Preserving bone during an extraction can make all the difference when planning for immediate or delayed implant placement. In this episode of Everyday Oral Surgery, host Dr. Grant Stucki is joined by Dr. Jake Stucki for a practical discussion on atraumatic extraction techniques and how surgeons can set implant cases up for long-term success. Dr. Jake Stucki shares how extraction technique influences future implant outcomes, the key to maintaining soft tissue support, and when a site is ready for an immediate implant. Grant and Jake discuss how to use elevators, forceps, osteotomes, thin burs, tooth sectioning, and tactile feedback to remove teeth efficiently while preserving the surrounding anatomy. They also explore immediate implant decision-making, how patient factors can influence treatment planning, and why surgeons should have a clear mental checklist before placing implants. Tune in for a technique-focused discussion on improving extraction strategy, protecting bone, and making better implant decisions from the very first step of treatment.

Key Points From This Episode:

• Discover why implant complications often begin at the time of extraction.
• Learn how atraumatic extraction preserves bone for immediate or delayed implants.
• Unpack why the buccal plate is essential for implant positioning and long-term outcomes.
• How twisting movements with forceps can reduce lateral stress on the buccal plate.
• Hear how tactile feedback helps identify early cracks or buccal plate movement.
• When osteotomes can help create space between the root and the surrounding bone.
• Understand why surgeons should focus pressure on the mesial and distal bone.
• Uncover why tooth sectioning can make difficult roots easier to remove. 
• Explore how evaluating the socket can help determine if an implant is suitable.  
• Patient and site factors that may support delaying implant placement.
• Pre-operative planning factors surgeons should consider before extracting a tooth.
• The ways a patient’s anxiety and mindset can influence treatment planning.
• Find out which instruments and materials can support immediate implant treatments.
• Why a clear checklist can prevent tunnel vision during complex implant surgery.

Links Mentioned in Today’s Episode:

Dr. Jake Stucki: https://www.southglennmoderndentistry.com/meet-our-team/team-member.jake-stucki-staff-id-45490/

Nobel Biocare: https://www.nobelbiocare.com/

Nobel Biocare | NobelActive: https://www.nobelbiocare.com/en-us/nobelactive

Versah: https://versah.com/

Zero Bone Loss Concepts: https://www.quintessence-publishing.com/usa/en/product/zero-bone-loss-concepts

Eat That Frog!: https://www.amazon.com/Eat-That-Frog-Great-Procrastinating/dp/162656941X

Unreasonable Hospitality: https://www.amazon.com/Unreasonable-Hospitality-Remarkable-Giving-People/dp/0593418573

Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ 

Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ 

Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/

Dr. Grant Stucki Email — [email protected]

Dr. Grant Stucki Phone — 720-441-6059