Place the titanium fixture (column) in about one hour using a local anesthetic such as norfocin. In general, implants can immediately replace natural teeth that are irreversibly damaged. Imagine, for example, falling off a bike and breaking off the anterior teeth below the gingival line so that it can not be repaired in the usual way. Now we can often remove the remaining roots and place the implants immediately. In the past, we had to prepare the adjacent teeth.