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When a tooth is so damaged that cannot be restored and it must be extracted, a solution to replace the missing tooth is the immediate implant placement. Once the tooth is extracted, the bone is drilled progressively with different bur sizes according to the width of the implant that needs to be placed. When the implant is already placed, a healing abutment will be screwed on it and maintained during the integration period of the implant to the bone. After this time, the healing abutment is removed and impressions are taken to make the prosthesis that will be placed on the implant. In some cases it is also possible to place the prosthesis on the implant simultaneously to the implant placement, this is called an immediate implant with immediate loading.