Even if you do not have osteoporosis in the jaw, we may need to add a particulate bone graft to the extraction site and implant site to strengthen the area and promote the growth of new, healthy bone. Most bone grafts can be done at the time of extraction and dental implant placement. We refer to this as an immediate dental implant as opposed to delayed placement. In general, the sooner you have missing teeth replaced with dental implants, the more likely you will have the bone density at the implant site maintained.