety can discuss sedation options with us during the consultation.