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In the morning, a gap.
In the evening, a tooth.

This is how ceramic implant treatment works at our practice – from the first consultation to the finished crown. And why, in many cases, we can remove the tooth, place the implant and fit a temporary restoration before you leave the practice.

Book an initial consultation What is immediate implant placement?

Typical time frame

procedure – extraction, implant and, where possible, a fixed temporary on the same day

3–6

months of healing – life goes on, check-ups can be done by your own dentist

week for the final crown – try-in and fitting

The path

Five steps. Each with a time frame, so you can plan.

DAY 1 · 30–60 MIN.

Initial consultation and diagnostics

We listen first: what bothers you, what you would like, what previous illnesses and intolerances there are. Then a 3D X-ray of the jaws (CBCT) and an intraoral scan – a digital 3D impression of your jaws. Together they form a precise planning model, which we use to explain your situation clearly. You receive an initial assessment on the same day and the written treatment and cost plan within a few days.

Low-dose 3D X-ray of the jaws (CBCT) instead of conventional X-rays
Intraoral scan as a digital planning model – no impression material
Advice on ceramic, titanium and alternatives (bridge, saving the tooth)

Photo: Consultation at the screen with a 3D X-ray

2–4 WEEKS

Preparing the body

Well-nourished bone is an important prerequisite for healing. We test vitamin D3 and relevant micronutrients, correct deficiencies and, where needed, remove metals or chronically inflamed teeth beforehand. If you are travelling from far away, you can have the blood tests done by your GP.

Vitamin D and micronutrient status
Gentle removal of amalgam or metal, if desired
Professional teeth cleaning before the procedure

Photo: Treatment room

DAY X · 1–3 HRS

Implant placement – immediately, where possible

If the bone is stable, we remove the tooth, place the ceramic implant directly into the fresh socket and – where possible – fit a fixed long-term temporary from our laboratory. You then go home with a tooth. Where needed, we support healing with PRGF from your own blood.

Gentle implantation technique exactly where the bone is optimal – planned from the 3D X-ray and intraoral scan, without extensive opening of the gums
Fixed temporary on the same day, where possible – not for chewing, but for smiling
If there is not enough bone: augmentation, implant placement after 3–4 months

Zweiteiliges Keramikimplantat aus Zirkonoxid

3–6 MONTHS

Healing and check-ups

The zirconia bonds with the bone and the gums settle around it. During this time we see you briefly two or three times – if you travel from afar, check-ups can be coordinated with your local dentist. Significant discomfort is the exception; many patients return to their everyday routine the next day.

Check-ups after 1 week, 4 weeks and before the final restoration
Reachable via WhatsApp if you have questions

Photo: Gum healing around ceramic

2 APPOINTMENTS

The final crown

After healing, we scan the implant and make the all-ceramic crown or bridge in our in-house master dental laboratory – colour, shape and surface matched to your neighbouring teeth. It is fitted at the second appointment. After that: follow-up care every six months.

All-ceramic, metal-free right up to the chewing surface
Try-in and fitting usually within one week
Follow-up care and professional cleaning at regular intervals

Photo: Dental technician in the master laboratory

Our principle

Planning starts at the end: from the crown to the bone.

All five steps follow an order that begins in the mind before the first appointment takes place: first we decide what the finished tooth should look like. Everything else follows from that.

The implant sits where the crown needs it.

From the 3D X-ray and intraoral scan we first design the tooth: shape, position, gum line. Only then do we decide where the implant has to sit for it – in the best bone, but always in the axis of the future crown. This is how implant and crown become a tooth, not a compromise.

One pair of hands, one laboratory, one person responsible.

With us, the team that places your implant also plans and fits the crown – at both locations, with the master laboratory in the same building. Surgery and prosthetics have been in one pair of hands for more than 30 years. For you, that means one contact from planning to the check-up in ten years’ time.

Immediate implant placement

Why we don’t wait when we don’t have to.

With the conventional approach, the gap first heals for three to six months, then the implant is placed, and then there is more waiting. During this time, bone is lost. Immediate implant placement uses the moment when the bone is still fully present – and spares you one operation and months without a tooth.

Conventional

Session 1Tooth extraction

3–6 mo.Gap heals – bone recedes

Session 2Implant placement (often with bone augmentation)

3–6 mo.Healing – gap or removable temporary

Session 3Crown

Total: 6–12 months, 2 operations

Immediate implant placement at our practice

Session 1Tooth extraction + ceramic implant + fixed temporary, where possible

3–6 mo.Healing – with a tooth in place

Session 2All-ceramic crown

Total: 3–6 months, 1 operation

The prerequisite is sufficiently stable bone and inflammation-free tissue – we check this on the 3D X-ray of the jaws (CBCT). Immediate implant placement is possible in more than 90 % of our cases. Where it is not, we tell you in advance and plan the safe route.

On the day of the procedure

What to expect – and what not to.

Duration

A single implant with a temporary takes about 60 to 90 minutes. Allow two hours.

Anaesthesia

Local anaesthesia is almost always sufficient. We deliberately treat without general anaesthesia – for safety reasons.

Afterwards

Slight swelling is possible; significant pain is rare. If needed, a painkiller as agreed with us, soft food, no load on the temporary.

Work and travel

Many patients are able to work again the next day. If you travel from further away: one overnight stay, a check-up the next morning, then the journey home.

Even in difficult situations

Little bone, many missing teeth, old titanium implants – we have seen this before.

Bone augmentation

Using your own bone and biocompatible materials, supported by PRGF if needed – metal-free here, too.

Full jaw

Fixed bridges on four to six ceramic implants – planning and laboratory in-house.

Titanium implant removal

Bone-preserving removal with special instruments, using ultrasound where needed – immediate replacement with ceramic where possible.

Anxious patients

We take our time, explain every step and work at your pace. What else might help you, we discuss in person in the initial consultation.

Questions about the procedure

What you want to know beforehand.

Does immediate implant placement hurt more than a normal tooth extraction?

As a rule, no – the procedure takes place under the same anaesthesia, and because the tissue is preserved, many patients find it less stressful than an extraction followed by a separate implant procedure later.

Can I eat with the temporary?

The temporary is there for speaking and smiling, not for chewing. You should not put any load on it during the first weeks – we point this out explicitly because it protects the healing process.

How many appointments do I need if I travel from Hamburg or Denmark?

Usually three: initial consultation with diagnostics, implant placement with an overnight stay and a check-up the following day, and the final restoration with two appointments within one week. Interim check-ups can be carried out by your local dentist.

Do I need antibiotics?

Not routinely. We rely on preparing the immune system and on clean technique, supplemented by PRGF where needed. For certain pre-existing conditions or procedures, we decide on an individual basis.

What happens if the implant does not integrate?

This is rare, but even with careful planning it can never be ruled out completely – healing is a biological process. If an implant does not heal in, we place a new one once the area has healed. We do not charge you for the replacement implant, and we also accommodate you on the costs of the repeat procedure. We set out the arrangement in advance in your treatment and cost plan.

In the morning, a gap.In the evening, a tooth.