We have placed ceramic implants for 5 years, and if the conditions are right, we can place them at the time of extraction. When we do the immediate implant procedure, we are committed to thoroughly cleaning out any infection and removing the periodontal ligament, regardless of how long the process may take. To achieve optimal results, we use a protocol of piezosurgery, ozone, laser, and PRF. If a bone graft is necessary, we choose between beta tricalcium phosphate , or autogenous grafts from the